- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with ... efforts. Through reporting, data analysis, and partnership management, the LTSS Program Manager ensures that providers meet contractual, regulatory,… more
- Commonwealth Care Alliance (Boston, MA)
- …below based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS ... participation o Maintain training agendas, presentations, and attendance sheets o Support LTSS Program Manager in times of audits - Contribute to maintaining… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... on fostering strong clinical and programmatic collaboration, effectively communicating program performance to delegated providers, and supporting the implementation… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
- Commonwealth Care Alliance (Boston, MA)
- …diverse provider community - including physician, hospital, behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a key liaison, ... , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation… more
- Molina Healthcare (Boston, MA)
- …based on the severity of illness and the site of service. The Care Manager , LTSS provides support for care management/care coordination long-term services and ... including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Commonwealth Care Alliance's (CCA) Community Intensive Care (CIC) program is responsible for providing care delivery and care management to ... intensive care management and care delivery. Within the CIC Program , the Registered Nurse (RN) serves as an integral...locations. This position reports to the CIC APC Clinical Manager . **Supervision Exercised:** No, this position does not have… more
- Molina Healthcare (Lowell, MA)
- …of services for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity of care. * ... * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication regimens. * Care… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
- Molina Healthcare (Boston, MA)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **PREFERRED QUALIFICATIONS:** * Certified Case Manager ... of services for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity of care. *… more
- Beth Israel Lahey Health (Wakefield, MA)
- …as appropriate. Working under the direction of the Social and Behavioral Services Program Manager , the BILHPN MassHealth ACO Community Health Worker (CHW) will ... (CPs) for Behavioral Health (BH) and Long Term Services and Supports ( LTSS ), Health Related Social Needs (HRSN) Providers/Community Based Organizations (CBOs)… more
