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and medication management therapy programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards to prior
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utilization review and medication management therapy programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client-specific programs to provide clinical expertise in regards
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GENERAL SUMMARY OF POSITION: Reporting to the Facility Medical Director, the psychiatric-mental health nurse practitioner (PMHNP) provides comprehensive behavioral health care to adult patients in
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of these case reviews is to detect possible fraud, waste and abuse and ensure compliance with regulations governing MassHealth providers as well as to determine whether the services were medically necessary
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required. REQUIRED QUALIFICATIONS: Bachelor’s degree or greater in a computer science, health science, business, public policy, economics, statistics, or related field/equivalent. 5 – 7 years of related
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in medical records to determine: initial disability status for applicants, continuing disability status for recipients, reconsideration and appeals reviews. GENERAL SUMMARY OF POSITION: Under
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | 15 days ago
of Members requiring health care services, to include outpatient and home based therapy services. Conduct on-site reviews and assessments of Member’s community long term care needs to determine medical
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state funded research projects in the Law & Psychiatry Program at the Implementation Science and Practice Advances Research Center (iSPARC), including but not limited to coding and entering primary and
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in medical records to determine: initial disability status for applicants, continuing disability status for recipients, reconsideration and appeals reviews. GENERAL SUMMARY OF POSITION: Under
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University of Massachusetts Medical School | Shrewsbury, Massachusetts | United States | 18 days ago
operations, policies and procedures pertaining to Casualty Recovery, Estate Recovery and Third Party Liability Understanding of legal and medical terminology Working knowledge of Microsoft Office