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Appeals Review Case ManagerDelmarva Foundation - Waltham, MAAppeals Review Case Manager Job Code: 10-741 Division: Masspro /Beneficiary Protection Services Location: WALTHAM, MA US Travel Involved: None Job Type: Full Time Job Level: Experienced (Non-Manager) Education: Associate Degree Skills: Category: Healthcare - RNs & Nurse Management,Insurance,Nonprofit Compensation: - Position Summary: TITLE: Review Case Manager, Appeals Full-time, Part-time & Weekends available DEPARTMENT:Beneficiary Protection Review Services JOB PURPOSE:To perform utilization and quality review on care provided by facilities, agencies and managed care plans in the Commonwealth of Massachusetts. REPORTS TO:Manager, Beneficiary Protection Review Services INTERNAL CONTACTS:Medical director, senior directors, managers, review case managers, physician reviewers,... See job listing >30+ days ago from Delmarva Foundation - Save - Block - Flag - More Tools...
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Appeals Review Case jobs in Waltham, MA
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Physician AdvisorHarvard Pilgrim Health Care - Quincy, MAManagement, Member Appeals, Provider Appeals, Care Management ... on the Member Appeals and Member Appeals Reconsideration Committees and other...30+ days ago from Yahoo! HotJobs - Save - Block - Flag - More Tools...
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Utilization Review SupervisorUniversal Health Services - Westwood, MARESPONSIBILITIES: (include, not limited to) Review and Documentation: Through review of ... for oversight and coordination of the appeals process. Distributes cases within...10 hours ago from Universal Health Services, Inc. - Save - Block - Flag - More Tools...
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- Job Summary | Also found at: Universal Health Services
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INTENSIVE CASE MGR IValueOptions - Clinical - Boston - Boston, MAMedicaid and DMH consumers. Requirements Review clinical information, on-site and ... authorizations and initiating member appeals and claims reviews. Mediate,...3 days ago from CareerAdvocate.com - Save - Block - Flag - More Tools...
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Nurse Case ManagerBeth Israel Deaconess Medical Center - Boston, MAAttends BIDMC/BIDPHO UM meetings to support retrospective case appeals ... to the Case Management Medical Director for review and determination of need for...11 days ago from Beth Israel Deaconess Medical Center - Save - Block - Flag - More Tools...
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Delmarva Foundation jobs
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InvestigatorDelmarva Foundation - Easton, MDInvestigator Job Code: 10-799 Division: Health Integrity Location: EASTON, MD US Travel Involved: None Job Type: Full Time Job Level: Experienced (Non-Manager) Education:...11 hours ago from Delmarva Foundation - Save - Block - Flag - More Tools...
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Data Health AnalystDelmarva Foundation - Boston, MAData Health Analyst Job Code: 10-797 Division: Health Integrity Location: BOSTON, MA US Travel Involved: None Job Type: Full Time Job Level: Experienced (Non-Manager) Education:...11 hours ago from Delmarva Foundation - Save - Block - Flag - More Tools...
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Data Analyst IIDelmarva Foundation - Plymouth Meeting, PAData Analyst II Job Code: 10-795 Division: Health Integrity Location: PLYMOUTH MEETING, PA US Travel Involved: None Job Type: Full Time Job Level: Experienced (Non-Manager)...11 hours ago from Delmarva Foundation - Save - Block - Flag - More Tools...
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Data/Health AnalystDelmarva Foundation - Easton, MDData/Health Analyst Job Code: 10-798 Division: Health Integrity Location: EASTON, MD US Travel Involved: None Job Type: Full Time Job Level: Experienced (Non-Manager) Education:...11 hours ago from Delmarva Foundation - Save - Block - Flag - More Tools...
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