- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral ... collaboration with DMH and DDS (BH) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care … more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... with Standard Operating Procedures + Ensures accurate documentation of clinical decisions and works with UM Manager ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Monte Nido (Dedham, MA)
- …lives while providing the opportunity for people to realize their healthy selves. ** Registered Nurse ** **Walden Behavioral Care ** **Dedham, MA** **Offering a ... - All Shifts Available_** **Full time positions available** The ** Registered Nurse ** provides direct patient care... under the supervision of the AVP of Nursing, Nurse Manager , Nursing Supervisor, or designee. **Shift/hours:**… more
- Commonwealth Care Alliance (Boston, MA)
- …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....(video, chat, etc.), when appropriate, for a variety of clinical care and care management… more
- Commonwealth Care Alliance (Boston, MA)
- …- 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care , OR - 2+ years caring for patients/members with complex ... member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader...(video, chat, etc.), when appropriate, for a variety of clinical care and care management… more
- Commonwealth Care Alliance (Boston, MA)
- …and improving the performance of CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization ... providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider partners, ... are met in a manner that supports quality, independence, and cost-effective community-based care . The Manager also ensures providers are educated on CCA… more
- Commonwealth Care Alliance (Boston, MA)
- …high-quality, coordinated care in alignment with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- Commonwealth Care Alliance (Boston, MA)
- … Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for centrally authorized services. This position ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- Commonwealth Care Alliance (Boston, MA)
- …intensive care management and care delivery. Within the CIC Program, the Manager , Clinical APC is responsible for the oversight of clinical care ... care management within the CIC interdisciplinary team. The Manager , Clinical APC is specifically accountable for...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …administrative support of Care Delivery. programs. Under the supervision of the Manager of Patient Access Operations and in direct partnership with Care ... directly, when possible, or by collaborating with the Interdisciplinary Care Team members and/or other Clinical staff...Care Delivery Programs The role reports to the Manager , Care Delivery Patient Access Operations Supervision… more
- Commonwealth Care Alliance (Boston, MA)
- …team, and help deliver healthcare of the 21st century! The Data Science Manager at instED is a clinical /business-facing and technical-facing role that ... derive key insights from advanced analytics. The Data Science Manager will focus on the data extraction and processing,...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …in ADA administration **Required Licensing:** + Unencumbered license to practice as a Registered Nurse in Massachusetts **Required Experience:** + 5+ years of ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- Commonwealth Care Alliance (Boston, MA)
- …Excellence:** + Collaborate with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services, Provider Services, Regulatory ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- Commonwealth Care Alliance (Boston, MA)
- …enrollees' needs, goals, and preferences. The Community Health Worker is knowledgeable of clinical care , health systems, and social drivers of health, and ... colleagues, including other CHWs and members of the Interdisciplinary Care Team. + CHWs complete mandatory clinical ,...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 011520 CCA-Customer Service Position Summary: Reporting to the Manager , Consumer Participation and Engagement, the Program Coordinator provides administrative,… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …and our team is expanding across sites to support this growth. We are currently hiring a Clinical Care Manager based in Framingham, MA. The Clinical ... reviewing lab and diagnostic test results. + Documents patient care , evaluations, progress, care manager ...holiday shifts on a rotating basis. Job Requirements: + Registered Nurse License in MA + 1-2… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …across sites to support this growth. We are currently hiring a Reproductive Health Clinical Care Manager based in Worcester. The Reproductive Health CCM ... works collaboratively supporting team-based and evidence-based care focused on patients of reproductive health age. Using...projects to improve operational efficiency. In collaboration with the Clinical Practice Manager , the RH CCM ensures… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …is expanding across sites to support this growth. We are currently hiring a Clinical Care Manager - OBAT RN based in Framingham. As part of a team-based ... approach to care , the Clinical Care Manager (CCM) provides,...holiday shifts on a rotating basis. Required Qualifications: + Registered Nurse License in MA + Bachelor's… more
- Atrius Health (Boston, MA)
- …and welfare benefit package #IND1 **Job:** **Nursing* **Organization:** **Urgent Care * **Title:** * Clinical Nurse Manager II Urgent Care - ... in accordance with legal parameters, guidelines, and standards for clinical care . Ensures the strict adherence to...and staff issues in collaboration with operational partners. The Clinical Nurse Manager positions are… more
