- Humana (Concord, NH)
- …and requirements so they can achieve and/or maintain an optimal wellness state. The Care Management Support Professional 1 contributes to administration ... + Work collaboratively with other Humana associates as a member of Humana's Care Management Support team. + Must be passionate about contributing to an… more
- Humana (Concord, NH)
- …a part of our caring community and help us put health first** The Risk Management Professional 2 identifies and analyzes potential sources of loss to minimize ... risk. The Risk Management Professional 2 work assignments are varied...its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- Humana (Concord, NH)
- … Lead partners closely with Clinical Operations, Population Health, Digital Health, Care Management , and IT application teams to ensure supplier performance ... and help us put health first** The IT Vendor Management Lead - EMR, Clinical Care Delivery...care technology platforms + Clinical analytics and decision support tools + Integration & interoperability vendors supporting clinical… more
- Sevita (Chelmsford, MA)
- …all work-related injuries to his/her supervisor. **Services and Supports** 1. Direct Support :Provides direct support or assistance in accordance with individual ... program plans; assists with socialization and behavioral development, personal care , housekeeping, recreational activities, transportation, community orientation, shopping, financial… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …and responsibility for outcomes. Included but are not limited to: Serves in management of all Community Care consults and requests for additional services ... Summary This Chief IV Registered Nurse Community Care position is located at the Manchester VA...written and spoken English. Graduate of a school of professional nursing approved by the appropriate accrediting agency and… more
- Humana (Concord, NH)
- …Development, Learning and Performance, or related field + PMP (Project Management Professional ) certification + Experience with change management ... it does. IFG is a subsidiary of Humana The Senior Organization Effectiveness Professional optimizes the effectiveness of a company, business unit, or team. Analyze… more
- Humana (Concord, NH)
- …community and help us put health first** The Senior Strategy Advancement Professional will support the design, implementation, and advancement of strategic ... of industry regulations, accreditation standards, and emerging trends in utilization management . Support the organization's commitment to talent development,… more
- Humana (Concord, NH)
- …and help us put health first** Humana Healthy Horizons is hiring a Compliance Professional who will support efforts for overall Medicaid business by joining the ... is a fully remote, work from home position. The Policy Governance Compliance Professional works to ensure accurate and updated policy content for Medicaid. The… more
- Humana (Concord, NH)
- …community resources, educational materials, and support groups + Participate in care management and coordination of services in an effective and efficient ... serve as POC for MTF CMs. + Perform telephonic care management with beneficiaries throughout the East...in collaboration with identified stakeholders when appropriate. + Provide professional and courteous service to all callers and work… more
- Molina Healthcare (Lowell, MA)
- …care , with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant ... JOB DESCRIPTION **Job Summary** The Transition of Care Coach (RN) provides support for...in high-pressure situations. * Ability to develop and maintain professional relationships. * Excellent time- management and prioritization… more
- Molina Healthcare (Lowell, MA)
- JOB DESCRIPTION **Job Summary** The Care Manager (RN) provides support for care management / care coordination activities and collaborates with ... to overarching strategy to provide quality and cost-effective member care . This position will support our Molina...per regulated timelines and determines who may qualify for care management based on clinical judgment, changes… more
- Humana (Concord, NH)
- …it does. IFG is a subsidiary of Humana The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine ... solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to complex issues where the analysis… more
- Sharecare (Concord, NH)
- …ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care ... Manager supports the implementation of the Value Based Care Management program in an appropriate and...and ability to self-manage. + Coordinate patient education in support of standards of care guidelines and… more
- Humana (Concord, NH)
- …Policy Governance Professional 2 supports the ongoing development, review, and management of Utilization Management (UM) policies and procedures. This role ... our caring community and help us put health first** The Policy Governance Professional 2 policy Governance is the combination of Compliance processes established and… more
- Highmark Health (Concord, NH)
- …to address member needs and/or triaging members to appropriate resources for additional support . + Implement care management review processes that are ... established industry, corporate, state, and federal law standards and are within the care manager's professional discipline. + For assigned case load, create … more
- CenterWell (Concord, NH)
- …or managed care environment + 5 or more years of management /people leadership experience + Deep knowledge of pharmacy practice regulatory compliance requirements ... and help us put health first** The Market Vice President of Pharmacy Professional Practice will be responsible for pharmacy practice related compliance of CenterWell… more
- Humana (Concord, NH)
- …on track and continuously improve ways of working. **Core Responsibilities** **Process Management & Improvement** + Support standardized intake, planning, and ... community and help us put health first** The Senior Enterprise Transformation Professional supports the planning, coordination, and delivery of sales and growth… more
- Merck (Concord, NH)
- …comprehensive territory coverage. **Territory Coverage:** We are hiring multiple Chronic Care Specialty Sales Representatives to support the following ... **Job Description** As a Chronic Care Specialty Sales Representative, you will drive meaningful...with company products according to product labeling. + Provide management with regular updates on customer needs, marketplace dynamics,… more
- Tufts Medicine (Dracut, MA)
- …utilizing performance improvement principles to support and improve patient care . 12. Holds self accountable for professional practice and presents ... Dracut, MA 01826 **Job Profile** **Summary** This role focuses on providing professional and nonprofessional nursing care services in accordance with physician… more
- Humana (Concord, NH)
- …of our caring community and help us put health first** The Financial Analytics Professional 2 manages data to support and influence decisions on day-to-day ... strategic planning and specific business performance issues. The Financial Analytics Professional 2 work assignments are varied and frequently require interpretation… more