- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Role The Physical Therapy Utilization Management Reviewer is responsible for ... the member's benefit to provide the best quality care. The Team The commercial Physical Therapy Utilization Management Reviewer is part of a highly… more
- Gilead Sciences, Inc. (Boston, MA)
- …create more tomorrows. **Job Description** **Position Summary** + The Senior Cellular Therapy Account Manager will be field-based and will be responsible for ... for this role are those who make key cell therapy treatment decisions (cell therapy specialists/transplanters, ATC-based...comfort with CAR T process to avoid barriers in utilization . + Provide clinical instruction to clinical staff (eg,… more
- Genesis Healthcare (Newburyport, MA)
- …Performs other related duties as required. Qualifications * They must have a valid Physical Therapy license in the state(s) of practice, or proof of license ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization ,...eligibility. * They must have a Master's degree in Physical Therapy ; or * They must have… more
- ZOLL Medical Corporation (Boston, MA)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Beth Israel Lahey Health (Cambridge, MA)
- …by hospital needs. Specialists provide comprehensive clinical and distributive medication management services and will utilize their advanced clinical skills in the ... provision of evidenced-based, safe, and cost-effective drug therapy to achieve optimal medication therapy outcomes. They serve as a drug information and… more
- Fallon Health (Worcester, MA)
- …encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other ... benefit review. Along with other members of the medical management leadership team, the Manager is responsible for the...times are met + Creates and disseminates all required utilization reports on a daily, monthly, quarterly and annual… more
- Commonwealth Care Alliance (Boston, MA)
- …Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high risk and complex people. This panel ... significant medical, behavioral, and social complexities that require intensive care management and care delivery. Supervision Exercised: * No, this position does… more
- Bear Mountain Health Care (Boston, MA)
- …Clinical Policies and Procedures. Provides quality Rehabilitation Services in licensed field ( Physical Therapy , Occupational Therapy or Speech Language ... Education, Experience, and Licensure/Certifications Must have an active state license in Physical Therapy , Occupational Therapy or Speech Language Pathology… more
- Commonwealth Care Alliance (Boston, MA)
- …Clin Ops Leadership **Position Summary:** Reporting to the Sr. Medical Director of Utilization Management (UM) and Policy, the Medical Policy Director, provides ... (nice to have):** + Active clinical license, eg nursing, physical therapy , LICSW + Certified Professional Coder...have):** + 10 years of experience in medical policy, utilization management , clinical program leadership within a… more
- Fallon Health (Lowell, MA)
- …plans are completed for incident/grievance reports related to rehabilitation services. + Achieves Utilization Management , MLR & cost of care targets + Performs ... assigned **.** **Qualifications** **Education:** Graduate of an accredited program in Physical or Occupational Therapy . **License/Certifications** + Licensed as… more