- CVS Health (Boston, MA)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zones.… more
- Highmark Health (Boston, MA)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- Beth Israel Lahey Health (Winchester, MA)
- …member of the Ethics Committee, Infection Control Committee, Cancer Committee, and Utilization Management Committee. Co-chairs the Health Equity Committee. + ... Boston area. The Executive Director of Quality & Patient Safety is a nurse leader responsible for the following: + Oversees and directs activities of Healthcare… more
- Beth Israel Lahey Health (Beverly, MA)
- …of hospice patients. The Medical Director guides, directs, and is a care consultant to the hospice and palliative care staff, the patient's attending physician and ... care services. Mentors and leads the associate medical directors and Nurse Practitioners **Job Description:** **Essential Duties & Responsibilities** including but… more