...Policy Setting Responsibilities Responsible for utilization review and medical necessity recommendations, as requested Decision-...  ...to peer reviews. - Conduct thorough medical review of patient cases to determine the medical necessity of services provided. - Assess... 
Suggested
Part time
Shift work

Beth Israel Lahey Health

Burlington, MA
2 days ago
 ...offering up to a $3,500 in signing bonuses for our Utilization Review positions. Emergency Room 3:00-11:30pm Important Details:...  ...reimbursement when appropriate. Works collaboratively with RN Case Managers to expedite patient discharge On-site in Burlington.... 
Suggested
Full time
Local area
Relocation bonus
Shift work
Afternoon shift

Beth Israel Lahey Health

Burlington, MA
10 hours ago
 .../ hr based on experience. Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings...  ...standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators,... 
Suggested
Hourly pay
Contract work
Part time
Flexible hours
Weekend work
Sunday
Saturday

Encompass Health

Burlington, MA
4 days ago

$18.23 - $26.04 per hour

 ...collaborate with providers for daily needs/schedule coordination, by reviewing provider schedule and anticipating patient, provider and...  ...Serves as a liaison with patients, families to physicians, case managers, 3 rd party payers, et al.   Reviews, manages and... 
Suggested
Full time
Temporary work
Relocation bonus
Shift work

Lahey Hospital and Medical Center

Burlington, MA
1 day ago

$16.67 - $23.44 per hour

 ...collaborate with providers for daily needs/schedule coordination, by reviewing provider schedule and anticipating patient, provider and...  ...Serves as a liaison with patients, families to physicians, case managers, 3rd party payers, et al.  Reviews, manages and enters... 
Suggested
Full time
Temporary work
Relocation bonus
Shift work

Lahey Hospital and Medical Center

Burlington, MA
1 day ago

$31.25 - $41.67 per hour

 ...providers. Identifies situations requiring high risk screen review. 2) Works collaboratively with care providers: ~ Responds to...  ...issues. Provides crisis intervention for trauma patients or in cases of abuse. 5) Contributes to departmental functioning by:... 
Suggested
Full time
Temporary work
Relocation bonus
Shift work

Lahey Hospital and Medical Center

Burlington, MA
1 day ago

$23.44 - $28.65 per hour

 ...providers • Identifies situations requiring high risk screen review 2) Works collaboratively with care providers: • Responds to...  ...issues • Provides crisis intervention for trauma patients or in cases of abuse 5) Contributes to departmental functioning by: • Quality... 
Suggested
Full time
Temporary work
Shift work

Lahey Hospital and Medical Center

Burlington, MA
1 day ago
 ...Preferred Qualifications: 1. Experience in drug utilization review and analysis.  2. Experience with Electronic Medical Records....  ...activities including, a teaching seminar and student teaching (e.g., case presentations, journal clubs, problem-based learning), and... 
Suggested
Holiday work
Local area
Afternoon shift

Tufts Medicine

Burlington, MA
11 days ago
 ...marquee initiatives. Support and aligned execution of business cases related to access opportunities to assess value of the brand....  ...champion related materials through the Medical, Regulatory, Legal review and approval process. Build and manage awareness and tools to... 
Suggested
Remote job
Flexible hours

PharmaEssentia U.S.A.

Burlington, MA
8 days ago
 ...hardware, software, materials and services. Our solutions span use cases across the product life cycle, from product development to mass...  ...and accurate submission of necessary reports including business reviews, forecasts, and pipelines Interface with other Sales... 
Suggested
Remote job
Home office

Desktop Metal

Burlington, MA
3 days ago
 ...and continuous improvement. On our engineering team, this means reviewing your peers' code, providing feedback, and relishing the...  ...side projects and hobbies. Detailed. You think through edge-case scenarios and develop thoughtful test plans to ensure high-quality... 
Suggested
Full time
For contractors
For subcontractor
Flexible hours

Highwire

Burlington, MA
28 days ago
 ...decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $52,400 - $91,700...  ...database technologies. Participate in peer-led engineering and code reviews. Develop an understanding of the benefits of quality... 
Suggested
Holiday work
Local area

CGI

Burlington, MA
13 hours ago
 ...infrastructure requirement development. •Perform project code review. •Install and configure software packages. •Investigate and...  ...decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $52,400 - $91,700... 
Suggested
Holiday work
Local area

CGI

Burlington, MA
10 hours ago
 ...state regulatory criteria Experience working on Toxic Tort cases Essential Duties Managing environmental data...  ...Analyzing large datasets and conducting statistical analyses Reviewing and interpreting various types of toxicological and epidemiological... 
Suggested

Roux

Burlington, MA
4 days ago
 ...flounder or fill your mentor's coffee cup. Instead you'll: Always be accompanied by a mentor Round cases with supportive doctors and technicians Do case reviews before and after each shift Be a part of the larger and supportive PetMedic community Have... 
Suggested
Temporary work
Work experience placement
Local area
Work from home
Flexible hours
Shift work

PetMedic

Burlington, MA
1 day ago
 ...hybrid assignment of remote and onsite work may be considered on a case-by-case basis. Responsibilities - Assist the design team in...  ..., change/configuration management, risk management, design reviews, and releases - Review and approve software product documentation... 
Full time
Remote job

Precision Life Sciences

Burlington, MA
14 days ago
 ...with a world-class biologics production facility in Taichung, Taiwan. Key Responsibilities: Accountable for individual case safety reviews of clinical and post-marketed adverse events as part of their day to day scope of work Creation and editing of global aggregate... 
Contract work
Flexible hours

PharmaEssentia U.S.A.

Burlington, MA
8 hours agonew
 ...responsible for developing automated test scripts and manual test cases to verify the software interfaces and requirements and...  ...interface specifications. Participate in broad cross functional review of work output. + Create, update and maintain feature specifications... 
For contractors
Local area

Abbott

Burlington, MA
3 days ago

$79.2k - $99k

 ...Interventionists. Monitor and update programming aspects of each client’s clinical case. Organize and analyze data for progress report writing. Participate in insurance authorization reviews. Participate in Clinical Integration Meetings for clients on your caseload.... 
Hourly pay
Full time
Work from home
Flexible hours

Cortica

Burlington, MA
4 days ago

$39.06 - $62.5 per hour

 ...largest live donor liver transplant program in the U.S. We are also recognized as a Robotic Center of Excellence with over 10,000 robotic cases completed. Qualifications: Nursing Diploma or ASN, BSN preferred Current Massachusetts registered Nurse license required.... 
Full time
Part time
Relocation bonus
Shift work
Night shift
Weekend work

Lahey Hospital and Medical Center

Burlington, MA
2 days ago
 ...Monitor and update programming aspects of each client's clinical case, and update the team accordingly Organize and analyze data for progress report writing Meet with ABA Site Manager to review scheduled hours and ensure optimization of all supervision and parent... 
Hourly pay
Temporary work
Work experience placement
Work from home
Flexible hours
Afternoon shift
2 days per week
1 day per week

Cortica

Burlington, MA
5 days ago
 ...residents are on duty on site at TMC and the late shift attending will work with them throughout their shift. Zoom is available to review cases with the residents remotely for the purpose of education and training. Late shift attending radiologists are encouraged to... 
Remote job
Freelance
Local area
Visa sponsorship
Outdoor
H1b
Shift work
Afternoon shift

Tufts Medicine

Burlington, MA
4 days ago
 ...Monitor and update programming aspects of each client's clinical case, and update- the team accordingly. Organize and analyze data for progress report writing. Meet with ABA Site Manager to review scheduled hours and ensure optimization of all supervision and parent... 
Hourly pay
Holiday work
Full time
Temporary work
Part time
Work from home
Relocation bonus

Cortica

Burlington, MA
5 days ago
 ...updated on HIMSS, CMS, and OIG policies and recommendations Review and participate in security questionnaires and RFIs before distribution...  ...in decision-making Clear ability to develop business case justifications and cost/benefit analysis. Creative problem solver... 
Temporary work
Remote job

Cedar Gate Technologies Inc

Burlington, MA
29 days ago
 ...Coordinators to define and troubleshoot supply problems. 4) Review/modify min/max inventory levels. 5) Audits inventory levels not...  ...for ordering purposes of non-Pyxis product 13) Audits daily case equipment and supply utilization sheets to ensure accuracy of billing... 
Shift work

Beth Israel Lahey Health

Burlington, MA
2 days ago
 ...plans, monitor progress against these plans, and build business cases for new opportunities in this fast-growing business. This position...  ...reach out to ****@*****.*** or call (***) ***-****. Review EEO Poster Know Your Rights: WOrkplace Discrimination is Illegal... 
Full time
For contractors
Worldwide

Azenta Life Sciences

Burlington, MA
5 days ago
 ...skills and keen attention to details including being comfortable reviewing or developing complex financial pro forma models + Develops...  ...performance measures, targets, and goals to articulate the business case for realized efficiencies or added value + Demonstrates... 
Hourly pay
Full time
Contract work
Part time
Work experience placement
Relocation
Flexible hours

Black & Veatch

Burlington, MA
2 days ago
 ...individuals, our programs literally save lives. The Utilization Reviewer in the Behavioral Health department is responsible for obtaining...  ...initial clinical data for pre-certification and concurrent case reviews to ensure authorization of all necessary dates at each level... 
Hourly pay
Shift work
Monday to Friday

The Dimock Center

Roxbury, MA
8 days ago
 ...abilities as a Case Manager Are you ready for a Case Management role...  ...standards, company policies/procedures, and department operations. Review/analyze case management reports, including Key Care Indicators,... 
Hourly pay
Full time
Contract work
Part time
Relief
Flexible hours

Encompass Health

Chelsea, MA
4 days ago
 ...credential you! Support team for scheduling and client service with extended hours Customized Marketing Autonomy, but with access to case consultation groups Amazing team culture and clinical support Malpractice Coverage Career advancement opportunities... 
Part time
Private practice
Relocation bonus

Thriveworks

Burlington, MA
5 days ago