151 utilization opportunities in Boston updated today
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Beth Israel Lahey HealthCharlestown, MA • Beth Israel Lahey Health • Full-time • Day When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Executive Director of Utilization Management (UM) provides strategic and operational leadership for the enterprise UM prog
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Utilization Management Coordinator - REMOTE. In this role, you will assist and support the clinical team with various administrative and non-clinical tasks that are essential to the processing of Util
Site: Mass General Brigham Incorporated 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 care, research, teaching, and community se
Site: Mass General Brigham Incorporated 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 care, research, teaching, and community se
Behavioral Health Utilization Management Medical Case Manager CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready
Supplemental Health Care is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type:
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. Thi
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and other services within scope of practice per business needs. Th
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 care, research, teach
Looking for a fully remote opportunity where your clinical expertise drives meaningful outcomes? We’re hiring experienced Behavioral Health Utilization Managers to support outpatient and diversionary services in a dynamic, fast-paced environment. Assignment Details Schedule: 8-hour day shifts (Monda
We are transforming precision medicine. Variantyx is a technology-driven precision medicine company providing state-of-the-art diagnostic solutions for the rare genetic disorders and reproductive genetics markets, and treatment optimization in oncology. Our proprietary whole genome analysis platform
CenterWellBecome a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team th
PwCSpecialty/Competency: Operations Industry/Sector: Health Services Time Type: Full time Travel Requirements: Up to 80% At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs
HumanaBecome a part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health knowledge to support the coordination, documentation, and communication of medical services and benefit administration determinations. Reporting to the UMB Manager, the UMB Health P
VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office in Hopkinton, MA!!! Start A New Career with VitalCore Health Strategies! At VitalCore we pride ourselves on retaining and acquiring hardw
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 care, research, teach
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 care, research, teach
Join the VitalCore Team in Massachusetts! We're people who are fueled by passion, not by profit. VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has an opening for a Part-Time (16 hours per week) Utilization Management Scheduler at the Regional Office in Hopkinton
Explore opportunities with Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entir
Job DetailsJob Location: KAGR - Foxborough, MA 02035Position Type: Full TimeEducation Level: Bachelor's DegreeSalary Range: $100,000.00 - $117,500.00 SalaryJob Shift: DayJob Category: Technical/Analytics SUMMARY Account Management and Business Strategy Manager is responsible for serving as account m
*Our mission. Northeast Recovery is a network of Substance Use Disorder Treatment & Behavioral Health Treatment Facilities that provide a variety of levels of care to those who are prepared to begin their journey toward recovery and** *Salary: $50,000 – $95,000 per year (based on experience and
A company is looking for a Utilization Review Specialist. Key Responsibilities Complete preadmission and concurrent reviews to obtain treatment authorizations and ensure ongoing communication with payors Coordinate peer reviews and manage the provision of Letters of Medical Necessity as needed Suppo
RxAdvanceCompany Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage of life. Success radiates across all levels of our organization, driven
Join the VitalCore Team in Massachusetts! We're people who are fueled by passion, not by profit. VitalCore Health Strategies, (VCHS), an industry leader in Correctional Healthcare, has an opening for a Part-Time (16 hours per week) Utilization Management Scheduler at the Regional Office in Hopkinton
Utilization Review / Discharge Planning Regular Full-Time Job ID: 2026-1758 Category: Nursing Opportunities Apply Now Nature and Scope This multifaceted role will focus on discharge planning, utilization review, and swing bed coordination within our healthcare facility. The Case Manager will play a
The Role Ready to help us transform healthcare? Bring your true colors to blue. The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and other services within scope of practice per business needs. Th
Blue Cross Blue Shield of MassachusettsThe Role Ready to help us transform healthcare? Bring your true colors to blue. The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and other services within scope of practice per business needs. Th
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Plumas District HospitalNature and Scope This multifaceted role will focus on discharge planning, utilization review, and swing bed coordination within our healthcare facility. The Case Manager will play a pivotal role in ensuring the smooth transition of patients from the acute care setting to appropriate post-acute care
$40,000 – $63,000/year
Estimation confidence: Low
Estimate based on market data for Boston. Actual salaries may vary depending on experience, company, and area.
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