- Commonwealth Care Alliance (Springfield, MA)
- …to influence the outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment and closing gaps in care through connecting patients ... will play an integral role supporting patients with frequent utilization of Emergency Departments and acute admissions with the...This position requires travel to CCA sites and offices per required need for various team meetings. + Valid… more
- Commonwealth Care Alliance (Springfield, MA)
- …influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing quality ... Timely Psychiatric post hospital discharge with focus on hospitalization and utilization reduction + Facilitating and/or delivering preventative care and behavioral… more
- Commonwealth Care Alliance (Boston, MA)
- …skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, behavioral ... an integral role in reducing high emergency department (ED) and inpatient utilization related to unmet social needs, including housing, food, community resources… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the ... hospital's utilization review plan to ensure the effective...experience. + 2-3 years experience working as a UR Specialist , Medical Billing or health care quality assurance. +… more
- Datavant (Boston, MA)
- …tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and improve ... experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim...requirements of the role. The estimated base pay range per hour for this role is: $32-$45 USD To… 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
- Wellington (Boston, MA)
- …**About the Role** We are seeking a detail-oriented strategic Senior Content Specialist with deep experience in taxonomy, content modeling, digital asset management ... digital assets, ensuring their proper storage, tagging, accessibility, and utilization . Create and enforce asset lifecycle workflows in coordination...to work onsite at a Wellington office four days per week + Boston is the preference but Needham,… more
- Evolent (Boston, MA)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- Beth Israel Lahey Health (Peabody, MA)
- …assistance training Assists provider with minor procedures Documents testing/results per practice protocol Administers immunizations based on written provider orders ... completeness before appointment and update as appropriate Inserts the required forms per procedure and department protocol Follows up with patient or specialist… more
- State of Massachusetts (Boston, MA)
- …will evaluate ALR records during each onsite certification and compliance review , focusing on safe medication administration, appropriate care planning and service ... internal quality reviews. Additionally, the ALR Unit Nurse will review and evaluate reports with potentially related clinical issues...is required to travel an average of 2 days per week to ALR communities across Massachusetts. In addition,… more
