- Commonwealth Care Alliance (Boston, MA)
- …promote the development of a high quality team.collaboration with the broader clinical organization. - Ensures that utilization management processes are ... with responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and… more
- Commonwealth Care Alliance (Boston, MA)
- …and support personnel. - Act as liaison with medical director, provider relations, case management and quality teams to support care coordination and integrated ... Management reports to the Director of Utilization Management - Oversees clinical decision review for...compliance with CMS, NCQA and state Medicaid requirements. - Lead preparation for internal and external audits (eg CMS… more
- Parexel (Boston, MA)
- …and propose /execute remediation plan in coordination with line manager and Project Leader in case of client dissatisfaction Business Development Support - ... your Rheumatology experience and Lupus expertise to an Industry Leader , Parexel!** Building on our continued success, we are...task contracted) and according to the assigned role (Global Lead Physician GLP or Regional Lead Physician… more
- Tufts Medicine (Lowell, MA)
- …understood and followed by direct reports, customers and stakeholders. **Job Profile Summary** The Clinical Leader - RN Case Manager assesses the needs of ... and care transitions across the continuum of care. Under the supervision of the Clinical Manager/Director, this position supports the RN Case Managers in the… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Provide clinical case management and support to high-risk patients in a large ... continuity of care. 2. Provides consultation to the team around patient management , risk management and ethical issues.. Documents assessments and care… more
- Edwards Lifesciences (Boston, MA)
- … planning, post case management , Therapy Awareness Program management , and clinical education programs + Moderate understanding of cardiovascular ... territory. + Maintain contact with customers to evaluate their clinical and educational needs. + Lead meetings...the following areas including valve crimping, case management , pre- case… more
- Genesis Healthcare (Framingham, MA)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient ... Overview **Program Lead /Physical Therapist or Occupational Therapist** **$5,000 Bonus** **Framingham...rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization,… more
- Sanofi Group (Cambridge, MA)
- **Job Title** : Clinical Digital acceleration and innovation Lead **Location:** Cambridge, MA or Morristown, NJ **About the Job** Are you ready to shape the ... professional to join us as Digital acceleration & Innovation Lead . The Clinical Digital Acceleration & Innovation...role requires deep expertise in digital and AI within clinical development, strong program management skills, and… more
- Norstella (Boston, MA)
- Sr. Director/VP/ Clinical Delivery Lead , Advisory Services Company: Citeline Location: Remote, United States Date Posted: Nov 4, 2025 Employment Type: Full Time ... Job ID: R-1553 **Description** Sr. Director/VP/ Clinical Delivery Lead , Advisory Services **Reports to**...clients, including (but not limited to) the following use case areas:** + Clinical development planning and… more
- Parexel (Boston, MA)
- **Job Summary:** The Clinical Operations Leader is responsible for the execution of study-level activities including but not limited to creating and updating ... verbal) and presentation skills * Experience with protocol, informed consent form (ICF), case report form (CRF), and clinical study report (CSR) development and… more
- Health Plans, Inc. (Westborough, MA)
- …growth and well-being, we ensure they are equipped to provide exceptional service. Join Our Case Management Team At HPI, our Case Managers play a vital ... their families through the healthcare system. Rooted in the Case Management Society of America's definition, our...whole. In this role, you'll also: + Conduct utilization management using standardized clinical criteria + Consult… more
- Beth Israel Lahey Health (Needham, MA)
- …presenting symptoms, clinical status and treatment. 3. Utilizes the case management process of assessment, planning, implementation and evaluation to ... nursing practice guidelines and the Standards of Practice for Case Management . And functions within a multidisciplinary...in complex varied situations. 4. **Team Work:** Ability to lead collaborative teams for larger projects or groups both… more
- Devereux Advanced Behavioral Health (Woburn, MA)
- …care, respite, Foster Care, Licensing, bilingual, child welfare, social services, specialist, case manager, case management , compliance, human services, ... Devereux (TFC in Woburn, MA) has an immediate opening for a Bi-Lingual Case Coordinator._** **$1,000 Sign on Bonus** Base pay starting at $20.46/hour with additional… more
- Elevance Health (Woburn, MA)
- …The **Behavioral Health - Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of licensure ... substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED)...of the United States required. + Previous experience in case management and telephonic and/or in person… more
- Open Sky Community Services (Worcester, MA)
- …DBT-informed Skills System treatment model. In this role, the Clinician will provide mobile clinical case management support to individuals in the Central ... Salary USD $42.79/Hr. Description and Responsibilities The DD Clinical Team is made up of services designed...perspectives. Open Sky is proud to be an industry leader in pay and benefits. Open the Door to… more
- Tribute Home Care (Framingham, MA)
- …our Massachusetts team. This role is ideal for someone with experience in client management , customer success, case management , or account management ... | 75000 per year | Full Time Become a Case Manager with Tribute Home Care and play an...elder care. Make a difference - Find meaning - Lead - Collaborate - Grow - Have a voice… more
- Cambridge Health Alliance (Cambridge, MA)
- …**Work Days:** 8-4:30pm, rotating weekends/holidays **Category:** Social Work **Department:** Inpatient Case Management CH **Job Type:** Full time **Work ... hours per week or more.** Supervision Available DEPARTMENT DESCRIPTION: Inpatient Case Management provides psychosocial assessments, evaluations, and referrals… more
- Amergis (Lowell, MA)
- …12pm-8pm shift. Includes rotating weekends + Salary: $28/hr Position Description: + Provide case management services as part of a multidisciplinary team + ... with a respected facility in Lowell, MA, currently seeking Case Managers. The Case Manager coordinates referrals,...Participate in completing assessments as assigned by the Team Leader or Lead Clinician in a timely… more
- Lawrence General Hospital (Methuen, MA)
- …staff. Responsibilities: + Collaborates with healthcare team, including but not limited to Case Management to ensure optimal disposition plans for all patients. ... + Provides clinical consultation to nursing staff or directs them to other resources. + Monitors and adjusts staffing based upon patient census and acuity. + Manages… more
- Devereux Advanced Behavioral Health (Fitchburg, MA)
- …will:** + Work closely with the Program Manager and the Clinician to provide case management services as a liaison between center, families, agencies, social ... complete QI responsibilities for programs as well as gather clinical information and complete documentation as assigned. + Serve...such as progress notes and incident reports. **Being a Case Coordinator at Devereux has its advantages!** You will… more
