Medical Necessity Coordinator

The University of Massachusetts Medical School is seeking an experienced Medical Review Coordinator to join our team. As a key member of our review process, you will be responsible for assessing clinical eligibility, prior authorizations, and providing case consultation by reviewing medical records and providing resource support for program participants.Key...

About the RoleThis exciting opportunity exists within the University of Massachusetts Medical School, where you will have the chance to work with a talented team of professionals dedicated to delivering high-quality healthcare services. As a Medical Director, you will be responsible for leading the Disability Evaluation Services (DES) Program, which involves...

Job Description: Clinical Coordinator – PASRR - (Primarily Remote) Job requires developing, prioritizing, and overseeing staff activities for Pre-Admission Screening Resident Reviews (PASRR) to ensure clinicians complete assessments based on medical necessity determinations and state and federal regulations.The successful candidate will have experience in...

The ideal candidate for this Pharmacy Technician role at CVS Health is a detail-oriented and organized individual who thrives in a fast-paced pharmacy environment.About the Job:Partner with supervisors to coordinate workflow for assigned pharmacy areas, preparing and processing medications accurately and efficiently.Work in various pharmacy workstations,...

Remote Medical Claims Examiner PositionJob Title: Medical Claims ExaminerJob Summary:We are seeking a highly skilled Medical Claims Examiner to join our team at the University of Massachusetts Medical School. The successful candidate will be responsible for processing professional and facility medical services claims by reviewing and inputting data into the...

Job Title: Senior Clinical Operations ManagerAbout the Role:This senior clinical operations manager position requires developing, prioritizing, and overseeing staff activities to ensure clinicians complete assessments based on medical necessity determinations and state and federal regulations. The ideal candidate will have experience in a medical or clinical...

We are seeking a highly experienced Medical Office Operations Manager to join our team at the University of Massachusetts Medical School. In this role, you will oversee the coordination and administration of disability determinations for all in and out of state contracts.As a Medical Office Operations Manager, you will be responsible for managing unit...

Job Description: PASSR Evaluation CoordinatorEstimated Salary: $70,000 - $90,000 per yearThe University of Massachusetts Medical School seeks a detail-oriented and organized PASSR Evaluation Coordinator to conduct Pre-Admission Screening Resident Reviews (PASSR) Level II Evaluations. This role requires a strong understanding of relevant guidelines and...

About the Opportunity">Join our team as a Medical Services Coordinator and contribute to delivering high-quality patient care in the Cardio-respiratory Department. You will provide administrative support, manage patient appointments, and work closely with our healthcare professionals to ensure seamless patient care.Key Responsibilities">Managing patient...

We are seeking an experienced Nurse Case Consultant to join our team at the University of Massachusetts Medical School. As a key member of our review process, you will be responsible for assessing clinical eligibility, prior authorizations, and providing case consultation by reviewing medical records and providing resource support for program...

Company OverviewThe University of Massachusetts Medical School is a renowned institution dedicated to advancing medical knowledge and providing exceptional patient care. As an Administrative Assistant II, you will play a vital role in supporting our team's efforts to achieve these goals.SalaryThe estimated annual salary for this position is $52,000 -...

The University of Massachusetts Medical School seeks a highly skilled Clinical Eligibility Specialist to join our team. As a key member of our review process, you will be responsible for assessing clinical eligibility, prior authorizations, and providing case consultation by reviewing medical records and providing resource support for program...

Job OverviewWe are seeking a talented Healthcare Operations Coordinator to join our team at the University of Massachusetts Medical School.About the PositionThe successful candidate will be responsible for conducting client case analysis, processing benefit eligibility determinations, and providing telephonic client assistance in a fast-paced, call-heavy...

We require a skilled Primary Care Data Coordinator to assist in the inputting of data according to established routine, hospital letters, and all incoming mail.The ideal candidate will have a strong understanding of medical terminology, coding systems, and excellent attention to detail.The successful candidate will also be responsible for scanning and coding...

Job Description:We are seeking a highly organized and detail-oriented Policy Coordinator to join our team at the University of Massachusetts Medical School. The successful candidate will be responsible for reviewing disability supplements for accuracy and compliance, tracking status of deliverables, and maintaining accuracy in multiple databases.Key...

About the OpportunityWe are looking for a dedicated Client Services Coordinator to join our team at the University of Massachusetts Medical School. As a key member of our team, you will be responsible for providing exceptional client services, processing benefit eligibility determinations, and conducting comprehensive case reviews.The ideal candidate will...

Job Description: We are seeking a highly motivated Fleet Management Specialist Lead to join our team, responsible for managing our fleet operations and ensuring compliance with all relevant regulations. This key role involves coordinating maintenance schedules, planning routes and schedules, and collaborating with the warehouse team to oversee inventory...

About the Position:">As a Mental Health Evaluation Coordinator at University of Massachusetts Medical School, you will contribute to the development and implementation of evidence-based programs aimed at improving mental health outcomes for vulnerable populations.">Main Responsibilities:">">Develop and maintain relationships with key stakeholders, including...

Job Title: Administrative Program CoordinatorLocation: Shrewsbury, MAEstimated Salary: $68,000 per yearWe are seeking a highly skilled Program Coordinator to join our team at the University of Massachusetts Medical School in Shrewsbury, MA. As a key member of our Health Care Finance Solutions group, you will play a critical role in administering the State...

Job DescriptionThis Administrative Healthcare Specialist position requires a highly organized and detail-oriented individual to provide administrative support to the practice manager and clinical team. The ideal candidate will possess excellent audio typing skills, good knowledge of medical terminology, and the ability to work effectively in a fast-paced...