- 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 (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
- Elevance Health (Woburn, MA)
- ** Utilization Management Representative II** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required ... shift between 8 am - 8 pm EST. The ** Utilization Management Representative II** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating ... insurance as needed. Summary: Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management … more
- Iron Mountain (Boston, MA)
- …welcome your unique contributions? If so, let's start the conversation. **Senior Manager , Application Governance & Asset Management ** This role is responsible ... utilization , software license optimization, and efficient procurement. **Risk Management :** Working with Information Security and EIT Risk in identifying and… more
- Massachusetts Port Authority (East Boston, MA)
- Senior Manager , Asset Management Print (https://www.governmentjobs.com/careers/massport/jobs/newprint/5070438) Apply Senior Manager , Asset Management ... industry with innovative practices. ABOUT YOU As a Senior Manager Asset Management , you lead with a...dynamic, organization-wide training and audit program to maximize the utilization and effectiveness of the asset management … more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient ... 2. Three years of medical/surgical nursing care experience. Two years of case management or utilization management experience required. 3. Basic computer… more
- Humana (Boston, MA)
- …our caring community and help us put health first** The Print Project Manager is responsible for overseeing the efficient operation and continuous improvement of the ... issues to ensure optimal performance of print services. The Print Project Manager collaborates with stakeholders across the organization to drive process efficacy… more
- State of Massachusetts (Boston, MA)
- …appropriate to inform the Division's various audiences. The Director of Pharmacy Benefit Manager Oversight is a senior management level position that reports to ... Division of Insurance values inclusiveness and diversity within their employee and management teams. Within our community we strive to create and maintain working… more
- Fallon Health (Worcester, MA)
- …Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Custodial Nurse Case Manager (NCM) is a key member of the Clinical Integration Team, overseeing ... including behavioral and rehabilitative services. **Responsibilities** **Primary Job Responsibilities** ** Utilization Review and Care Coordination and Collaboration** + Clinical… more
- Bristol Myers Squibb (Devens, MA)
- …better place than here at BMS with our Cell Therapy team. The ** Manager , Operational Excellence, Cell Therapy** is responsible for performing functions to apply ... the implementation of improvements into tangible benefits. The Operational Excellence Manager will require knowledge and experience with the Toyota Production System… more
- Beth Israel Lahey Health (Needham, MA)
- …practice model. **Job Description:** **Essential Responsibilities:** 1. Performs utilization management , care coordination, and discharge planning ... (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical,… more
- Colliers Engineering & Design (Boston, MA)
- … to lead our Civil/Site team in Boston, MA! The Department Manager is responsible for the professional, technical, management , marketing, administrative ... of work and the sharing of resources within the discipline, maximizing staff utilization . Reviews staff utilization regularly and promptly addresses staff not… more
- Mercury Systems (Hudson, NH)
- …Job Description Job Summary: We are seeking a strategic, results-oriented Senior Manager of Finance to partner with our Engineering organization and lead financial ... technologies by ensuring financial rigor, regulatory compliance, optimal resource allocation ( utilization ), and cost efficiency. You will also lead and mentor a… more
- Amgen (Marlborough, MA)
- …playing a key role in establishing product demand and delivering comprehensive account management within a designated territory. You will serve a central point of ... patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of...is a person with these qualifications. **Basic Qualifications (Account Manager - Level 4)** Bachelor's Degree and 3 years… more
- Burns & McDonnell (Newton, MA)
- **Description** The Transmission Department Manager is responsible for the managerial direction and leadership of the Northeast Region (NER) Transmission Department ... the following, with other duties as assigned by senior management . Fostering Culture + Drive a culture focused on...practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a… more
- State of Massachusetts (Boston, MA)
- …and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston Child, Youth, and Family team. The ... to DMH clients. The HSC-II has the responsibility of monitoring performance and utilization of assigned Area-based CYF contracts and serving as a Service Integration… more
- CBRE (Boston, MA)
- …Train staff and end-users on CMMS procedures, usage, and updates. + Lead change management efforts to increase system utilization and efficiency. + Serve as the ... CMMS Manager - Maximo SME- US remote Job ID 242192...significant contributor to organizational productivity and performance. Our account management model is at the heart of our client-centric… more