- CVS Health (Boston, MA)
- …- 1 year of advanced proficiency in Microsoft Word, Excel, and Outlook - Active and unrestricted Licensed Practical Nurse ( LPN ) in MA and NJ - Hospice/ ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...Degree **EDUCATION** High School Diploma or equivalent GED plus Licensed Practical Nurse **Anticipated Weekly… more
- Brockton Hospital (Brockton, MA)
- …delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare ... management experience Proven experience in coordinating discharge planning and utilization review experience required. Prior management experience required.… more
- Elara Caring (Chicopee, MA)
- …+ Assists staff in maintaining current and accurate medical records and utilization review . + Assists clinical supervisor with non-clinical phone inquiries. ... the Right Time, in the Right Place. **Job Description:** ** LPN Clinical Coordinator** At Elara Caring, we care where...in a hospice or home health care setting + LPN License + Proficiency with Medical Terminology + Experience… more
- Molina Healthcare (Worcester, MA)
- … Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) with experience in lieu of RN license. ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- Evolent (Boston, MA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on… more
- Intermountain Health (Boston, MA)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more
- Healthfirst (MA)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, ... and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization...+ Additional duties as assigned Minimum Qualifications: + RN, LPN , LMSW, LMHC, LMFT, LCSW, PT, OT, and/or ST… more
- Beth Israel Lahey Health (Peabody, MA)
- …the patient D. Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. E. Contributes information provided by the patient ... plans since last appointment were followed and results are available for physician review + Confirms that lab and other ancillary tests are performed and results… more
- Beth Israel Lahey Health (Burlington, MA)
- …of the patient Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. Contributes information provided by the patient or ... plans since last appointment were followed and results are available for physician review + Confirms that lab and other ancillary tests are performed and results… more
- Beth Israel Lahey Health (Danvers, MA)
- …the patient D. Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. E. Contributes information provided by the patient ... plans since last appointment were followed and results are available for physician review o Confirms that lab and other ancillary tests are performed and results… more