Operations Coordinator, Utilization Management - Somerville

We believe that high-performing teams drive groundbreaking medical discoveries.The Opportunity Manages a department of utilization review professionals usually consisting of Registered Nurses, Social Workers and other paraprofessional roles. · ...

Statement of Duties · The Utility Billing Manager is responsible for overseeing the utility billing functions for the Water and Sewer Department, including the development, management, and execution of billing processes, meter operations, and customer service. This position also ...

Manages a department of utilization review professionals and develops policies and processes for the team. · ...

· Statement of Duties · The Utility Billing Manager is responsible for overseeing the utility billing functions for the Water and Sewer Department, including the development, management, and execution of billing processes, meter operations, and customer service. This position al ...

Utilization Management Case Manager – 3 month contract w/ potential to extend and convert · Join our client's team as a vital contributor to high-quality healthcare management. As a Utilization Management Case Manager, you'll play a pivotal role in evaluating medical requests, en ...

Statement of Duties · The Utility Billing Manager is responsible for overseeing the utility billing functions for the Water and Sewer Department, including the development, management, and execution of billing processes, meter operations, and customer service. This position also ...

Manages a department of utilization review professionals usually consisting of Registered Nurses, Social Workers and other paraprofessional roles. Develops and oversees policies and processes for the team and collaborates with other departments to improve the organization's utili ...

Statement of Duties · The Utility Billing Manager is responsible for overseeing the utility billing functions for the Water and Sewer Department, including the development, management, and execution of billing processes, meter operations, and customer service. This position also ...

Site: Mass General Brigham Health Plan Holding Company, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient ca ...

The UMCM will utilize clinical knowledge to analyze and render approval decisions. · Principal Duties and Responsibilities:Expertise in clinical review for prospective utilization management reviews utilizing Interqual. · Review authorization requests for medical services includi ...

Site: Mass General Brigham Health Plan Holding Company, Inc. · Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient ...

The UMCM will utilize clinical knowledge to analyze, assess, and render approval decisions. · ...

The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department. Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. · For n ...

The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department.Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. · ...

The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department. Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. · For n ...

Job Summary · The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department.Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical re ...

The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department.Through sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical record. · ...

This position is critical for centralizing and streamlining operational, HR, and compliance functions within the Mass General Brigham UM Enterprise. · ...

This position is critical for centralizing and streamlining operational, HR, and compliance functions within the Mass General Brigham UM Enterprise. It ensures efficiency, accuracy, · and continuity across multiple domains.Primary Responsibilities: · Centralized EPIC Role Managem ...

+The Insurance Support Nurse participates in the timely management of denials that are received in the Care Coordination Department. · +Collaborates with appropriate individuals, departments and payers to ensure appropriateness of admission, continued days of stay and reimburseme ...