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Internship Utilization Review Jobs in Massachusetts

The Clinical Supervisor will provide clinical supervision to CSA program staff and interns, as well ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...

Clinical Supervisor

Lowell, MA · On-site

$75K - $85K/yr

The Clinical Supervisor will provide clinical supervision to CSA program staff and interns, as well ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...

Clinical Supervisor

Lowell, MA · On-site

$75K - $85K/yr

The Clinical Supervisor will provide clinical supervision to CSA program staff and interns, as well ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...

$129K - $154K/yr

... in drug utilization review and analysis. Duties and Responsibilities: The duties and ... interns, and residents. 16. May participate in the development and implementation of treatment ...

Clinical Supervisor

Milford, MA · On-site

$75K - $85K/yr

The Clinical Supervisor will provide clinical supervision to program staff and interns, as well as ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...

$129K - $154K/yr

... in drug utilization review and analysis. Duties and Responsibilities: The duties and ... interns, and residents. 16. May participate in the development and implementation of treatment ...

Clinical Pharmacist - Per Diem

Boston, MA · On-site

$128K - $153K/yr

... in drug utilization review and analysis. Duties and Responsibilities: The duties and ... interns, and residents. 16. May participate in the development and implementation of treatment ...

Clinical Supervisor

Milford, MA · On-site

$75K - $85K/yr

The Clinical Supervisor will provide clinical supervision to program staff and interns, as well as ... Participate in Program Quality Management and Utilization Review * Review and approve clinical ...

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Internship Utilization Review information

What is an internship utilization review?

An Internship Utilization Review position involves assisting healthcare organizations in evaluating the necessity, efficiency, and appropriateness of medical services provided to patients. Interns in this role typically learn how to review patient records, apply clinical guidelines, and collaborate with medical staff to ensure optimal patient care and resource management. This position provides hands-on experience with the processes that ensure patients receive the right care at the right time while controlling healthcare costs. It is ideal for students interested in healthcare administration, nursing, or health information management.

What types of projects or tasks can an intern expect to work on in an internship utilization review?

As a Utilization Review intern, you will typically support the review of patient records to ensure appropriate use of medical resources and compliance with healthcare policies. You may assist with data collection, preparing case summaries, and communicating findings to the clinical team. Interns often collaborate closely with nurses, physicians, and case managers, gaining exposure to insurance guidelines and hospital protocols. This hands-on experience is valuable for understanding healthcare operations and can serve as a stepping stone to advanced roles in case management or health administration.

What are the key skills and qualifications needed to thrive as an internship utilization review, and why are they important?

To thrive in an Internship Utilization Review role, you generally need foundational knowledge of healthcare practices, medical terminology, and an academic background in nursing, social work, or health administration. Familiarity with electronic health records (EHRs), utilization management software, and insurance guidelines is typically required. Analytical thinking, attention to detail, and strong written and verbal communication are standout soft skills in this role. These abilities are crucial for accurately assessing patient care needs, ensuring compliance with regulations, and supporting effective care coordination.

What are the most commonly searched types of Utilization Review jobs in Massachusetts?

The most popular types of Utilization Review jobs in Massachusetts are:

What job categories do people searching Internship Utilization Review jobs in Massachusetts look for?

The top searched job categories for Internship Utilization Review jobs in Massachusetts are:

What cities in Massachusetts are hiring for Internship Utilization Review jobs?

Cities in Massachusetts with the most Internship Utilization Review job openings:

Psychiatric Nurse Practitioner

Harbor Health Services, Inc.

Hyannis, MA • On-site

$127K - $163K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Psychiatric Nurse Practitioner

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. To help further the mission of Harbor, we are looking for a compassionate Psychiatric Nurse Practitioner to join our team at the Harbor Community Health Center in Hyannis.

Harbor Health Services is qualified for Federal and State Loan Repayment Programs (NHSC and MA Repay and Public Service Loan Forgiveness Program!

Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off (25 days to start for NP) plus 11 additional Holidays.

Other NP benefits include continuing Medical Education Stipend of up to $2500 and 5 days of leave per year and reimbursement of renewal cost of licenses.

Role

The Psychiatric Nurse Practitioner coordinates psychiatric services with the Behavioral Health Director and Psychiatrist as well as provides direct services to patients with mental health issues, substance abuse disorders and dual diagnosis. Duties include but are not limited to evaluation, diagnosis and treatment of psychiatric conditions; issuing prescriptions and maintenance of all clients on psychotropic medication; and assumes leadership role in case conferences and in-service training of staff and actively participates in peer and utilization review.

Responsibilities
  • Prescribes and maintains all clients on psychotropic medication.
  • Evaluates, diagnoses, and treats psychiatric conditions.
  • Participates in diagnostic formulations and development of treatment plans for patients.
  • Takes a leadership role in case conferences and in-service training of staff and provides overview of medical problems and organic psychiatric and neurological problems.
  • Participates in Utilization Review Committee at our Health Centers.
  • Provides psychiatric consultation to primary care medical providers.
  • Participates in training of Behavioral Health Department interns and staff, possibly other agency staff, as arranged with Behavioral Health Department Director.
  • Completes appropriate documentation and submits charges in a timely manner as required.
  • Actively collaborates with the Substance Use Disorder (SUD) care teams and Patient care teams.
  • Precepts students/interns as needed.
Requirements
  • Masters of Science in Nursing, Certified Psychiatric Mental Health Nurse Practitioner with current MA License to practice, current BLS Certification required
  • Current MCSR and DEA
  • 5+ years of experience prescribing psychotropic medication to adult psychiatric patients with license, experience prescribing psychotropic medications to youth under 18 years of age preferred
  • Minimum of 1-2 years of experience in addiction treatment in an outpatient setting, with experience prescribing and treating patients with SUD.
  • One year of experience working in a community health center setting highly desired
  • Exceptional interpersonal skills
  • Experience with grant reporting and compliance preferred
  • Basic to Intermediate level of experience with Microsoft Office 365 including Word, Excel, Outlook and Teams and familiarity with using Electronic Medical Record (EMR), EPIC/OCHIN desired
  • Bilingual a plus, Portuguese/Spanish and English or any other language desired

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

The salary range and/or hourly rate listed is a good faith determination of base compensation that may be offered to a successful applicant for this position at the time of this job advertisement.

When determining actual base salary and/or rate, several factors may be considered as applicable (e.g. location, years of relevant experience, education, training, and other factors as permissible by law). As such, most offers will not be at the top of the salary range.