- Commonwealth Care Alliance (Springfield, MA)
- …plans in partnership with internal and external stakeholders. + Ensure compliance with all regulatory and contractual requirements related to LTSS provider ... **Required Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or knowledge of community based services… more
- CenterWell (Hartford, CT)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... **Use your skills to make an impact** **Required Qualifications** + Active unrestricted RN license with the ability to obtain Compact Nursing License + A minimum… more
- Baystate Health (Springfield, MA)
- …for leading the hospital's enterprise-wide strategies in **patient safety** and **regulatory compliance ** . Reporting to the **Chief Medical Officer (CMO)** , this ... The VP oversees incident management, risk mitigation, policy development, and proactive strategies to reduce harm while supporting the hospital's mission of… more
- CenterWell (Hartford, CT)
- …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent...a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage… more
