• Manager , Utilization

    Commonwealth Care Alliance (Boston, MA)
    …services, procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of… more
    Commonwealth Care Alliance (05/21/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management /ReviewDepartment:Patient Services-Patient Care ... + Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a… more
    Children's Hospital Boston (06/16/25)
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  • Nurse Utilization Management

    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
    Commonwealth Care Alliance (05/23/25)
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  • Behavioral Health RN Case Manager - 20hrs

    Children's Hospital Boston (Boston, MA)
    …+ Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license as a ... the concurrent review process for acute psychiatric care + Possessing experience in Utilization Management / Utilization Review + Demonstrating the ability to… more
    Children's Hospital Boston (06/05/25)
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  • Clinical Reviewer Outpatient Utilization

    US Tech Solutions (Canton, MA)
    …all aspects of clinical decision making and support needed to perform utilization management , medical necessity determinations and benefit determinations using ... criteria through participation in the IMPAC. + Proactively identifies trends in Utilization Management applicable to the precertification and outpatient UM… more
    US Tech Solutions (06/23/25)
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  • Warehouse Supervisor (2nd Shift)

    Performance Food Group (Whitinsville, MA)
    …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... candidate should possess:** + Strong knowledge of warehouse procedures, inventory management , and material handling equipment. + Experience with inventory … more
    Performance Food Group (07/02/25)
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  • Manager , Care Management

    Milford Regional Medical Center (Milford, MA)
    …Social Workers, Care Coordination Assistant, Post Hospital Transition Navigator, and Utilization Management functions. The MCM coordinates and facilitates the ... community with dignity, compassion and respect. Statement of Purpose: The Manager of Care Management (MCM) leads and directs all care management activities,… more
    Milford Regional Medical Center (05/14/25)
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  • Sr. Mission Manager

    Motion Recruitment Partners (Providence, RI)
    Sr. Mission Manager **Remote Only** Contract to Hire $70/hr - $100/hr **TG Federal is actively seeking a Sr. Mission Manager to join our remote team of ... Cybersecurity professionals.** **Summary:** The Sr. Mission Manager is a hybrid leadership role that combines the...operations team. + Track, manage, and report on labor utilization , forecasting, and burn rates to ensure alignment with… more
    Motion Recruitment Partners (07/02/25)
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  • Senior Manager - Carrier Management

    Staples (Framingham, MA)
    …exceed P&L/budgets requirements + Optimize transportation spend through the strategic selection/ utilization of "best in class" carriers + Develop with support of ... of DOT mandated rules and regulations + Partner with Legal and Risk Management to address and mitigate business risk/ issues + Define project objectives, scope… more
    Staples (05/04/25)
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  • Manager , Healthcare Services (Remote…

    Molina Healthcare (Worcester, MA)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (06/01/25)
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  • Manager Space Planning

    Beth Israel Lahey Health (Boston, MA)
    …Center. Compile and evaluate requests and make recommendations on efficient space utilization in the Medical Center. Investigate and recommend the purchase and ... transition to a new space management / asset management software. Supervise and provide...system. Coordinate, analyze and report on space needs and utilization . Perform in-depth analysis, test fit scenarios, and develop… more
    Beth Israel Lahey Health (06/21/25)
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  • Key Account Manager - East

    Grifols Shared Services North America, Inc (Boston, MA)
    …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... role in the successful launch of a new Bleeding Management product within the Grifols Biopharma portfolio. The KAM...provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process… more
    Grifols Shared Services North America, Inc (05/24/25)
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  • Home Health Branch Manager

    Aveanna Healthcare (Worcester, MA)
    … + Driving EVV Utilization + Driving Electronic documentation (EMR) utilization + Compliance tracking + Unemployment claim management + Worker compensation ... Home Health Branch Manager ApplyRefer a FriendBack Job Details Requisition #:...Details Requisition #: 205607 Location: Worcester, MA 01606 Category: Management Salary: $60,000.00 per year Position Details FIND YOURSELF… more
    Aveanna Healthcare (06/11/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …of a specific patient population. Performs functions related to Patient Advocacy; Utilization Review; Resource Management ; Continuum of Care Management ... (Discharge planning) and Clinical Documentation Management . Collects data via utilization with Care Port to enhance the quality and cost effectiveness of patient… more
    Charter Care Health Partners (06/14/25)
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  • Store Manager

    Savers | Value Village (Worcester, MA)
    **Job Title: Store Manager ** **Who we are:** As one of the largest for-profit thrift operators in the United States, Canada and Australia for value priced pre-owned ... peace of mind. + Programs to stop smoking, diabetes management coaching, and on demand care options. + A...a constant focus on growing the business through full utilization of every OK, followed by increasing OK volume… more
    Savers | Value Village (06/28/25)
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  • Associate Territory Manager - New England

    ZOLL Medical Corporation (Providence, RI)
    …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… more
    ZOLL Medical Corporation (05/14/25)
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  • Care Manager RN (Delaware)

    Highmark Health (Providence, RI)
    …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
    Highmark Health (07/08/25)
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  • Software Engineering Manager (Dev)

    Brightstar Lottery (West Greenwich, RI)
    Software Engineering Manager (Dev) Location: West Greenwich, RI, US, 02817 Requisition ID: 17286 Brightstar is an innovative, forward-thinking global leader in ... in Rhode Island, United States, is looking for a manager with at least 5 years of experience on...reliable tactical decisions with minimal intervention from more senior management . Makes recommendations on strategic issues. Typically manages a… more
    Brightstar Lottery (07/08/25)
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  • Project Portfolio Manager

    Federal Home Loan Bank of Boston (Boston, MA)
    …Summary This is a newly created position at the Bank. The Project Portfolio Manager will lead our project management team and oversee the project managers ... on project risk. . Resource Management o Collaborate with Bank Technology management to optimize resource utilization across the project portfolio and the… more
    Federal Home Loan Bank of Boston (05/13/25)
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  • Department Manager

    Colliers Engineering & Design (Boston, MA)
    … to lead our Civil/Site team in Boston, MA! The Senior Project Manager is responsible for the professional, technical, management , marketing, administrative and ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more
    Colliers Engineering & Design (05/24/25)
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