- Commonwealth Care Alliance (Boston, MA)
- …Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... Clinical Care Manager functions as the clinical expert on an interdisciplinary team through...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… 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 ... reviews in accordance with Standard Operating Procedures + Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency… more
- Commonwealth Care Alliance (Boston, MA)
- …have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR ... over a thousand individuals across the state. Join a team committed to serving complex individuals with the best...member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health and… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...closely with CCA's Behavioral Health, Health Home, Network, and Clinical teams to ensure a seamless provider experience and… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care and… more
- Commonwealth Care Alliance (Boston, MA)
- …growth opportunity into existing instED operations, from contracting to go-live.. Within this team , the Implementation Manager serves a critical role in driving ... Come join this early stage, innovative, growing company, and team , and help deliver healthcare of the 21st century!...as with stakeholders from outside the organization. The Implementation Manager must be a proactive problem solver, with a… more
- Commonwealth Care Alliance (Boston, MA)
- …**Required Experience:** Meaningful clinical experience including: + 3+ years' experience as Registered Nurse in a high touch clinical environment or ... team members where appropriate. The Primary Care Triage Nurse acts as the patient's primary point of ...as delegated. + Completes other duties as assigned by Clinical Manager . + Have a commitment to… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing ... with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and business-as-usual (BAU) communications, support regulatory… 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 ... procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily… more
- Commonwealth Care Alliance (Boston, MA)
- …for the Clinical Support Coordinators (CSCs) to ensure proactive administrative clinical team support and accurate, prompt, and courteous service is provided ... when possible, or by collaborating with the Interdisciplinary Care Team members and/or other Clinical staff and...& Language (nice to have): - Strong management and team -building skills - Telehealth - Practice Manager … more
- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... escalating, and resolving provider issues in coordination with network, operational, clinical , and compliance teams. Network Performance & Compliance - Collaborate… more
- Somatus (Nashua, NH)
- …plan. The CHW-Patient Advocate will work as an extension of the clinical care team , specifically under the guidance of RN Care Manager and act as ... + Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health...team including communicating and working with Physicians and Registered Nurses. + Proven experience with engaging patients in… more
- Commonwealth Care Alliance (Boston, MA)
- …, Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation ... strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA achieve its mission and… more
- Elara Caring (Newburyport, MA)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** Clinical Team Manager At Elara Caring, we care where you are ... have countless ways to make a difference as a Clinical Team Manager by providing...required + 2 years home care experience as a registered nurse in a Home Health or… 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....to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately… more
- Fresenius Medical Center (Lowell, MA)
- …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... as appropriate, and ensures coordination of care with the multidisciplinary renal team . Communicates changes in patient status regarding clinical , insurance,… more
- Beth Israel Lahey Health (Burlington, MA)
- …Under the general supervision of the Nurse Manager /Assistant Nurse Manager /Tertiary Team Leader, the Staff Registered Nurse : Tertiary Care ... to patients and in collaboration with other health care team members. The Staff Registered Nurse...activities both within the Lahey community and beyond. **III. Clinical Leadership:** _The Staff Registered Nurse… more
- BAYADA Home Health Care (Wilmington, MA)
- **BAYADA Home Health** has an immediate opening for a **Weekend** ** RN , Registered Nurse ** to perform **home health** **visits** for our **North Boston ... available to complete a full orientation during the week. ** RN , Registered Nurse , Home Health...and procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow… more
