• Commonwealth Care Alliance (Boston, MA)
    …**Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral ... collaboration with DMH and DDS (BH) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care more
    DirectEmployers Association (08/13/25)
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  • Boost Home Health (Woburn, MA)
    …accordance with physician orders and plan of care under the direction of the Clinical Manager . Why join us at Boost Home Healthcare - North Shore: Treated ... and happiest state of being possible. The per diem RN administers skilled nursing care to patients...accredited school of professional nursing. Currently licensed as a registered nurse in Massachusetts. Minimum of one… more
    Upward (08/04/25)
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  • 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....(video, chat, etc.), when appropriate, for a variety of clinical care and care management… more
    DirectEmployers Association (10/15/25)
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  • 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 ... setting. Our care teams, comprised of a Nurse and Case Manager , provide vital support...the clients and caregivers in our program. As a Registered Nurse , in addition to executing assessment… more
    Upward (08/09/25)
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  • Commonwealth Care Alliance (Boston, MA)
    013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... with Standard Operating Procedures + Ensures accurate documentation of clinical decisions and works with UM Manager ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    DirectEmployers Association (10/02/25)
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  • Boost Home Health (Brookline, MA)
    …development Vision insurance Flexible schedule Relocation bonus Signing bonus Are you an experienced Registered Nurse ( RN ) ready to lead in home healthcare? ... Boost Home Healthcare is seeking a Clinical Manager to oversee and coordinate high-quality care ... in urgent situations What we're looking for: Licensed RN in MA with 2 years of nursing and… more
    Upward (08/04/25)
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  • 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 ... organize information, and communicate with your team, members, and care team. M-F: 8a-5p Required Qualifications for RN... license 1-2 years of experience Preferred Qualifications for RN Assessments (MDS): 1+ year of clinical more
    Upward (08/08/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …+ 3+ years' experience as Registered Nurse in a high touch clinical environment or home care , OR + 2+ years caring for patients/members with complex ... 025010 Clin Alli-CCAPC **Position Summary:** The Primary Care Triage Nurse functions as a...and is under the general supervision of the Primary Care Manager and Clinical Director.… more
    DirectEmployers Association (09/25/25)
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  • Monte Nido (Dedham, MA)
    …lives while providing the opportunity for people to realize their healthy selves. ** Registered Nurse ** **Walden Behavioral Care ** **Dedham, MA** **Offering a ... - All Shifts Available_** **Full time positions available** The ** Registered Nurse ** provides direct patient care... under the supervision of the AVP of Nursing, Nurse Manager , Nursing Supervisor, or designee. **Shift/hours:**… more
    DirectEmployers Association (09/06/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …- 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care , OR - 2+ years caring for patients/members with complex ... member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader...(video, chat, etc.), when appropriate, for a variety of clinical care and care management… more
    DirectEmployers Association (09/26/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and ... a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    DirectEmployers Association (10/18/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …and improving the performance of CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization ... providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    DirectEmployers Association (10/17/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider partners, ... are met in a manner that supports quality, independence, and cost-effective community-based care . The Manager also ensures providers are educated on CCA… more
    DirectEmployers Association (10/17/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …high-quality, coordinated care in alignment with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
    DirectEmployers Association (10/17/25)
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  • Commonwealth Care Alliance (Boston, MA)
    Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for centrally authorized services. This position ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
    DirectEmployers Association (10/02/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …team, and help deliver healthcare of the 21st century! The Data Science Manager at instED is a clinical /business-facing and technical-facing role that ... derive key insights from advanced analytics. The Data Science Manager will focus on the data extraction and processing,...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    DirectEmployers Association (08/19/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …administrative support of Care Delivery. programs. Under the supervision of the Manager of Patient Access Operations and in direct partnership with Care ... directly, when possible, or by collaborating with the Interdisciplinary Care Team members and/or other Clinical staff...Care Delivery Programs The role reports to the Manager , Care Delivery Patient Access Operations Supervision… more
    DirectEmployers Association (09/30/25)
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  • 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 ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
    DirectEmployers Association (09/25/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
    DirectEmployers Association (10/18/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Excellence:** + Collaborate with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management, Member Services, Provider Services, Regulatory ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
    DirectEmployers Association (10/17/25)
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