- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- CenterWell (Boston, MA)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Pay Range:** $41.58 - $93.96 per hour **Location:** CHA Somerville Campus **Work ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Curia (Hopkinton, MA)
- Manager , Program Management in Hopkinton, MA Build your future at Curia, where our work has the power to save lives. The Manager , Program Management , is ... the success of complex projects. Leading a team of Program Managers, the manager will identify and mitigate risks, ensure profitability of projects and champion… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Pay Range:** $41.58 - $93.96 per hour **Location:** CHA Everett Hospital ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point… more
- State of Massachusetts (Boston, MA)
- …appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to ... Division of Insurance values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain working… more
- Clean Harbors (Norwell, MA)
- **Clean Harbors** is looking for a **Senior Asset Manager for Light Duty Vehicles** to be located out of **Norwell, MA** . The Senior Asset Manager for Light ... Duty Vehicles is responsible for the overall lifecycle management of a specific group of assets (such as type of vehicle or heavy equipment) that are utilized in… more
- Commonwealth Care Alliance (Boston, MA)
- …delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... Knowledge, Skills, Abilities & Language (nice to have): * Familiarity with care management and utilization management systems and workflows. * Experience… more
- Beth Israel Lahey Health (Needham, MA)
- …practice model. **Job Description:** **Essential Responsibilities:** 1. Performs utilization management , care coordination, and discharge planning ... (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical,… more
- Amgen (Boston, MA)
- …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of...is a person with these qualifications. **Basic Qualifications (Account Manager - Level 4)** Bachelor's Degree and 3 years… more
- Colliers Engineering & Design (Boston, MA)
- … to lead our Civil/Site team in Boston, MA! The Department Manager is responsible for the professional, technical, management , marketing, administrative ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more
- Ryder System (Boston, MA)
- …: **We are immediately hiring a Senior Continuous Improvement Logistics Manager (Engineering) in Indianapolis, IN (REMOTE) for our Supply Chain Solutions ... the use of continuous improvement methods to support new and existing operations. The Manager will manage the CI resources across the business to influence and drive… more
- Burns & McDonnell (Newton, MA)
- **Description** The Transmission Department Manager is responsible for the managerial direction and leadership of the Northeast Region (NER) Transmission Department ... the following, with other duties as assigned by senior management . Fostering Culture + Drive a culture focused on...practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a… more
- Clean Harbors (Norwell, MA)
- Clean Harbors is seeking a detail-oriented and safety-focused **Asset Manager ** to oversee the lifecycle of a specialized group of service assets ( **parts washers** ... you will manage the full asset lifecycle-from deployment and utilization to preventative maintenance and final disposition-ensuring optimal performance,… more
- Baylor Scott & White Health (Boston, MA)
- **JOB SUMMARY** The Manager of Advanced Analytics 1 manages a team that provides advanced analytics and reporting services to stakeholders across the organization; ... valuable insights from our data to help improve the utilization of our services and the quality of the...our services and the quality of the organization. The Manager of Advanced Analytics 1 has responsibility for developing,… more
- A/Z Corporation (Marlborough, MA)
- Senior Project Manager - Self Perform Trades Job Details Level Management Job Location Marlborough MA - Marlborough, MA Position Type Full Time Education Level 4 ... , strategic planning, and client customer service. POSITION RESPONSIBILITIES: Civil Project Manager + Project Management for various project assignments as… more
- Burns & McDonnell (Newton, MA)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
- Beth Israel Lahey Health (Cambridge, MA)
- …care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning ... contractual, and regulatory requirements as required. 7. The Case Manager abides by MAH Case Management Standards as outlined in the MAH guidelines 8. Other… more
- Red River (Boston, MA)
- **Position Summary:** The Manager , Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... further our Corporate Mission, Values and Objectives. Red River's Residency Services Manager will be responsible for our residents' growth and operational … more