Behavioral Health Utilization Reviewer
Blue Cross and Blue Shield of Massachusetts, Inc.
Blue Cross Blue Shield of Massachusetts, Inc. is seeking a Clinical Utilization Reviewer to support members with complex health needs by authorizing appropriate services and promoting high-quality care. The role blends independent work with team collaboration to apply medical necessity criteria and internal policies. The reviewer will conduct pre-certification, concurrent, and retrospective reviews across inpatient and partial hospitalization settings, emphasizing discharge planning and #J-18808-Ljbffr Blue Cross and Blue Shield of Massachusetts, Inc.
$38.82 - $47.44 per hour
...colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for... ...level of care to promote optimal health. This position is self-directed and works... ...professionals, including medical and behavioral health care managers, dieticians, pharmacist...SuggestedHourly payFull timeShift work$42.18 - $51.56 per hour
...? Bring your true colors to blue. The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical... .... The team includes clinicians, medical and behavioral health care managers, dietitians, pharmacists, medical directors...SuggestedHourly payFull timeWork at officeFlexible hoursShift work- 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...Suggested
$47.84k - $58.02k
..., and design programs to promote public health particularly among high-risk and underserved... ...in clinical areas. • Understands and utilizes the telephone/pager systems, including... ...o Demonstrates respectful and courteous behavior toward peers, co-workers, visitors and...Suggested$23.23 - $31.26 per hour
...computer systems used in clinical areas. Utilizes Epic to identify patients that require... ...- Demonstrates respectful and courteous behavior toward peers, co-workers, visitors and... ...of age groups of the population served: young adult to geriatric. South Shore HealthSuggestedWork experience placement$33 - $58 per hour
...Mark and generate Table of Contents and Table of Authorities (utilizing Best Authority) Perform redlines using Litera Compare and native... ...We offer a full range of elective benefits including medical, health savings account (with applicable medical plan), dental, vision,...Hourly payTemporary workWork at officeFlexible hours- ...Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department... ...of written documents and materials utilizing a wide range of office software... ...offer a comprehensive benefits package: ~ Health, Dental, and Vision ~ Life Insurance...Full timeWork at officeFlexible hours
$17 - $21 per hour
Job Description Job Description We’ve been named one of the Best and Brightest® Companies to Work for in Boston and in the Nation for three consecutive years! Are you organized, dependable, and good with details? We’re looking for a Temporary File Clerk to join...Hourly payTemporary workH1bWork at officeLocal area- ...quality team in document control administration and maintenance. Utilizing user-friendly, structured tools and processes to help teammates... ...Assistance Program (EAP) Flexible Spending Account (FSA) Health Savings Account (HSA) Life insurance Paid time off Tuition Assistance...Flexible hours
$20 - $22 per hour
...program ethical code of conduct requirements and personnel polies Technical Capacity - must be proficient in use of LIHEAP database, utilize email, telephone system and ADP system Collaboration Skills - able to work professionally with clients, COAs, LIHEAP team members...Hourly paySummer workSeasonal workMonday to Friday$18.18k - $24.47k
If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-23494Facility... ...during hospital codes (e.g., Code Green, Code Red) c. Utilizes proper body mechanics when performing all aspects of job d. Operates...Work experience placementWork at office- The Norfolk County Registry of Deeds is seeking a Head Administrative Clerk to oversee the Land Court/Registered Land Section, supporting recording and processing of land documents. This role emphasizes accuracy, security, and accessibility of records, under multiple supervisory...
- ...individuals can build meaningful, long‑term careers.The Senior Loan Reviewer is responsible for independently evaluating the accuracy of... ...a comprehensive suite of benefits designed to support your health, financial security, and overall, well‑being. Benefits include:...Local area
$108k - $120k
...environment.Maintain confidentiality at all times.Proven track record of upholding workplace safety and ability to abide by WSP’s health, safety and drug/alcohol and harassment policies.Exercise responsible and ethical decision-making regarding company funds, resources...Full timeContract workWork at officeLocal areaFlexible hours- Job-ID32919128Reference26-02867 Job Title: (CISO/Cyber Security Reviewer)About Kyyba:Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively...
$70k - $95k
...and trust returns – our client is seeking a talented Tax Senior/Reviewer to join their dynamic team. This is a unique opportunity to... ...$95k depending on experienceYear end bonus potentialBenefits: Health, Retirement, Exam/Licensure FeesCulture:Size: Small, close-knit...Full time$70k - $95k
...Job Description Tax Senior/ Reviewer A boutique full-service tax preparation firm - handling everything from simple individual... ...on experience ~ Year end bonus potential ~ Benefits: Health, Retirement, Exam/Licensure Fees ~ Culture: ~ Size:...Full time$36 - $40 per hour
...scientific excellence. Apply today and make a meaningful impact! Job Description This non-laboratory role is responsible for reviewing and evaluating analytical quality data for LNP formulations and lipid materials across stability studies, method development, and...Full timeMonday to Friday- ...Job Title: - Security / Cloud Reviewer Location: - Remote Duration: - 6 - 12 Months of Contract (W2) Description: The opportunity As Security / Cloud Reviewer, you will provide targeted senior review when an architecture or security decision...Contract workTemporary workFor contractorsRemote work
$30 - $35 per hour
...request tool Coordinate Major Projects and Core Project SME reviews and perform Drawing Control reviews to ensure compliance with drawing... ...for benefits including the following: ~ Comprehensive Health and Income Protection Benefits ~401(k) Savings Plan ~ Paid...Work at office- ...Responsibilities Document Management & Records Organization (Primary) Organize, maintain, and secure physical employee records. Review and file employee records into existing folders. Verify that each employee folder is organized according to established Standard...Temporary work
- ...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
- Self Help Inc. is seeking an experienced File/Documents Clerk to support program operations in southeastern Massachusetts. You will manage client files, process applications from volunteer agencies, enter data into LIHEAP/ADP systems, and help with mail and filing tasks...Monday to Friday
$40 - $55 per hour
...Responsibilities Issue, track, and reconcile controlled paper documents. Review documents for completeness, accuracy, and proper formatting.... ...are expected to comply with all client requirements, including any safety and health protocols. #J-18808-Ljbffr Tunnell ConsultingHourly payContract workFor contractorsLocal area3 days per week- South Shore Health in Weymouth, MA is hiring a Patient Financial Services Representative to manage insurance claims and follow-ups using the Epic Billing System. The role emphasizes accuracy, privacy, and timely communication with payers. You will handle UB-04 and 1500...Shift workDay shift
$50k - $62.85k
..., and design programs to promote public health particularly among high-risk and underserved... ...in clinical areas. • Understands and utilizes the telephone/pager systems, including... ...• Demonstrates respectful and courteous behavior toward peers, co-workers, visitors and...Daily paid- Job Title Candidate will assist in all aspects of document and record keeping. The position requires familiarity with Adobe Pro and other Microsoft Office programs. Must have strong communication and organizational skills. Back Bay Staffing GroupWork at office
$17.75 - $24 per hour
...Positive attitude towards co-workers and other health center departments. Performs tasks... ...industry and department. Professional Behavior: Demonstrates characteristics of... ...of the health center through studies and reviews as necessary. Goal setting continually...Hourly payFull timeTemporary workWork at officeImmediate startFlexible hoursAfternoon shift$20 - $30 per hour
...you should expect either on any given day. •Annotate — Read a trajectory nobody has looked at yet and judge it step by step. • Review — Take an existing annotation, written by our AI tooling or another person, and confirm, correct, or reject it. TASKS YOU'LL SEE...Hourly payFull timeContract workImmediate startRemote work$21.63 - $24.04 per hour
...join our team. No prior orthotic experience is required-we will provide training. Candidates with backgrounds in clinical or allied health settings, including cast technicians, athletic trainers, physical therapist assistants (PTAs), exercise science, physiology,...Hourly payTemporary workLocal areaShift work
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