- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Iron Mountain (Boston, MA)
- …welcome your unique contributions? If so, let's start the conversation. **Senior Manager , Application Governance & Asset Management ** This role is responsible ... utilization , software license optimization, and efficient procurement. **Risk Management :** Working with Information Security and EIT Risk in identifying and… more
- Commonwealth Care Alliance (Boston, MA)
- …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... and improvement efforts. Through reporting, data analysis, and partnership management , the LTSS Program Manager ensures that...& Language (nice to have):** + Familiarity with care management and utilization management systems… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point… more
- University Medicine (Providence, RI)
- SUMMARY: Reporting to the Manager of Case Management , the nurse case manager is responsible for providing comprehensive screenings, assessment, care ... to the right level of care and decrease unnecessary utilization . The nurse case manager is an...identify those patients who may benefit from high-risk case management (eg rising risk, frequent ED utilization ).… more
- State of Massachusetts (Boston, MA)
- …appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to ... Division of Insurance values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain working… more
- Clean Harbors (Norwell, MA)
- **Clean Harbors** is looking for a **Senior Asset Manager for Light Duty Vehicles** to be located out of **Norwell, MA** . The Senior Asset Manager for Light ... Duty Vehicles is responsible for the overall lifecycle management of a specific group of assets (such as type of vehicle or heavy equipment) that are utilized in… more
- Charter Care Health Partners (North Providence, RI)
- …of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management ; Continuum of Care Management ... (Discharge planning) and Clinical Documentation Management . Collects data via utilization with Care Port to enhance the quality and cost effectiveness of patient… more
- Charter Care Health Partners (North Providence, RI)
- …of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management ; Continuum of Care Management ... and Clinical Documentation Management . Collects data via utilization with Care Port to enhance the quality and...Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- Commonwealth Care Alliance (Boston, MA)
- …delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... Knowledge, Skills, Abilities & Language (nice to have): * Familiarity with care management and utilization management systems and workflows. * Experience… more
- Beth Israel Lahey Health (Needham, MA)
- …practice model. **Job Description:** **Essential Responsibilities:** 1. Performs utilization management , care coordination, and discharge planning ... (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical,… more
- Colliers Engineering & Design (Boston, MA)
- … to lead our Civil/Site team in Boston, MA! The Department Manager is responsible for the professional, technical, management , marketing, administrative ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more
- Amgen (Boston, MA)
- …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of...is a person with these qualifications. **Basic Qualifications (Account Manager - Level 4)** Bachelor's Degree and 3 years… more
- Burns & McDonnell (Newton, MA)
- **Description** The Transmission Department Manager is responsible for the managerial direction and leadership of the Northeast Region (NER) Transmission Department ... the following, with other duties as assigned by senior management . Fostering Culture + Drive a culture focused on...practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a… more
- State of Massachusetts (Boston, MA)
- …and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, and Family team. The ... to DMH clients. The HSC-II has the responsibility of monitoring performance and utilization of assigned Area-based CYF contracts and serving as a Service Integration… more
- Cushman & Wakefield (Boston, MA)
- **Job Title** Spatial Data Manager **Job Description Summary** The role of the Spatial Data Manager (SDM) will be responsible for day-to-day functionality of the ... client's Space Management tool including data integrity of CAD floor plans,...CAFM administration, space and occupancy data analytics and space utilization measurement. * Ensure compliance of client space data… more
- Microsoft Corporation (Boston, MA)
- …teams). Raises escalations or alleviates blockers through collaboration with manager -level counterparts in cross-functional groups. **People Management ** ... The **Solution Engineer Manager - Cloud & AI Platforms** engages within...achieve solution implementations. In addition, this role has people management responsibilities including driving employee growth and development, executing… more
- CVS Health (Woonsocket, RI)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....position consists of working intensely as a telephonic case manager with patients and their care team for fully… more
- Enviri Corporation (Providence, RI)
- …environmental health, safety, and regulatory compliance, DOT regulations, production, and waste management goals. The Service Center General Manager should have ... employees Under the general guidance of the District Service Manager , the Service Center General Manager will...procedures as necessary and communicates finding to employees and management as needed. . Ensures all employees are knowledgeable… more