Paralegal - Medical Malpractice JobotParalegal - Medical MalpracticeProvidence, RI$60,000–$70,000 / yearAcross Massachusetts, Rhode Island, and beyond, healthcare providers—including physicians, medical practice groups, hospitals, and long-term care facilities—rely on us to provide strategic, robust defense in complex and high-stakes claims. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
Utilization Review Nurse #26-17499 US Tech Solutions, Inc.Utilization Review Nurse #26-17499Canton, MARemote$55–$60 / hourWe are seeking an experienced Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior authorization activities for a leading healthcare organization. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Diagnostic Imaging Records Coordinator Brown University HealthDiagnostic Imaging Records CoordinatorProvidence, RI$21.09–$22.04 / hourSUMMARY: Under general supervision and in accordance with established policies and procedures is responsible for receiving and processing requests for digital medical images from a variety of internal and external sources, storing and saving digital medical images from outside entities and, collecting and storing outpatient's exam related paperwork for multiple affiliates. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: Level of knowledge generally obtained through the completion of High School Demonstrated knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development and cultural patterns in each step of the care process.
LPN - Utilization Review Nurse High Point & SEMCOALPN - Utilization Review NurseNew Bedford, Massachusetts$32–$39 / hourProgram & Location: Central Utilization Review Department- New Bedford, MA Qualifications: Graduate of an Accredited Professional School or Nursing or; master's degree in social work, clinical psychology/counseling or mental health preferred with experience in substance use and/or mental health services. High Point has programs located throughout Southeastern Massachusetts offering a full continuum of care for substance use and mental health treatment, including inpatient, outpatient, residential, and community-based services.
Diagnostic Imaging Records Coordinator RIH Rhode Island HospitalDiagnostic Imaging Records CoordinatorRhode IslandSUMMARY: Under general supervision and in accordance with established policies and procedures is responsible for receiving and processing requests for digital medical images from a variety of internal and external sources, storing and saving digital medical images from outside entities and, collecting and storing outpatient’s exam related paperwork for multiple affiliates. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: Level of knowledge generally obtained through the completion of High School Demonstrated knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development and cultural patterns in each step of the care process.
HEDIS Outreach Coordinator Iconma LLCHEDIS Outreach CoordinatorRIResponsibilities: Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services. Performs provider/location research, clean up, and data updates to ensure that medical record requests are submitted to the right location and PHI is properly handled.
NewHHIT Engagement Analyst Blue Cross and Blue Shield of Massachusetts IncHHIT Engagement AnalystHingham, MA$29.45–$35.99 / hourAs an integral part of the HEDIS HOS Intervention team (HHIT) within Clinical Quality and Compliance, you will coordinate and collaborate with teams and associates inside and outside of HMM, including Care Management, Member and Provider Service, and Performance Measurement and Improvement. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
NewHhit Engagement Analyst BlueCross and BlueShield of MassachusettsHhit Engagement AnalystHingham, MA$29.45–$35.99 / hourAs an integral part of the HEDIS HOS Intervention team (HHIT) within Clinical Quality and Compliance, you will coordinate and collaborate with teams and associates inside and outside of HMM, including Care Management, Member and Provider Service, and Performance Measurement and Improvement. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)New Bedford, Massachusetts$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Advanced Practice Provider: Complex Geriatric Care Devoted Health ServicesAdvanced Practice Provider: Complex Geriatric CareMassachusettsRemoteThe Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love.
Bilingual (Spanish/English) Advanced Practice Provider: Complex Geriatric Care Devoted Health ServicesBilingual (Spanish/English) Advanced Practice Provider: Complex Geriatric CareMassachusettsThe Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
NewRN Clinical Documentation Specialist - Referrals Ensemble Health PartnersRN Clinical Documentation Specialist - Referralsputnam, CTEducates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.
Primary Care NP/PA – Telehealth, Chronic Disease Management Devoted Health ServicesPrimary Care NP/PA – Telehealth, Chronic Disease ManagementMassachusettsRemoteWe’re not just looking for a provider—we’re looking for a healthcare innovator who embraces change, values patient-centered care, and is excited about making healthcare better through compassion supported with technology. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.