Utilization Management Reviewer
Boston, Massachusetts
013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the...
17h
| Job Type | Full Time |
Rockport, Maine
Description Home Health and Hospice Clerical/Administrative Support Req #: 45604 Summary: The Outcomes Specialist role provides oversight to visiting clinicians by ensuring appropriate home health coding, accurate OASIS assessments and comp...
1d
| Job Type | Full Time |
St. Louis, Missouri
We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not ...
1d
| Job Type | Full Time |
Annapolis, Maryland
About Crisis24 Crisis24, a GardaWorld company, is widely regarded as the leading integrated risk management, crisis response, consulting, and global protective solutions firm, serving the world's most influential people, disruptive brands, ...
1d
| Job Type | Full Time |
Manager (RN) - Clinical Documentation Management Program
Scarborough, Maine
Description MaineHealth Corporate Management/Leadership Req #: 37385 MaineHealth is seeking a dynamic and experienced Clinical Documentation Specialist (CDS) Manager to lead our dedicated team in ensuring the accuracy, completeness, and int...
2d
| Job Type | Full Time |
Lancaster, Massachusetts
Position: Clinical Coordinator Location: Lancaster, MA Job Id: 441 # of Openings: 1 RFK Community Alliance has an exciting opportunity for a full-time Clinical Coordinator to join our Don Watson Academy team in Lancaster. A $5,000 sign-on b...
2d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Consultant (Lead)
Lodi, California
Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationa...
2d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Consultant (Lead)
Oakland, California
Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationa...
2d
| Job Type | Full Time |
South Portland, Maine
Description Medical Group Practices Professional - Nonclinical Req #: 39370 Summary: The Access Management Specialist role develops, implements and maintains the Patient Access Quality and Performance Program and serves as a liaison between...
2d
| Job Type | Full Time |
Behavioral Health Utilization Management Clinician, Consultant (Lead)
El Dorado Hills, California
Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationa...
2d
| Job Type | Full Time |