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it prior to
submitting your request.
Please
note: CMSNE provides a clear, concise format for job
postings. Not all sources include key information
(examples: full or part time status, worksite
location). Please follow-up directly with the
advertiser if the information is not included in the
posting.
June 2009
Case Managers -
Concurrent Review & Prior Auth - 40 hrs/wk -
Boston Metro Area
Responsibilities: Prior Auth Case Manager
- utilization review for outpatient services,
communicate review outcomes to providers,
clinical resource to referral staff,
patient/provider education. Concurrent
Review Case Manager - Review inpatient
admissions, on-site and telephonic review,
partially on-site at the hospitals. Both
positions are with a premiere managed Medicaid
company. Qualifications: RN with current
Massachusetts license, Min 2 yrs clinical exp,
strongly prefer managed care, UM certification a
huge plus, PC literate and familiar with
Microsoft Office applications (Outlook, Word,
Excel). Please contact Richard Yadon at
866-371-0687 x.210, by email
MA-CT-0960@healthcareerprofessionals.com for
additional information or visit
www.HealthCareerProfessionals.com
(posted 6.2.09)
Manager,
Utilization Management - 40 hours/wk - Boston
Metro Area
Responsibilities: Manage the day-to-day
operations of the utilization management
function of a national managed Medicaid health
plan. Develop, implement, and maintain
utilization management programs, analyses of
activities, costs, operations and forecast data,
staff development. Qualifications: RN with
current Massachusetts license, must have
supervisory exp (managed a staff of 5-6), 3 – 5
years utilization management OR case management,
and recent nursing experience in an acute care
setting particularly in medical/surgical,
pediatrics, or obstetrics and management
experience.. Please contact Richard Yadon at
866-371-0687 x.210, by email
MA-CT-0966@healthcareerprofessionals.com for
additional information or visit
www.HealthCareerProfessionals.com
(posted 6.2.09)
April 2009
FT Telephonic
Case Manager – Westwood, MA
Responsibilities: To provide telephonic case
management services to short-term disability
recipients on-site at a client location.
Assessment of the individual’s personal and
medical history, current status, prognosis, and
current treatment plans. Serves as a liaison
with the claims administration staff and
treating provider staff to facilitate maximum
benefit and promote recovery. Recognizes and
addresses medical and non-medical issues which
may adversely impact employee recovery.
Qualifications: Registered Nurse, Current MA
Licensure, CCM preferred, three or more year’s
experience in disability injury management, from
an Occupational Health, Utilization Review or
Rehabilitation preferred. Strong interpersonal
skills, including oral and written
communications. Maintenance of continuing
education appropriate to case management. Email
resumes to
ma.hr@mcmcllc.com.
(posted 4.15.09)
CASE MANAGER-Mount
Auburn Cambridge I.P.A. Cambridge, MA
The
Mount Auburn Cambridge Independent Practice
Association is looking for an experienced Case
Manager to assist our physicians in managing the
care of our BCBS patients. In this newly created
position, the Case Manager will follow patients in
the hospital, extended care setting, and also make
the occasional home visit. In all areas of the
continuum, the Case Manager will focus on ensuring
that the patient is receiving the right care in the
right setting as efficiently as possible. This
position also includes a heavy emphasis on teaching
and coaching, to maximize the patient’s ability to
manage their conditions successfully and to play an
active role in their care. This is a full-time M-F
position. Qualifications:
Unrestricted Ma. RN licensure with 2 years of
inpatient case management experience preferred.
Managed Care background and knowledge of Interqual
criteria desirable. Extended care and Home care
experience a plus. We offer a comprehensive 6-week
preceptor based orientation, as well as a
competitive compensation package and free parking.
Please forward resume to
hr@macipa.com or fax to
617-787-1760.
Please do not call Mount Auburn
Hospital for this position.
(posted
4.7.09)
INPATIENT CASE
MANAGER-Mount Auburn Hospital, Cambridge, MA
Mount
Auburn Hospital is a 190 bed acute care teaching
hospital affiliated with Harvard Medical School. We
currently have an opening for a Case Manager on one
of our medical floors. Responsibilities include
assessing each patient to ensure appropriateness of
care setting, and collaborating with the patient,
family, health care team, and payer to create a
discharge plan that meets the patient's needs. This
is a full-time M-F position with occasional evening
beeper coverage.
Qualifications: Unrestricted Ma. RN licensure
with 2 years of recent inpatient case management
experience preferred. Managed Care background and
knowledge of Interqual desirable. At least 3 years
of recent med/surg experience in an acute setting
required. This is an excellent opportunity for the
clinical nurse who is looking to move into the field
of Case Management. We offer a 6-week preceptor
based orientation, as well as a competitive
compensation package and free parking.
Please forward resume to
hr@macipa.com or fax
to 617-787-1760. Please do not call Mount Auburn
Hospital for this position.
(posted 4.7.09)
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