- CVS Health (Providence, RI)
- …of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...by the market including but not limited to UM case reviews, member and provider appeals Participate in an… 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
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may... Case managers or Care managers on complex case management , including familiarity with social determinants… 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
- 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
- J&J Family of Companies (Providence, RI)
- …able to thrive in a matrixed environment. Ability to build an effective business case and project management . Track record of successful leadership skills in the ... Director , Global Brand Protection Capabilities & Technology -...stakeholders (internally / externally) to develop an effective business case , strategies, and tactics to address and mitigate brand… more
- The Home for Little Wanderers (Walpole, MA)
- …development and enhanced productivity. Administer the performance evaluations and performance management process. + Assist the Director of Clinical Services ... for an up to $5000 sign-on bonus!** Assist the Director of Clinical Services by providing clinical supervision for...Congregate Care programs on areas of expertise. + Facilitate case consultation where there is a need. + Participate… more
- Riverside Community Care (Milford, MA)
- …the ED that could safely remain in the community with intensive clinical and case management services. The Emergency Department Mobile Respite Case Manager ... summaries) + complete initial clinical and psychosocial needs assessment, case management and discharge planning + coordinate...mobile crisis intervention duties as determined by the Area Director of designee + work with persons in the… more
- Charter Care Health Partners (North Providence, RI)
- …Compact. Five (5) years of clinical experience that includes recent experience with case management , patient navigation, case management , utilization ... Main Function Reports to the Director Care Management or designee. Provides...calendar and basic keyboard skills are also required. Center Case Management (CCM) (R) board certification or… more
- J&J Family of Companies (Providence, RI)
- …to have but not required. * MS Office Tools * Investigations and Intelligence Case Management Systems experience * Fluency in English * Strong executive ... Director , Product Security Investigations & Intelligence - 2406207568W...security investigations and intelligence strategy, value recovery targets, ensure case and intelligence management systems effectiveness, and… more
- Evolent Health (Providence, RI)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + ... the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a...you will be a key member of the utilization management team. We can offer you a meaningful way… more
- J&J Family of Companies (Providence, RI)
- Associate Director , Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an **Associate Director , Signal Detection ... the US or UK may be considered on a case -by- case basis and if approved by the...position is to lead the implementation of the Signal Management Group's aggregate surveillance strategies for proactive and systematic… more
- Highmark Health (Providence, RI)
- …provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. In addition, ... clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards of care are… more
- J&J Family of Companies (Providence, RI)
- Director , Regulatory Medical Writing (1 of 4) -...countries. Remote work options may be considered on a case -by- case basis and if approved by the ... 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
- J&J Family of Companies (Providence, RI)
- Director , Health Economics and Market Access - Robotics...candidates. Remote work options may be considered, on a case -by- case basis and if approved by the ... Interventional Solutions - 2406204289W **Description** Johnson & Johnson is recruiting a Director , Health Economics & Market Access (HEMA) for the Johnson & Johnson… more
- Gentiva (Fall River, MA)
- …5 PM) Flexible to meet patient and business needs** **As a Hospice RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator, Executive Director or ... Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more
- SitusAMC (Providence, RI)
- …is supervisory and has direct reports. This role is responsible for the overall management of multiple diverse asset management functions within Situs Asset ... to handle all transaction types without input from senior management . This position involves a high level of interaction...dental, vision, life, disability insurance and 401K; in each case in accordance with the terms of the applicable… more
- Sevita (Stoughton, MA)
- …assistance to each person we serve. **Boom Dia Adult Day is looking for a Case Coordinator. This is a M-F dayshift opportunity. Applicants are required to be fluent ... job where you can actively make a difference in people's lives? As Case Coordinator, you will be responsible for providing organizational assistance and program… more
- Lumen (Providence, RI)
- …us as we digitally connect the world and shape the future. **The Role** The Director of UCC Life Cycle and Retention is accountable for the overall revenue retention ... goals as defined by this person in conjunction with management and overarching Lumen sales goals. This role manages...generating profitable retention and sales with the right customers.The Director of UCC Life Cycle and Retention is accountable… more
- Sumitomo Pharma (Providence, RI)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more