Utilization Review Coordinator jobs in Malden, MA
Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
Recently Added Utilization Review Coordinator jobs
- Boston University
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BOSTON, MA
FULL_TIME
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The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally recognized good documentation practices as well as to the study protocol and applicable SOPs. The Data Review Coordinator works closely with veterinary and technical staff to ensure that all corrections and clarifications are made in a timely manner. The Data Review Coordinator also works closely with the Study Compliance Manager (SCM) to ensure that deviations from the study protocol and applicable SOPs are promptly reported to the Study Director/Single Point of Control and SCM for evaluation. Additionally, the incumbent is responsible for the prompt preparation of study notebooks, to include filing, pagination, and indexing of all reviewed and finalized study data.
- 1 Month Ago
- Elevance Health
-
Woburn, MA
FULL_TIME
- Job Description Utilization Manager Correspond Representative Sr Location : Remote Hours : 12pm-8 : 30am EST Monday-Friday Utilization Manager Correspond Representative Sr is responsible for processin...
- Just Posted
- The Dimock Center
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Roxbury, MA
FULL_TIME
- You are a caring, hard-working individual who thrives in a team environment and is committed to excellence. You have experience in a setting and are comfortable interacting with patients, as well as m...
- 1 Month Ago
- Veritas Medical Evaluation & Review
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Winchester, MA
FULL_TIME
- Veritas Medical Evaluation & Review is growing and we are looking for motivated, confident, detail-oriented professionals. If you are interested in entering the medical record review and independent m...
- 21 Days Ago
- Institute for Clinical and Economic Review
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Boston, MA
FULL_TIME
- The Institute for Clinical and Economic Review (ICER) is an innovative, independent non-profit healthcare research organization dedicated to sustainable access to high value care for all patients. Amo...
- Just Posted
- Mass General Brigham Health Plan
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Somerville, MA
FULL_TIME
- Description This is a remote role with occasional (roughly 1x/every other month) onsite team meetings in Somerville, MA. Mass General Brigham Health Plan is an exciting place to be within the healthca...
- 1 Day Ago
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0 Utilization Review Coordinator jobs found in Malden, MA area
- Boston Medical Center
-
Boston, MA
- Position: ED Patient Access Rep Department: Patient Access Services Schedule: 40 hour Eve M-F 11AM -730PM U POSITION SUM...
- 4/29/2024 12:00:00 AM
- Sheth Horsley Eye Center
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Stoneham, MA
- Job Description Job Description Sheth Horsley Eye Center is hiring an experienced Medical Receptionist who can take over...
- 4/28/2024 12:00:00 AM
- Massachusetts General Physicians Organization
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Everett, MA
- Job Description - Patient Services Coord. II (3285441)The Patient Services Coordinator II, under general supervision, pr...
- 4/28/2024 12:00:00 AM
- Partners
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Everett, MA
- Description: The Patient Services Coordinator II, under general supervision, provides administrative support to health c...
- 4/28/2024 12:00:00 AM
- Boston Gym Llc
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Somerville, MA
- New York Sports Club and our family of brands is a long-standing, dynamic fitness club brand with locations in the North...
- 4/28/2024 12:00:00 AM
- Union of Concerned Scientists
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Cambridge, MA
- Permanent Development Union of Concerned Scientists Remote Bargaining Unit Position: Yes Our organization The Union of C...
- 4/27/2024 12:00:00 AM
- Planet Professional
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Cambridge, MA
- Executive Assistant Contract to Perm Onsite (will consider hybrid candidates but highly prefer to be onsite) Vaccination...
- 4/27/2024 12:00:00 AM
- The Planet Group
-
Cambridge, MA
- Executive Assistant Contract to Perm Onsite daily in Cambridge, MA Pay range: $30-35/hour Must Haves: 3 years of Admin e...
- 4/26/2024 12:00:00 AM
About Malden, Massachusetts
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