- 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
- 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 (Smithfield, RI)
- …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
- 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
- Boston University (Boston, MA)
- …initiatives that foster a culture of care and early help-seeking. Key Responsibilities: + Case Management and Student Support (70%) + Triage and respond to ... Grade** Grade 46 **Position Type** Full-Time/Regular Reporting to the Director of Student Support Services in the Office of...Maintain detailed case records using the departments case management system. + Administer the emergency… more
- Humana (Providence, RI)
- …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
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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
- Brown University (Providence, RI)
- …Safety, BUDPS immediately needs an outstanding individual to serve as the Director of Inspectional Services to provide oversight and strategic leadership over the ... violation, and/or other special confidential investigation requests; examine personnel and case records to ensure that police personnel conform to prescribed… 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
- 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
- State of Massachusetts (Boston, MA)
- … management for non- case managed CYF clients. * Supervises CYF case management staff ensuring DMH regulations are being followed, scheduling is ... outreach. * Prioritizes and monitors utilization and communicates to Director and/or Assistant Director of CYF Services....the CYF Leadership team in planning and development of case management practices and procedures and RFR… more
- Datavant (Providence, RI)
- …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 (Providence, RI)
- …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
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Commonwealth Care Alliance (Boston, MA)
- …with responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term services and… more
- South Middlesex Opportunity Council (Framingham, MA)
- …review and appropriate placement or diversion for all referrals. + Facilitate weekly case management meetings to ensure appropriate assessments and service plans ... Summary: Responsible for management and coordination of all operations of the...position are I ndividual Shelter Manager, Clinical Manager, YYA Director , Re-entry/Outreach, Housing Support Programs Manager, FCC Director… more
- State of Massachusetts (Boston, MA)
- …benefits programs, including eligibility criteria and intake procedures, eligibility regulations, case management systems, and controls for fraud prevention and ... 16V for more information about BPI's statutory mission. *BPI Director : Position Overview* The OIG is looking for a...detection. * At least ten years of management experience as a team leader or supervisor. *… more