Medical Case Manager Jobs in Boston

Disability Case Manager/Associate General Counsel Duties: Under the ... reports for the MTRS summarizing medical, factual, and legal issues relevant ... and their attorneys; develop appropriate case management plans on..

Program Manager For Research Integrity The candidate will be responsible for providing additional staff support to the Standing Committee on Faculty Conduct (FCC), including handling responses to allegations of research misconduct, ..

Senior Manager, Conflicts of Interest Duties: Provides leadership and guidance in all efforts regarding the Conflict of Interest Program. Manages overall development and execution of a Health System-wide strategy related to ..

Case Manager in Training The candidate will ... and supporting several attorneys and case staff on rotation. Shadow Case Managers. Order medical records from providers. Prepare comprehensive ... to negotiate..

Case Manager III Responsibilities: Provide peace of mind to clients by taking care of all their injury related issues so they can focus on getting better. Efficiently manage cases through the ..

Case Manager The candidate will assist the ... telephone and in person. Order medical records from providers and communicate ... records and account balances. Negotiate case settlements with insurance carriers..

Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..

The Case Manager, as a member of the ... along thecontinuum of care. The Case Managermeets patient's needs efficiently and ... clinical care andsystems management, the case manager evaluates, predicts,..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..

Case Manager I The candidate will draft ... and aggressively follow-up on outstanding medical record and bill requests. Coordinate ... record and bill requests. Coordinate medical billing for client by..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

... DescriptionnRegistered Nurse(RN) / Travel / Case ManagernRegistered Nurse Case ManagernType: Registered Nurse (RN) nConcord, ... Registered Nurse (RN) nConcord, MAnMAS Medical Staffing is currently seeking a(n) ... (RN) professional..

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities..

PURPOSE AND SCOPE: Reporting to the Director Change & OD, this position will be part of the Change & OD Team, which develops and implements programs and initiatives in the areas ..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..

Case Manager II The candidate will provide ... focus on getting better. Coordinate medical care with clients and medical professionals. Request and obtain evidence ... from various third-party sources, including..

Description Humana's Provider Process and Service organization is looking for a Project Manager 2 to join the Medical Records Management (MRM) team. You will work closely with MRM end users to ..

Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..

Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..

PURPOSE AND SCOPE: Reporting to the Director Change & OD, this position will be part of the Change & OD Team, which develops and implements programs and initiatives in the areas ..