- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- State of Massachusetts (Brockton, MA)
- …Specialist and liaison to the Community Service Agencies. The CYF Supervisor will oversee case management and administrative supervision to assigned CYF Case ... Services Coordinator I(s) to ensure compliance with established standards of care for Case Management . . Maintains caseload oversight for assigned Human Services… more
- Elevance Health (Smithfield, RI)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- The Salvation Army (Canton, MA)
- …implementation of the program's objectives including training of Corps staff involved in Case Management , collection of data, and reporting on outcomes. The ... and weekends, will be required occasionally. Duties and Responsibilities Supervision of Case Management /Social Services within the Clusters + Provide ongoing… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Datavant (Providence, RI)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee Datavant's legal and ... audit standards. Reporting to the Chief Compliance and Privacy Officer, the Director of Internal Audit will evaluate the effectiveness of internal controls, risk… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Beth Israel Lahey Health (Westwood, MA)
- …system. Responsible for the project management , process improvement, business case development and administrative coordination functions. The Director helps ... taking a job, you're making a difference in people's lives.** The Director , Pharmacy Strategy Planning leads the development and implementation of strategic pharmacy… more
- Sumitomo Pharma (Providence, RI)
- …Bachelor's or master's degree in business, scientific or related field (experience in case management a plus) + Demonstrated experience developing and managing ... highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The...ability to create process maps and flows. + Project management skills including the ability to break down initiatives… more
- Evolent (Providence, RI)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Datavant (Providence, RI)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be accountable for ensuring our products deliver… more
- CVS Health (Providence, RI)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
- RELX INC (Providence, RI)
- …prioritize using the best models from today's top creators for each legal use case . About the Role: The Director , Data Sciences raises data-driven decision ... and Data Scientists, as well as other resources. Influence should extend outside the director 's immediate team to other teams within the director 's peers. The … more
- Datavant (Providence, RI)
- …**You Will:** + Reporting to the Head of Commercial GTM, the Director , Sales Enablement will develop client-facing messaging, design sales training programs, and ... and analyze full-funnel metrics to find insights and assist management in making sound decisions + Set up &...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- South Middlesex Opportunity Council (Millbury, MA)
- Summary: Provide individual and group counseling, case management services, and program activities for the program's clients. Why Work for SMOC? + Paid Time Off: ... database(s) daily. + Participate as a member of the Case Management team, attend all team meetings....Relationship: + Directly reports to Clinical Supervisor and Program Director . + Direct reports for this position are none… more
- CVS Health (Woonsocket, RI)
- …If you'd like to join us on that journey, please read on! The **Lead Director of Merchandising, Business Acceleration** will lead a team of approx. 4 Senior Managers ... capability design often spurred by 'white space' opportunity identification and business case development * Design initiative pilots and deploy in select number of… more
- Lumen (Providence, RI)
- …digitally connect the world and shape the future. **The Role** The Senior Director , Business Operations is responsible for supporting the Accelerate and Growth Team ... + Manage the Business Operations team, including: + Risk management : maintain the enterprise risk register and lead mitigation...current role. Background results will be evaluated on a case -by- case basis. Pursuant to the San Francisco… more