- US Tech Solutions (Canton, MA)
- …required. Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / ... what you need to perform the job Bachelor's degree in Nursing, preferred Registered Nurse with current nd unrestricted Massachusetts license required Minimum of… more
- JRI (Lawrence, MA)
- …Sign-on Bonus! Who We Are Looking For: Are you the Master's Level In-Home Clinician /Therapist we've been searching for? In this role, you will have the ... opportunity to share your passion for helping others by...license required for work such as LMHC, LCSW, LICSW, RN and more! Access to our excellent Blue Cross… more
- JRI (Lawrence, MA)
- …Bonus! Who We Are Looking For: Are you the Substance Use Prevention and Treatment Clinician we've been searching for? In this role, you will have the opportunity ... to creating a workplace built on respect, collaboration, and opportunity , where every employee is valued and supported in...license required for work such as LMHC, LCSW, LICSW, RN and more! Access to our excellent Blue Cross… more
- LHC Group, Inc. (Needham Heights, MA)
- Job Description We are hiring a for a full-time Home Health RN Patient Care Manager to join our passionate team in Needham Heights, MA! Prior home health experience ... Our Patient Care Manager role might be a great opportunity if you believe in putting the patient at...of the health care team. Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of… more
- US Tech Solutions (Canton, MA)
- …required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / ... complex caseload of varied requests for services. The Clinical Reviewer is responsible for making the determination of medical...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… more
- Actalent (Boston, MA)
- Clinical Review Clinician Job Description As a Clinical Review Clinician specializing in appeals, you will be responsible for preparing case reviews for ... the basis for each appeal. You will ensure timely review , processing, and response to appeals in accordance with...processes is preferred. + State Licensure as LPN, LVN, RN , LCSW, LMHC, LPC, Licensed Marital and Family Therapist,… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** The Sr Clinician , Behavioral Health Utilization Review will review behavioral health and substance ... with transition of care planning and coordination when a Commonwealth Care Alliance clinician is not already involved. Work with ESPs to ensure appropriate and… more
- Commonwealth Care Alliance (Boston, MA)
- …outreach to patients to explain services and schedule initial visits for the assigned clinician . The RN in this role will also be reviewing Algorithm Identified ... Referrals, Health Plan Referrals and Palliative Smart List to review CCA Health Plan members identified with Care Delivery...same with the member or healthcare surrogate and assign clinician in coordination with clinician 's supervisor. *… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for ... membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent clinical judgment.… more
- Aveanna Healthcare (Worcester, MA)
- …the way homecare is delivered, one patient at a time. This is a fantastic opportunity for a talented nurse looking to expand their career, truly increasing the ... per year Position Details Aveanna Healthcare is hiring a Nurse Supervisor in your area! Make a difference every...the Nursing Supervisor: + Must have good standing license ( RN ) in the state in which the clinician… more
