- Highmark Health (Concord, NH)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Tufts Medicine (Lowell, MA)
- …for care coordination and medical co-management for patient enrolled in the Complex Care Program. Serves as the accountable nursing leader in the development ... of the complex care program. Together with the team of clinical...sets nursing care priorities for patient care within the complex care program. + Demonstrates commitment and expertise in… more
- Travelers Insurance Company (Concord, NH)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling and superior customer… more
- Covenant Health (Nashua, NH)
- …and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care to, the High-Risk ... procedures. + Maintains/enhances professional development/skills required to function as a Case Manager and fulfills organizational requirements (ie, data entry,… more
- Otsuka America Pharmaceutical Inc. (Concord, NH)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Cardinal Health (Concord, NH)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- Cardinal Health (Concord, NH)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place… more
- Cardinal Health (Concord, NH)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **Responsibilities** + Must demonstrate a superior willingness to help external… more
- Travelers Insurance Company (Concord, NH)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury ... **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe/ complex Life Science medical products, clinical trial and pharmaceutical bodily injury… more
- Molina Healthcare (Lowell, MA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... for Candidates with a MA RN licensure. Candidates with case management and Home-based experience are highly preferred. Bilingual...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… more
- Datavant (Concord, NH)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... **Role Summary:** We're looking for a Staff Product Marketing Manager who thrives at the intersection of product, customer,...for the product lines in your vertical (in this case , the Provider product vertical). That requires you to… more
- Beth Israel Lahey Health (Exeter, NH)
- …illness and disability. The Social Worker upholds the current standards of social work case management practice and reports to the Manager of Care Management ... living with multiple chronic illnesses as well as vulnerable populations with complex medical, social, and behavioral health needs. This position is responsible for… more
- Datavant (Concord, NH)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the...and a curiosity and desire to identify and solve complex business problems that span a large array of… more
- Datavant (Concord, NH)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... **What We're Looking For** We are seeking a **Senior Manager of Enterprise Architecture** to lead a small team...architecture, and data architecture. + Experience working in large, complex engineering organizations. + Proven ability to lead and… more
- Datavant (Concord, NH)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... healthcare. We are looking for a Health Information Operations Manager that will be the tip of the spear...communication skills + Experience coordinating with site leadership on complex issues + Ability to travel up to 30%… more
- Sharecare (Concord, NH)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Datavant (Concord, NH)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... healthcare. Datavant is seeking a detail-oriented and proactive **Marketing Operations Manager ** to support the operational backbone of our enterprise marketing… more
- Datavant (Concord, NH)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... for healthcare. **Role Summary:** We are seeking a strategic and detail-oriented Compensation Manager to join our Total Rewards team. Reporting to the Head of Total… more
- Datavant (Concord, NH)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and… more
- Lumen (Concord, NH)
- …world and shape the future. **The Role** At Lumen, the Contract Manager is responsible for renewing various Right-of-Way (ROW) Agreements, 3rd Party Fiber/Conduit ... Services department within Field Operations. They act as Outside Plant project manager for those assigned construction projects within the Contract Manager 's… more