- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- Commonwealth Care Alliance (Boston, MA)
- …staff, including nurse reviewers and support personnel. * Act as liaison with medical director , provider relations, case management and quality teams to ... and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of Utilization Management… more
- Cambridge Health Alliance (Somerville, MA)
- …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating… more
- Cambridge Health Alliance (Somerville, MA)
- …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating… more
- Cambridge Health Alliance (Everett, MA)
- …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend… more
- State of Massachusetts (Brockton, MA)
- …Specialist and liaison to the Community Service Agencies. The CYF Supervisor will oversee case management and administrative supervision to assigned CYF Case ... Services Coordinator I(s) to ensure compliance with established standards of care for Case Management . . Maintains caseload oversight for assigned Human Services… more
- Elevance Health (Woburn, MA)
- …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- Elevance Health (Woburn, MA)
- …considered. The **Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for ... **Utilization Management Medical Director - NC Medicaid** Location:...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- The Salvation Army (Canton, MA)
- …implementation of the program's objectives including training of Corps staff involved in Case Management , collection of data, and reporting on outcomes. The ... and weekends, will be required occasionally. Duties and Responsibilities Supervision of Case Management /Social Services within the Clusters + Provide ongoing… more
- Takeda Pharmaceuticals (Lexington, MA)
- …is true to the best of my knowledge. **Job Description** **Associate Director , Lifecyle Management , Entyvio** **Takeda Pharmaceutical** **Lexington, MA** **About ... the role:** Join Takeda as the Associate Director , Lifecyle Management , Entyvio, where you will...Regulatory, Medical, Market Access, and Sales. + Support business case development for lifecycle investments and present recommendations to… more
- Humana (Boston, MA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- State of Massachusetts (Boston, MA)
- … management of the CORI check and Warrant check processes. In addition to management of these functions, the Director serves as a primary subject matter ... AND RESPONSIBILITIES (NOT ALL INCLUSIVE):_* *__* *_1) Leadership and Oversight_* . The Director provides oversight and management of the core activities of the… more
- Bright Horizons (Newton, MA)
- …with a focus on CRM capabilities powered by Microsoft Dynamics 365. The Director will ensure business results of revenue growth, profitability, employee growth and ... teams in a complete and timely manner and to ensure that product management tools and processes are effectively implemented and managed. + Ensure that critical… more
- Humana (Boston, MA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- Humana (Boston, MA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- State of Massachusetts (Boston, MA)
- …and best practices; * Proficiency in relevant software and legal technology, including case management systems and data analysis tools. * Ability to handle ... INTO YOUR BROWSER IF THE EMBEDDED LINK DOES NOT WORK):*https://careers-publiccounsel.icims.com/jobs/2955/managing- director operations/job The Committee for Public Counsel Services, the… more
- Tufts Medicine (Burlington, MA)
- …/utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/ Case Management experience in an acute-care hospital or multi-hospital system, including ... cycle, finance and operational meetings, as requested, and collaborate with site Case Management leadership. 12. Available to intervene in cases which fail to… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations ... Union Name: None Patient Facing: Yes The Associate Medical Director of Medical Respite, in close collaboration with the...5 years of clinical experience as an NP/PA required. Management experience is strongly preferred. DEA X-waiver required. +… more
- Datavant (Boston, MA)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee Datavant's legal and ... audit standards. Reporting to the Chief Compliance and Privacy Officer, the Director of Internal Audit will evaluate the effectiveness of internal controls, risk… more
- Humana (Boston, MA)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more