- Commonwealth Care Alliance (Worcester, MA)
- …(video, chat, etc.), when appropriate, as an approved modality for a variety of clinical care and care management services **Required Language (must have):** ... 024020 Clin Alli- Care ManagementLeadership **Position Summary:** The Team Manager...development and/or process improvement initiatives as instructed. The Team Manager reports to the Clinical Director. **Supervision… more
- CVS Health (Providence, RI)
- …teams, clinical teams, legal, analytics/reporting, et al to progress partnership from early concept through multiple rounds of ideation to MVP/pilot definition, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...team, this individual will both help develop our digital partnership strategy as well as execute it, by finding… more
- CenterWell (Providence, RI)
- …or care delivery organizations + Prior knowledge of Value Based Care organizations, specifically around clinical operations and/or Risk Adjustment + ... community and help us put health first** The Market Partnership and Finance Strategy Lead - MRA in the...and supports strategy and targeted initiatives aimed at increasing clinical efficiencies, processes, education, and compliance as it relates… more
- Prime Therapeutics (Providence, RI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative ... to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the customer;… more
- Fallon Health (Milford, MA)
- …life, and promoting cost-effectiveness of care o Actively participates in clinical rounds **Provider Partnerships and Collaboration** o May attend in person ... care plan, in collaboration with the member, the Clinical Integration team, and Primary Care Providers,... plan that meets the member's need working in partnership with a care team preferred *… more
- Fallon Health (Worcester, MA)
- …date, efficient, organized and of value for staff using in partnership with Care Management Trainer * Works with Manager and team to actively coordinate and ... care pathways, and other workflows required by the Care Manager positions * Works with Leaders...Care Management Trainer o Mentors and support new clinical care management employees during first 3-6… more
- Charter Care Health Partners (North Providence, RI)
- … Manager of Inpatient Behavioral Health Social Work provides clinical duties including comprehensive assessments and evaluations, individual treatment and family ... of the Executive Director for Behavioral Health and in partnership with the behavioral health leadership team, the System...records are accurate and up to date. The System Manager provides clinical oversight of treatment planning… more
- Medtronic (Providence, RI)
- …forging new paths and partnerships that help healthcare systems improve clinical outcomes, expand access to care , and optimize operational efficiencies. The ... pre-defined territory locations in this office-based role. The Account Manager is responsible for meeting and exceeding sales goals...a member of an integrated team who works in partnership with internal Sales Associates, Clinical specialists,… more
- Walgreens (Dayville, CT)
- …and federal laws/regulations allow, accountable for performing day-to-day non- clinical pharmacy operations, administrative activities; Ensures efficient pharmacy ... helps respond to customers' requests in a timely manner and answers non- clinical questions to ensure a positive customer experience. Models and shares customer… more
- Public Consulting Group (Providence, RI)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...is to provide a funding source for future health care costs associated with birth‐related neurological injuries. The Case… more
- CVS Health (Woonsocket, RI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Sanofi Group (Providence, RI)
- **Job title:** Area Business Manager , Providence, RI **Location:** Providence, RI , Remote, US **About the job** Our Team: Are you ready to help further shape the US ... account management experience + Enhanced digital acumen + Strong clinical acumen + Experience working in Market Access, Pricing,...your contribution and amplifies your impact. + Take good care of yourself and your family, with a wide… more
- Public Consulting Group (Providence, RI)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... of program policies and procedures + Responsible for the full patient care cycle. + Assesses, plans, implements, monitors and evaluates actions required to… more
- The Cigna Group (Providence, RI)
- …live in MA, RI and ME._** **_Preferred office location: Newton, MA_** The ** Manager , Provider Contracting Network Management** serves as an integral member of the ... and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... "patient empowerment" care model, and combines the responsibilities of patient disease-state...travel by various means of transportation, work comfortably in clinical settings, use computers and communication devices, engage in… more
- Fallon Health (Worcester, MA)
- …requests for completeness and accuracy and discusses any discrepancies with the Clinical Integration Care Team; teaching staff when issues are identified; ... correction to resolve claim issues Works collaboratively and ensures communication with Clinical Integration Care Teams and LTSS vendors/providers to ensure the… more
- CenterWell (Providence, RI)
- …of driving the highest standards of care , building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes ... Performance** + Build a best-in-class culture of engaged clinicians, focused on patient-focused care and clinical excellence, where doing the right thing for… more
- Evolent (Providence, RI)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...a physician`s input is needed or required. Responsible for clinical audits for quality and education regarding the results… more
- Medtronic (Providence, RI)
- …Develop and cultivate customer relationships resulting in incremental business. + Work in partnership with Account Manager , Regional Manager and Area ... following and other duties may be assigned. + Provide clinical and technical support and training to physicians and...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- Maxim Healthcare Services (Worcester, MA)
- …changes in patient/client status to the Director of Clinical Services and/or Clinical Supervisor /Case Manager or licensed designee + Documents all physician ... (< 12 months of experience) is responsible for providing and documenting skilled nursing care in accordance with care developed for each individual patient in… more