- Tufts Medicine (Burlington, MA)
- …**Minimum Qualifications:** 1. Bachelor of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, ... MA. **About Tufts Medicine:** Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver… more
- Cognizant (Boston, MA)
- …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in… more
- Fresenius Medical Center (Lowell, MA)
- …+ Develops action plans for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison for patient care as per ... management company. Maintains current knowledge of disease management software and systems as pertinent. **STAFF:** + Responsible for implementation of FMS staffing,… more
- Beth Israel Lahey Health (Cambridge, MA)
- …just taking a job, you're making a difference in people's lives.** Reporting to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse ... on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
- Tufts Medicine (Haverhill, MA)
- …**Minimum Qualifications:** 1. Bachelor's degree in Nursing (BSN). 2. Massachusetts RN Licensure. 3. Five (5) years of palliative, hospice, complex care ... the palliative care and hospice programs, ie Medical Directors, hospital personnel, vendors, director , managers and staff to ensure optimal care. + Ensures staff are… more
- Tufts Medicine (Boston, MA)
- …research. **Job Overview** Tufts Medical Center is seeking a Clinical Nursing Director reporting to our Associate Chief Nursing Officer for Critical Care/CVC. You ... practices, and professional development of nursing staff. The Clinical Nursing Director SICU works collaboratively with other disciplines and departments to ensure… more
- Tufts Medicine (Lowell, MA)
- …Reporting to the Vice President of Patient Care Services and Chief Nurse Executive, this position has oversight of all clinical and administrative functions ... the Tufts Medicine entities and providers in support of system and organization care management goals. . **Job Description**...management goals. . **Job Description** **Minimum Qualifications:** 1. Massachusetts RN Licensure. 2. 7 Years of RN … more
- Beth Israel Lahey Health (Boston, MA)
- …Nursing Program required. Baccalaureate degree in Nursing strongly preferred. + License Registered Nurse required. + American Heart Association - Basic Life ... and Emergency Department. In absence of Admission Facilitator, directs bed utilization . + Provides clinical consultation, support, education and mentoring to… more
- Beth Israel Lahey Health (Danvers, MA)
- …$3000** + **Day 1 Benefits!** + **Schedule: Monday - Friday, days** The Nurse Manager is responsible for the management of the medical/nursing services provided in ... ensuring full compliance with the protocols/directives of the Medical Director and Program Director . They play an...daily operations of the program by providing supervision to RN 's and LPN's. This is a great opportunity to… more
- Beth Israel Lahey Health (Charlestown, MA)
- …& Abilities:** * Must have sound understanding of ICD-10, and CPT coding systems ; prospective reimbursement system . * Ability to review and analyze issues ... **Essential Duties & Responsibilities** including but not limited to: * Maintain a system of reporting that provides timely and relevant information on all aspects… more
- Beth Israel Lahey Health (Boston, MA)
- …Schedules follow-up tests and appointments using hospital or Clinical Research Center (CRC) systems . Collaborates with RN on executing a participant's care plan. ... works under the direction of the research study investigators, study physician and/or nurse to perform clinical activities in the context of a research protocol.… more
- Commonwealth Care Alliance (Boston, MA)
- …this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. ... financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES (Claims Editing System ) with… more
- Commonwealth Care Alliance (Boston, MA)
- …compliance. The Senior Business Analyst, Clinical Operations reports to the Director , Clinical Operations Support. This role will provide significant BA support ... **Reports and Tools** + Engages with stakeholders to understand current processes/ systems and pain points as well as elicit detailed business needs… more