- Commonwealth Care Alliance (Wakefield, 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
- Vitra Health (Lynn, MA)
- …our team is the key to our success. That is why we are looking for a Non- Clinical Registered Nurse to support our clients of East Boston and its surrounding ... a qualified setting. Our care teams, comprised of a Nurse and Case Manager , provide vital support...vital support for the clients and caregivers in our program . As a Registered Nurse ,… more
- HealthCare Support (Boston, MA)
- … clinical judgment to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately following the visit. Utilize our ... and active MA RN license 1-2 years of experience Preferred Qualifications for RN Assessments (MDS): 1+ year of clinical nursing experience 1+ year of case… more
- Monte Nido (Dedham, MA)
- …while providing the opportunity for people to realize their healthy selves. ** Registered Nurse ** **Walden Behavioral Care** **Dedham, MA** **Offering a $5,000.00 ... - All Shifts Available_** **Full time positions available** The ** Registered Nurse ** provides direct patient care under...care under the supervision of the AVP of Nursing, Nurse Manager , Nursing Supervisor, or designee. **Shift/hours:**… more
- Commonwealth Care Alliance (Boston, MA)
- …& Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships ... high-quality, coordinated care for members. In this role, the Program Manager acts as an account ...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)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... efforts. Through reporting, data analysis, and partnership management, the LTSS Program Manager ensures that providers meet contractual, regulatory, and… more
- Commonwealth Care Alliance (Boston, MA)
- …One Care and SCO products. This role focuses on fostering strong clinical and programmatic collaboration, effectively communicating program performance to ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… 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)
- …in ADA administration **Required Licensing:** + Unencumbered license to practice as a Registered Nurse in Massachusetts **Required Experience:** + 5+ years of ... transmission of illness to members + In collaboration with manager , oversee CCA's Respiratory Protection Program +...with travel by car or public transportation to other office/ clinical sites. + May travel to member's homes or… more
- Commonwealth Care Alliance (Boston, MA)
- 011520 CCA-Customer Service Position Summary: Reporting to the Manager , Consumer Participation and Engagement, the Program Coordinator provides administrative, ... operational and project management support to CCA's Member Voices Program , Consumer Advisory Councils and customer experience activities as part of the overarching… more
- Commonwealth Care Alliance (Boston, MA)
- …Clin Alli-CCAPC Position Summary: Commonwealth Care Alliance's (CCA) Care Delivery program is responsible for providing primary care, palliative care and community ... social complexities that require intensive care delivery.? Within the Care Delivery Program , the Supervisor, Care Delivery Patient Access is responsible for the… 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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …needs, goals, and preferences. The Community Health Worker is knowledgeable of clinical care, health systems, and social drivers of health, and ensures that ... housing programming, community resource engagement, place-based supports, and/or the Doula Program . The CHW reports to the Community Health Services Manager… more
- Somatus (Nashua, NH)
- …as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. ... + Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health...assessment to help align patients with the most appropriate program in accordance with program guidelines. +… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …days Union: None Union Name: None Patient Facing: Yes The Clinical Program Manager is a perfect opportunity for a Registered Nurse seeking to grow ... patient care for a small panel of patients. The Nurse Care Manager (NCM) and the Care...CP leadership to bring RN perspective to program decisions. + Provides clinical oversight to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …may also coordinate accreditation activities on behalf of the organization The Sr. Program Manager , Clinical Quality works closely and collaboratively with ... The Team Under the direction of the Director of Clinical Quality, the Sr. Program Manager...and Experience + Typically requires a bachelor's degree level RN /clinician with five or more years of clinical… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …and our team is expanding across sites to support this growth. We are currently hiring a Clinical Care Manager - OBAT RN based in Framingham. As part of a ... team-based approach to care, the Clinical Care Manager (CCM) provides, coordinates, and...holiday shifts on a rotating basis. Required Qualifications: + Registered Nurse License in MA + Bachelor's… 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 ... values and customer service philosophy. Adheres to the FMCNA Compliance Program , including following all regulatory and FMS policy requirements. Ensure provision… more
