Complex Care Manager RN, 40 Hours - Boston

The Nurse Manager for Utilization Review and Clinical Appeal Management ensures compliance with hospital policies regulatory requirements payer guidelines while supporting efficient effective utilization review denial management processes. · Collaborates with interdisciplinary te ...

The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies, regulatory requirements, · Leadership & Op ...

The UM RN will be responsible for review of potential transfers to the BMC System for tertiary care in conjunction with the multidisciplinary care team utilizing medical necessity screening tools to complete initial and continued stay reviews in determining appropriate level of p ...

Review of potential transfers to the BMC System for tertiary care utilizing medical necessity screening tools to complete initial and continued stay reviews in determining appropriate level of patient care appropriateness of tests/procedures and an estimation of the patient's exp ...

The Complex Care Manager works with relevant stakeholders to identify and engage patients in care management, focusing on patient experience, improving health, and reducing cost.This individual will collaborate with Community Wellness Advocates (also known as Community Health Wor ...

The Complex Care Manager works with relevant stakeholders to identify and engage patients in care management, focusing on patient experience, · improving health and reducing cost.Identify and recruit appropriate patients for care management from lists and referrals, · ...

The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies, regulatory requirements, and payer guideli ...

The care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. · Graduate of an accredited BS Program in Nursing · ...

POSITION SUMMARY: · Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outco ...

POSITION SUMMARY: · Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outco ...

+Job summary · The care manager will assess, plan, implement, monitor and evaluate the options and services required to meet an individual's health needs. · +ResponsibilitiesAssess patient's health needs. · ...

POSITION SUMMARY: · Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outco ...

Position Summary · Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outcom ...

POSITION SUMMARY: · Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outco ...

The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. · ...

· Description · Job Type: Full-Time 40 hours per week · Workplace Location: On-site at 2 properties (Total # of units 69) · Pay: starting at $25.00 – 30.00 per hour DOE · About Us · Ad-West Realty Services, Inc. is a professional, full-service property management company special ...

· Description · Job Type: Full-Time 32 hours per week · Workplace Location: On-site at 2 properties (Total # of units 31) · Pay: starting at $25.00 – 30.00 per hour DOE · About Us · Ad-West Realty Services, Inc. is a professional, full-service property management company special ...

· Description · Job Type: Full-Time 32 hours per week · Workplace Location: On-site at 2 properties (Total # of units 28) · Pay: starting at $25.00 – 30.00 per hour DOE · About Us · Ad-West Realty Services, Inc. is a professional, full-service property management company special ...

POSITION SUMMARY: · Utilizing a collaborative process, the care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost-effective outco ...

The care manager will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. · Position: Float Nurse Case Manager · Schedule: 20 Hours (Days / 2x10 Hour Shifts / Every 6th Weekend) · Licensed to practice as a Registe ...