- Beth Israel Lahey Health (Burlington, MA)
- …highly desirable. Experience: Must have at least 5 years inpatient UR /CM experience Knowledge of payment methodologies, federal and state regulations, organization ... and communication skills required. **Pay Range:** $38.11 - $98.23 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is… more
- Datavant (Boston, MA)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and ... by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in...experience + 2 years Health Plan or Acute Care UR /CM + Preferred Experience: 5 years acute care or… more
- Tufts Medicine (Lowell, MA)
- …RN Licensure and NH Licensure. 2. Two (2) years of visiting nurse experience. **Duties and Responsibilities** **:** The duties and responsibilities listed below ... the necessary patient identification, medical and financial information required for the nurse and/or therapist to make the initial home health visit. + Documents… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** REGISTERED NURSE - PER DIEM **Job Description:** **Duties/Responsibilities:** + Identifies continuing care ... of treatments/procedures to optimize reimbursement. + Collaborates with the UR team regarding level of care determination/LOS. + Coordinates continuing… more