Clinical Utilization Reviewer - Behavioral Health
Blue Cross and Blue Shield of Massachusetts Inc.
Blue Cross Blue Shield of Massachusetts, a leading not-for-profit health plan, seeks a Clinical Utilization Reviewer to facilitate care for members with complex needs and to authorize services at the right level of care. The role emphasizes independent work, collaboration with clinicians, and adherence to medical policies to promote efficient, high-quality member care. Responsibilities include pre-certification, concurrent and retrospective reviews at inpatient programs, discharge planning #J-18808-Ljbffr Blue Cross and Blue Shield of Massachusetts Inc.
$47.84k - $58.02k
...The Clinical Assistant is responsible for direct care provided to... ...design programs to promote public health particularly among high-risk... ...areas. • Understands and utilizes the telephone/pager systems,... ...Demonstrates respectful and courteous behavior toward peers, co-workers,...Suggested$23.23 - $31.26 per hour
...Clinical Assistant The Clinical Assistant is responsible for direct... ...used in clinical areas. Utilizes Epic to identify patients... ...Demonstrates respectful and courteous behavior toward peers, co-workers,... ...population served: young adult to geriatric. South Shore HealthSuggestedWork experience placement$20 - $26 per hour
...hr - $26.00/hr Pride Health is hiring a Medical Transcriptionist... ...pathology department reviewing and editing surgical... ...referring physician’s clinical history into the... ...patient’s reports. Utilizes the hospital’s Values... ...the client’s RESPECT behavioral standards....SuggestedHourly payContract workMonday to FridayShift work- ...follow-up appointments with provided slips, and document/apply loyalty rewards (e.g., Aspire/Alle) for Botox and fillers. ~ Utilize EHR practice systems to manage the encounter queue and ensure all patient details are accurate. Qualifications ~ Medical...SuggestedFull timeWork at officeMonday to Friday
$20 - $25 per hour
...ConvenientMD, we're on a mission to make good health more convenient for all - working to... ...visitor sees when they walk into one of our clinics. Working alongside the clinical team, you... ...with all services. Navigate and utilize various software systems for reservation...SuggestedHourly payDaily paidFull timeTemporary workPart timeWork at officeShift workNight shiftWeekend work$20.1 - $28.75 per hour
...initial point of contact for patients entering the Health System for care. This role requires... ...placement with appropriate nursing units. d. Reviews elective surgical procedure schedule to assure appropriate utilization of patients and placement to specialty Nursing...Work experience placementShift work$53k - $77k
...Programs in the Infectious Diseases Clinic. Provides culturally... ...Collaborates and coordinates with health care team members to promote... ...rights and privacy Utilizes hospital's policies and standards... ...diversity; values; beliefs; and behaviors. Demonstrated critical...Full timeContract workFixed term contractWork at officeFlexible hours- ...tasks. The coordinator will perform clinical tasks utilizing Epic to assist in safe patient scanning... ...transfer from stretcher and Mr bed.• Reviewing Mr exam orders to ensure all required... ..."looks like" by specifying which behaviors are most critical for successful performance...16 hoursPart timeRemote workWeekend work
$22 - $24 per hour
...is a bilingual/bicultural behavioral health treatment provider serving... ...Directors at the Outpatient clinic, and Residential Directors... ...referral/application data entry, reviewing documents to ensure all... ...Coordinate to ensure room utilization system that will effectively...Hourly payFull timeTemporary workFor contractorsMonday to Friday$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote jobHourly payWork from homeFlexible hours- ...unit phones, collaborating with health care team members and other... ...and patient population. Utilizes the proper procedures address... ...Nursing Director/supervisor or Clinical Leader. Management of Resources... ...looks like" by specifying which behaviors are most critical for...Casual workWork at officeRemote workShift workWeekend workDay shift
$23 per hour
...to expand access to great care while utilizing advance science and latest technologies... ...Services is one of the major providers of clinical and non-clinical healthcare staffing... ..., Hospitals, Medical Centers and Behavioral Health Facilities. Benefits We Offer: AG...Contract workWork experience placementWork at officeShift workDay shift$17 - $29 per hour
...Patient Care Representative will contribute to the goals of Shields Health Care Group by Providing exceptional customer service with... ...to trouble shoot and provide feedbackAbility to recognize and utilize when language services are neededDistribute films/CDs as required...Daily paidWork at office$21.15 - $27.36 per hour
...appropriately at registration by reviewing government issued... ...the patient’s bedside utilizing Workstations on Wheels... ...Medicare Rights, and Health Care Proxy etc. where... ..., newly acquired clinical systems, or other relevant... ...Utilizes hospital’s behavioral standards as the basis...Full timeContract workFixed term contractWork at officeFlexible hours$21.15 - $27.36 per hour
...appropriately at registration by reviewing government‑issued... ...the patient’s bedside utilizing Workstations on Wheels... ...Medicare Rights, and Health Care Proxy forms where... ..., newly acquired clinical systems, or other relevant... .... Utilizes hospital behavioral standards as the basis...Hourly payFull timeContract workFixed term contractWork at officeMonday to FridayFlexible hoursAfternoon shift- ...Temporary Medical Records Clerk Opportunity Pembroke Hospital is a 120-bed acute care, inpatient behavioral health facility located south of Boston, in Pembroke, MA. Situated on 26 acres, we offer inpatient and partial hospitalization treatment to teens, adults and...Temporary workLocal area
- ...are an existing employee of South Shore Health then please apply through the internal career... ...and patience. **2. Technology - Utilizes technological solutions to work processes... ...unit standards. b. Accesses lotus notes to review email, learning management and other resources...Full timeWork experience placementShift workWeekend work
$50k - $62.85k
...design programs to promote public health particularly among high-risk... .... • Assures that all clinical areas have an adequate stock... ...clinical areas. • Understands and utilizes the telephone/pager systems,... ...respectful and courteous behavior toward peers, co-workers, visitors...Daily paid$16 - $29 per hour
.... Explore opportunities with Atrius Health, part of the Optum family of businesses... ...Understands all documents and processes Reviews and facilitates the updating of missing... ...appointment schedules to ensure that clinic utilization is optimized and effectively supports...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workFlexible hoursShift work$21.63 - $24.04 per hour
...Position Description: We are seeking an Orthotic Fitter/Clinical Assistant to join our team. No prior orthotic experience is required... ...training. Candidates with backgrounds in clinical or allied health settings, including cast technicians, athletic trainers, physical...Hourly payTemporary workLocal areaShift work$57.09k
...patient appointment scheduling. Utilizes centralized scheduling system... ...are signed in the electronic health records. Utilizes and adheres to phone script, clinical decision trees, and scheduling... ...patient situations and or/behaviors. In partnership with finance...Work experience placement$23 - $35.6 per hour
...to the highest quality health care for all individuals... ..., case managers, and behavioral health professionals work... ...at multiple clinic sites. This position will... ...Responsibilities: Utilize the EPIC system to register... ...appropriate medical programs Review insurance eligibility...Hourly payFull timePart timeWork experience placementWork at officeVisa sponsorshipWork visaMonday to FridayFlexible hoursAfternoon shift$42.5k - $47.8k
...Clinical Lab Assistant I Under general supervision, The Clinical Lab Assistant I will... ..., and design programs to promote public health particularly among high-risk and underserved... ...to labs outside of CMCF in-person or by utilizing PEVCO system. Check supply kits for...$123.76k - $166.57k
...includes all pharmacists (i.e., clinical, production, and retail),... ...and follows-up on problems. Utilizes clinical data in evaluating physician... ...to system-wide and/or health care setting programs. # .Operates... ...management and utilization review programs. # May coordinate...Work experience placement- ...facilitate effective communication with the clinical team. This role requires a meticulous... ...encounters for non-urgent patient concerns. Utilize Dental/Optical software and verify... ...state and local sick leave ordinances). ~ Health Benefits / Dental / Vision (Medix offers...Minimum wageTemporary workLocal area
$18.42 - $27.37 per hour
...their needs. Provides informative, non-clinical information when requested by patients,... ...to patient rights and BMC Standards of Behavior. Participates in staff meetings, departmental... ...safety regulation and infection control review, departmental and unit specific...Full timeWork at officeImmediate startWeekend workAfternoon shift$22.25 - $35.6 per hour
...dignified access to the highest quality health care for all individuals and families experiencing... .... Our clinicians, case managers, and behavioral health professionals work in more than 3... ...Minimum one year experience in a clinical setting Secretarial training a plus...Hourly payFull timePart timeVisa sponsorshipWork visaMonday to Friday- ...responsible for scheduling appointments, utilizing a medical management records software... ...to other staff members within University Health Services, when needed. Examples of Duties... ...in; communicate any delays to the clinical area and to patients to maintain the efficient...Full timePart timeWork at office
- ...respect of differences in cultures, values, beliefs and ages, utilizing interpreters when needed. Performs other duties as assigned... ...diploma or equivalent required. Preferred: Previous health care experience desirable. Familiarity with CRT functioning...Work experience placement
$18 - $20 per hour
...At Northeast Health Services , a member of Transformations Care Network (TCN), we... ...welcoming experience. As the heart of our clinics, your role as a motivated administrative... .... Play a pivotal role in reshaping behavioral health, with your efforts directly...Hourly payWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Utilization Reviewer - Behavioral Health. Be the first to apply!

