- Brockton Hospital (Brockton, MA)
- POSITION SUMMARY: The Utilization Review Specialist - Behavioral Health works collaboratively with Administration, Coding, Physicians, Nursing, Social ... entities to secure certification/ reimbursement. Maintains data for required auditing, utilization review , reporting and performance improvement. As prescribed… more
- Beth Israel Lahey Health (Burlington, MA)
- …manager. . Assists Utilization Managers with all aspects of utilization review /discharge planning/performance improvement processes. . Functions as liaison ... line with payer expectations, contributing to favorable revenue cycle. The Operational Specialist position will have an impact on provider, patient, and staff… more
- Beth Israel Lahey Health (Charlestown, MA)
- …to the accounts payable payment reporting and control function. Activities include: utilization of ERP system to: review daily payment/banking information loads, ... correct or release data into the ERP system upon verification, review payment forecasts, offset credit balances against applicable debits, review payment… more
- Beth Israel Lahey Health (Burlington, MA)
- …clerical and analytical tasks related to the accounts payable function. Activities include: utilization of ERP system and ancillary systems such as GHX and IDS to: ... review daily data loads, correct or release data into...activities. Comply with all Lahey Health Policies. Comply with behavioral expectations of the department and Lahey Health. Maintain… more
- Beth Israel Lahey Health (Burlington, MA)
- …required forms per procedure and department protocol Follows up with patient or specialist to ensure patient care plans since last appointment were followed and ... results are available for physician review Confirms that lab and other ancillary tests are...data for identified patient populations Monitors patient progress by utilization of disease specific registries to proactively reach out… more
- Baystate Health (Springfield, MA)
- …meetings to address treatment objectives. **6.** May collaborate as assigned with utilization review specialist to obtain necessary insurance authorizations ... to join our ED Crisis Team. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians, ED nursing, and providers to ensure appropriate care… more
- Beth Israel Lahey Health (Burlington, MA)
- …forms per procedure and department protocol + Follows up with patient or specialist to ensure patient care plans since last appointment were followed and results ... are available for physician review + Confirms that lab and other ancillary tests...for identified patient populations + Monitors patient progress by utilization of disease specific registries to proactively reach out… more
- Beth Israel Lahey Health (Peabody, MA)
- …required forms per procedure and department protocol Follows up with patient or specialist to ensure patient care plans since last appointment were followed and ... results are available for physician review . o Confirms that lab and other ancillary tests...for identified patient populations. o Monitors patient progress by utilization of disease specific registries to proactively reach out… more
- Beth Israel Lahey Health (Burlington, MA)
- …department.** **Acquires detailed knowledge of studies so to serve as a specialist ; Grasps the scope and objectives of projects.** **Triages calls from physicians, ... projects as a sponsor- investigator.** **Assists in designing studies of drug utilization , clinical practices, and patient care processes.** **Assists with chart … more
- Beth Israel Lahey Health (Danvers, MA)
- …required forms per procedure and department protocol Follows up with patient or specialist to ensure patient care plans since last appointment were followed and ... results are available for physician review o Confirms that lab and other ancillary tests...for identified patient populations o Monitors patient progress by utilization of disease specific registries to proactively reach out… more
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