• Utilization Management

    CVS Health (Boston, MA)
    …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
    CVS Health (06/25/25)
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  • CIC (Community) BH Clinician

    Commonwealth Care Alliance (Boston, MA)
    …medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, The Senior Clinician ... to influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing… more
    Commonwealth Care Alliance (06/25/25)
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  • Adolescent Clinician

    Monte Nido (Dedham, MA)
    …providing the opportunity for people to realize their healthy selves. **Adolescent Clinician ** **Walden Behavioral Care** **Dedham- FT position** **Offering a 5k ... sign on for FT hours.** Walden Behavioral Care is one of the only rapidly-growing, leading national specialty healthcare systems dedicated to serving all genders and… more
    Monte Nido (06/14/25)
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  • Community Health Worker

    Commonwealth Care Alliance (Boston, MA)
    …medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, the Community Health Worker ... programing is responsible for providing care delivery and care management to a specific panel of high risk and...and care coordination for the most complex medical and behavioral health patients. The CHW participates in aiding the… more
    Commonwealth Care Alliance (06/25/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Boston, MA)
    …care that affect patient care and population management , such as quality management , utilization management , network management , and payment ... patients at national scale. S/he will be a proven clinician , leader, and strategist capable of driving the highest...quality/STARS, efficiency of care, and improved clinical outcomes and utilization . + Identify and act on opportunities to better… more
    CenterWell (05/28/25)
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  • Physician Liaison / Outreach Coordinator

    OptiMindHealth (Needham, MA)
    …Part-Time FLSA Status: Non-Exempt Location: Needham, MA Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding ... compassionate professionals to join our team. Today, OMH provides superior behavioral health services to patients in Massachusetts, Colorado, and Montana. Since… more
    OptiMindHealth (05/08/25)
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  • Senior Director Clinical Revenue

    Tufts Medicine (Burlington, MA)
    …Campus, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home, ... in the Clinical Documentation Integrity (CDI), Coding, HIM Operations, and Utilization Review (UR) departments while implementing enterprise-wide vision. The leader… more
    Tufts Medicine (06/21/25)
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  • Clinical Social Worker

    Beth Israel Lahey Health (Burlington, MA)
    …personnel in the department. -Consults with other clinical staff on case management issues. 6) Conduct thorough and accurate diagnostic assessments in compliance ... departmental case conferences --Present cases as requested. --Assist with new clinician orientation. --Participate in administrative functions as defined by the… more
    Beth Israel Lahey Health (04/13/25)
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