Utilization Review Specialist - Westborough

Westborough Behavioral Healthcare Hospital provides psychiatric stabilization and dual diagnosis treatments for Children, Adolescents and Adult populations in both inpatient and outpatient settings. · ...

We are looking for a Utilization Review Specialist to provide Per Diem coverage at Westborough Behavioral Healthcare Hospital. · The UR Specialist will monitor adherence to the hospital's utilization review plan. · They will perform concurrent reviews for patients and advocate fo ...

Job summary · The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client through liaison with insurance companies. · QualificationsHigh School Graduate or equivalent. · Post high school training in the medical field, the i ...

To perform this job successfully an individual must have a deep understanding of standards such as AMS/ASTM,MIL-STD specifications for various materials and processes. · ...

+Job Summary · Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions. · +Minimum three (3) - five (5) years' experience required in either c ...

Mass General Brigham relies on a wide range of professionals to advance its mission. As a Clinical Review Specialist, you will facilitate accurate identification of patient medical conditions through comprehensive chart review. You will utilize clinical and coding knowledge to in ...

Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions through comprehensive chart review combined with review of coding output data sources ...

Baker Newman Noyes is seeking a Tax Specialist Advanced Reviewer to review federal and state tax returns during peak seasons. · ...

The Senior RN Peer Review Specialist is responsible for monitoring the quality of credentialed practitioner/organizational provider networks ensuring Blue Cross Blue Shield members receive high-quality care. · ...

We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities. · ...

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. · Review claims to ensure accurate coding, appropriate documentation, and compliance with applicable billing regulations and payer guidelines. · ...

We're a fast-growing energy efficiency program implementer in the Northeast, leading the way in electrification and heat pump adoption. Our team is fun, kind, passionate, and progressive—and we offer a competitive benefits package to match. · ...

Nurse Reviewer II conducts clinical reviews to determine eligibility for ABI and MFP Home and Community-Based Waiver Programs. · Conduct in-person clinical assessments of individuals in nursing facilities, rehabilitation hospitals, or chronic care settings. · Review medical recor ...

We are seeking a detail-oriented and proactive Staff Accountant to support our finance team with a focus on T&E review, voucher processing, and T&E policy management. · ...

We are driven to develop and deliver innovative and effective new medicines to patients and physicians.Keeping our focus on addressing unmet medical needs enables us to improve the health of people throughout the world. · Coordinating the schedules of the committees (IACUC/IBC), ...

We are seeking a detail-oriented and proactive Staff Accountant to support our finance team with a focus on T&E (Travel & Expense) review, voucher processing, and T&E policy management. ...

Join ForHealth Consulting at UMass Chan Medical School as a Nurse Reviewer II and help ensure that individuals with complex medical, behavioral health, and rehabilitative needs receive the services and supports they need to live safely in their communities. · Conduct in-person cl ...

Murata Power Solutions is powering what's next in high-performance, sustainable power conversion. · We focus on two of the most transformative technology markets: · ...

Join Our Team: Are you passionate about helping others and building meaningful connections Caring Transitions of Greater Worcester is looking for a Business Growth Specialist to help us expand our outreach across Worcester county and parts of Middlesex County. This is a role with ...

Join ForHealth Consulting at UMass Chan Medical School as a Nurse Reviewer II and help ensure that individuals with complex medical, behavioral health, and rehabilitative needs receive the services and supports they need to live safely in their communities. · ...