Clinically supervise all Counselors, and oversee clinical structure including maintenance of appropriate documentation Review clinical records for compliance (ie. PI standards, State and Federal criteria) and CODAC Policy and Procedures Interview and recommend hiring and dismissal of clinical staff Maintain and develop appropriate referral networks Review treatment outcom

Perform initial and concurrent review of inpatient cases applying evidenced based criteria (InterQual criteria) Discuss cases with facility healthcare professionals to obtain plans of care Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions with the Clinical Services team to improve the pr

Perform initial and concurrent review of inpatient cases applying evidenced based criteria (InterQual criteria) Discuss cases with facility healthcare professionals to obtain plans of care Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management Participation in discussions with the Clinical Services team to improve the pr

Obtain accurate and updated patient information, such as name, address, insurance information Perform insurance verification on the date of service Obtain patient signatures for required documents Upload a valid Government issued state ID of patient and patient insurance cards File and maintain medical records Consistently correct registration work queue errors Confirms a

We are currently hiring a Clinical Nurse Specialist/Nurse Practice Specialist to join the Ellison 16 Oncology Team Supportive Nursing Leadership, competitive salary and great benefits! About Ellison 16 Ellison 16 is a thirty six bed unit devoted to the care of solid tumor oncology patients. The patient population on this unit includes patients being actively treated for t

About Ellison 19 Patients Ellison 19 is a 30 bed Thoracic, Vascular and Laryngeal Surgery unit, primarily taking patients after PACU recovery. Surgeries include complex thoracic, esophageal, pulmonary, laryngeal, tracheal resections and reconstruction and diverse vascular surgeries including amputations, aortic grafting, and interventional procedures. These patients requi

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status Non Exempt Schedule Details Holidays Every Other Holiday, Weekends Every Other Weekend Scheduled Hours 10 45pm 7 15am Shift 3 Night Shift, 8 Hours (United States of America) Hours 24 Cost Center 10010 0220

Are you a current UMass Memorial Health caregiver? CLICK HERE to apply through your Workday account. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading edge research make UMass Memorial the premier health system of Central Massachusetts, and a pl

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status Exempt Schedule Details Monday through Friday Scheduled Hours 7 am 5 pm Shift 1 Day Shift, 10 Hours (United States of America) Hours 40 Cost Center 10020 6225 Patient Flow Coordination This position may hav

The Behavioral Health (BH) Community Partners (CP) Program is a set of community based organizations serving MassHealth members enrolled in either an Accountable Care Organization (ACO) or Managed Care Organization (MCO). The CP Program partners with health care providers, social services organizations and community resources to support members with complex behavioral hea

Summary Under general supervision of Clinical Manager (or designee) renders professional nursing care according to established procedures for assigned area of Operating Room. Performs duties of scrub nurse or circulating nurse during surgical procedures. Provides intensive nursing care to post operative patients when assigned to post anesthesia area. Responsibilities Rend

Summary Under the direct supervision of the Clinical Manager (or designee) implements supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge plans with consideration of the aging process throughout the life span including all develop

Summary Under the direct supervision of the Clinical Manager (or designee) implements supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge plans with consideration of the aging process throughout the life span including all develop

Under the direct supervision of the Clinical Manager (or designee) implements supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge plans with consideration of the aging process throughout the life span including all developmental s

Under the direct supervision of the Clinical Manager (or designee) implements supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge plans with consideration of the aging process throughout the life span including all developmental s