Clinical Utilization Review Specialist

Job Summary:The Clinical Review Specialist will conduct ongoing clinical reviews with various insurers to obtain clinical authorization for the appropriate levels of care. This role will also coordinate appeals as requested by the UM Director and participate in or coordinate any data collection needed for QI indicators. The ideal candidate will have...

Job SummaryThe Clinical Utilization Specialist will conduct ongoing clinical reviews with various insurers to obtain clinical authorization for the appropriate levels of care. This role will also coordinate appeals as requested by the UM Director and participate in or coordinate any data collection needed for QI indicators. The ideal candidate will have a...

About UsBournewood Health Systems is a behavioral health organization dedicated to providing quality, evidence-based and person-centered treatment for people with mental health and substance use conditions. We are committed to a philosophy and an environment of care in which we treat people with dignity, respect and mutuality; protect their rights; provide...

Job DescriptionDM Clinical Research is seeking an Unblinded Clinical Research Coordinator to support our clinical research trials. This role involves dispensing Investigational Products (IP) and ensuring compliance with study-specific blinding plans.Duties & Responsibilities:Compound and dispense prescribed IP.Supervise and maintain records of all...

Job SummaryThe Clinical Research Accounting Specialist is responsible for financial reconciliation and invoicing, and assists with accounts receivable and accounts payable financial transactions generated from Dana-Farber Cancer Institute Clinical Research activity. This role requires strong organizational skills and attention to detail, as well as...

Job SummaryWe are seeking a highly organized and detail-oriented Clinical Research Accounting Specialist to join our team at Dana-Farber Cancer Institute. The successful candidate will be responsible for financial reconciliation and invoicing, as well as assisting with accounts receivable and accounts payable financial transactions generated from Clinical...

Diagnostic Imaging SpecialistWe are seeking a skilled Diagnostic Imaging Specialist to join our team at MLee Healthcare. As a Diagnostic Imaging Specialist, you will be responsible for performing a variety of diagnostic imaging procedures, including X-rays, in accordance with established protocols and safety guidelines.Key Responsibilities:Position patients...

Diagnostic Imaging SpecialistMLee Healthcare Staffing and Recruiting, Inc is seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for performing a variety of diagnostic imaging procedures, including X-rays, in accordance with established protocols and safety guidelines. You will...

Diagnostic Imaging SpecialistMLee Healthcare Staffing and Recruiting, Inc is seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for performing a variety of diagnostic imaging procedures, including X-rays, in accordance with established protocols and safety guidelines.Key...

Diagnostic Imaging SpecialistMLee Healthcare Staffing and Recruiting, Inc is seeking a skilled Diagnostic Imaging Specialist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for performing a variety of diagnostic imaging procedures, including X-rays, in accordance with established protocols and safety guidelines.Key...

Job SummaryDeliver high-quality, safe, and cost-effective patient services through management of a highly functioning interdisciplinary clinical team.Ensure regulatory and organizational policies and standards are met.Proactively contribute to achievement of clinical, administrative, and financial goals.Manage staff assignments, caseloads, and...

Job SummaryMass General Brigham is seeking a highly skilled Clinical Manager to lead our Home Health team. As a key member of our interdisciplinary team, you will be responsible for delivering high-quality, safe, and cost-effective patient services.Key Responsibilities:Manage staff assignments, caseloads, and productivityEvaluate staffing levels and clinical...

Job Title: Registered Nurse - Virtual Care SpecialistMass General Brigham is seeking a skilled Registered Nurse to join our Home Health Virtual Care team. As a Virtual Care Specialist, you will provide high-quality, patient-centered care to patients in their defined living space.Job Description & RequirementsSpecialty: Virtual CareDiscipline: RNDuration:...

Job SummaryMass General Brigham is seeking a highly skilled Clinical Manager to lead our Home Health team. As a key member of our interdisciplinary team, you will be responsible for delivering high-quality, safe, and cost-effective patient services through effective management of a highly functioning clinical team. Key ResponsibilitiesManage staff...

Job SummaryBoston Children's Hospital is seeking a highly skilled Psychiatric Nurse Practitioner to join our Outpatient Psychiatry Service. As a key member of our team, you will provide exceptional clinical care to children, adolescents, and young adults with a range of mental health illnesses.Key ResponsibilitiesCollaborate with medical and clinical...

Job SummaryThe Boston Children's Hospital is seeking a highly skilled Psychiatric Nurse Practitioner to join our Outpatient Psychiatry Service. As a key member of our team, you will provide exceptional clinical care to children, adolescents, and young adults with a range of mental health illnesses.Key ResponsibilitiesProvide diagnostic assessments and...

About the Role:We are seeking a highly skilled Hearing Instrument Specialist to join our team at HearingLife. As a key member of our team, you will be responsible for providing clinical expertise to diagnose and treat hearing loss while ensuring a positive patient experience.Key Responsibilities:Provide quality care and aftercare of dispensing services such...

Job Title: Leave and Disability SpecialistThe Town of Brookline is seeking a highly skilled Leave and Disability Specialist to join our team. This role is responsible for coordinating and supporting all leave of absence cases, including workers compensation and injury on duty, in compliance with relevant laws and regulations.Key Responsibilities:Coordinate...

Job Title: Allergy Nurse SpecialistJob Summary:Mass General Brigham is seeking a skilled Allergy Nurse Specialist to join our team. As a key member of our Allergy Clinic, you will be responsible for providing high-quality patient care, administering allergen immunotherapy, and conducting allergy testing. If you are a dedicated and compassionate nurse with a...

Job Title: Clinical ManagerMass General Brigham is seeking a highly skilled Clinical Manager to lead our Home Health team. As a key member of our organization, you will be responsible for delivering high-quality patient care and managing a team of healthcare professionals.Key Responsibilities:Manage staff assignments, caseloads, and productivity to ensure...