- Beth Israel Lahey Health (Plymouth, MA)
- …unit cost, 4) reducing readmissions. **Duties/Responsibilities:** **A. Utilization Management ** Performs review of anticipated admissions utilizing InterQual ... This role is structured around four major functions + Utilization Management + Care Coordination + Discharge...satisfaction with the discharge from the ED Prevents unnecessary admissions for social reasons Functions as a liaison… more
- Beth Israel Lahey Health (Burlington, MA)
- …including Interqual, Rightfax, NaviHealth, Change Healthcare, Epic, etc. . Manages all utilization management work queues by researching and following up on ... coverage and escalates issues to the manager. . Assists Utilization Managers with all aspects of utilization ...as needed for elements requiring involvement of hospital billing, Admissions , ADT, denial management , and corrections to… more
- Monte Nido (Dedham, MA)
- …Learn more at www.waldenbehavioralcare.com. The Nursing Supervisor provides clinical leadership, management oversight, and guidance during the absence of the patient ... and in the residential program. + Assists in the management of medical and/or psychiatric emergencies. + Investigates critical...issues. + Implements efforts to minimize and prevent the utilization of patient restraint in the inpatient setting. +… more
- Bear Mountain Health Care (Boston, MA)
- …clinical assessments and treatments, clinical documentation, compliance, billing, case management and the execution of Clinical Policies and Procedures. Provides ... (Physical Therapy, Occupational Therapy or Speech Language Pathology). Functions as liaison between all departments involved in reimbursement at the facility level… more
- Beth Israel Lahey Health (Cambridge, MA)
- …with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH inpatient admissions ... Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor. **Job Description:** **Essential Duties & Responsibilities (including but… more
- Brockton Hospital (Brockton, MA)
- …of five years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for assuring continuity… more
- Children's Hospital Boston (Boston, MA)
- …a liaison with Engineering, ESD, Biomedical Engineering, and Materials Management to resolve equipment, supply, cleaning and safety issues; Following through on ... Collaborating and communicating with referring providers and practices to facilitate management of complex patient issues. + Greeting and directing patients,… more
- Children's Hospital Boston (Boston, MA)
- …a liaison with Engineering, ESD, Biomedical Engineering, and Materials Management to resolve equipment, supply, cleaning and safety issues; Following through on ... Collaborating and communicating with referring providers and practices to facilitate management of complex patient issues. + Greeting and directing patients,… more