- Commonwealth Care Alliance (Springfield, MA)
- …and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into teams and ... geographically dispersed across the commonwealth The Assessment nurse conducts timely, high-quality, accurate in-person assessments. These individuals leverage the… 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 ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- Beth Israel Lahey Health (Newburyport, MA)
- …information from a variety of sources (eg Auditors, CMS, BCBS, Permedion, DPH, Nurse Audit , HCHP, DPH, Disability, Workman's Comp, EHR, attorneys, patients, ... direction of the Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release of… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Inpatient Case Manager performance is evaluated using the Inpatient Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor. ... teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH… more
- Elevance Health (Woburn, MA)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Inpatient Case Manager performance is evaluated using the Inpatient Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor. ... teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH… more
- Sunrise Senior Living (Norwood, MA)
- …Sunrise of Norwood **Job ID** 2025-234088 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality care and ... medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and...supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care Manager (LCM)… more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,...medical record review and periodic medical record review for audit purposes as well as medical record review for… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... - Taylor Building Position Summary: The 340B Program, Licensing and Credentialing Manager is charged with oversight of NeighborHealth's 340B pharmacy program. This… more
- East Boston Neighborhood Health Center (Revere, MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... All Locations: 300 Ocean Avenue - Revere Position Summary: The Social Work Manager provides individual and group clinical supervision to social workers across all… 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 ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- CVS Health (Boston, MA)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- GE Vernova (Boston, MA)
- …contractor safety resources to drive program improvements and perform audit /assurance reviews. + Proactively partner and develop positive working relationships ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- Baystate Health (Springfield, MA)
- …incentive payments that may be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the charge nurse ... required telemetry training course.** **Summary** : Reports to the Nurse Manager , but daily activities are coordinated...PCM auditor at specified times. Replenish and restock unit audit tools (ie refrigerator logs, negative pressure room logs,… more
- Lawrence General Hospital (Methuen, MA)
- …and education position on a locked behavioral health unit. Under the direction of the Nurse Manager , plays a key role in the development and maintenance of ... through annual competencies. + Under the direction of the Nurse Manager , oversees and adjusts nursing schedules...ensure compliance with regulatory standards of care. + Reports audit results to monthly Quality Committee as required. +… more
- Baystate Health (Springfield, MA)
- …incentive payments that may be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the charge nurse ... ADTs. Checks BMD enters new data and advises Charge Nurse of changes. Checks CIS for discharge orders, follows...by Zoned Hospitalist. Make available the unit-based assignment (RN/Case Manager /Social Worker as well as covering RNs [i.e. lunch… more
- Athena Health Care Systems (Webster, MA)
- …& Education: + Must possess a current, unencumbered license to practice as a Registered Nurse in this state. + Must possess, as a minimum, a Nursing Degree from an ... employee incidents and develops a plan of correction and audit tool for prevention. + Assist the DNS with...correction for deficiencies. + Other duties as assigned by manager . Specific Requirements: + Must be able to read,… more
- Beth Israel Lahey Health (Beverly, MA)
- …reporting to EOAI and Safe Spot. . Maintain accurate, complete, and audit -ready documentation of all resident care activities. **Budget & Administrative Duties** . ... on financial planning and cost control. . Serve as " Manager on Duty" on a rotating weekend schedule to...of an accredited nursing program. . Current Massachusetts Registered Nurse (RN) license (required). . Minimum of 2 years… more
- East Boston Neighborhood Health Center (MA)
- …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... requirements. In collaboration with Administrative Directors and the senior team, audit staff clinical practices, and develop and implement systems for improvement.… more
