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 ...

POSITION SUMMARY: · 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 requirement ...

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 ...

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.RN care manager responsible for working with Complex Care Team and Primary Care Providers to stabilize ...

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 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 ...

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 ...

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 ...

+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 ...

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 ...

The Nurse Manager for Utilization Review and Clinical Appeal Management oversees daily operations of UM and Appeal teams ensuring compliance with hospital policies regulatory requirements payer guidelines. This role supports efficient effective utilization review denial managemen ...

The Nurse Manager oversees daily operations of Utilization Management (UM) and Clinical Appeal teams. · Collaborates with interdisciplinary teams to reduce payer denials.Provides leadership, staff training, and quality improvement initiatives. ...

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. · ...

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 ...

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 Security Patrol Manager will oversee security officers at Boston Children's Hospital. The position requires prior healthcare experience and involves supervising personnel, maintaining post orders, and ensuring client satisfaction. · ...

Description · JOB SPECIFICATIONS: · SITE: Boston Children's Hospital (Main Campus / Boston) · TITLE: Security Patrol Manager · SCHEDULE: 4pm-12am (Rotating Weekends) · PAY: $31.07/hour  · ***Prior Heathcare experience HIGHLY desired*** · ESSENTIAL FUNCTIONS · Functions as a super ...