- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Summary of purpose:** The Care Management (CM) Regulatory Manager is an essential function to Fallon ... and processes and CMS and EOHHS contract requirements. The Care Management (CM) Regulatory Manager serves as the expert on regulatory contract… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Regulatory Compliance Manager at Dana-Farber is responsible for coordinating and leading regulatory compliance activities across all sites. This role is ... on regulatory needs throughout the organization. The Regulatory Compliance Manager works under the Director...in life changing breakthroughs in cancer research and patient care . We are united in our mission of conquering… more
- Hologic (Marlborough, MA)
- Manager , Regulatory Affairs (IVD On-Market/Sustaining) San Diego, CA, United States Marlborough, MA, United States We are hiring in our Diagnostics Regulatory ... Diego or Marlborough campus, and are looking for a Regulatory Affairs Manager , responsible for on-market ...stakeholders. + Consults with and provides advice to senior management on strategies and plans for regulatory … more
- Fallon Health (Worcester, MA)
- …efficient, organized and of value for staff using in partnership with Care Management Trainer * Works with Manager and team to actively coordinate and ... to demonstrating documentation as required in the documentation system **Other:** * Care Management Training Programs Manager behavioral health licensure… more
- Abbott (Westford, MA)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll ... execute activities to resolve decreases in performance + Provide management and development of the Quality Systems staff. +...roles desired with at least 3 years of direct management and supervison of personned and resources. + Minimum… more
- Commonwealth Care Alliance (Worcester, MA)
- …daily operations, including the member experience, care management , and care coordination. The Team Manager is primarily responsible for ensuring that ... 024020 Clin Alli- Care ManagementLeadership **Position Summary:** The Team Manager...is providing high quality, regulatory compliant, longitudinal care coordination and care management ,… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for ... facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing...Act as liaison with medical director, provider relations, case management and quality teams to support care … more
- Milford Regional Medical Center (Milford, MA)
- …healthcare services to our community with dignity, compassion and respect. Statement of Purpose: The Manager of Care Management (MCM) leads and directs all ... care management activities, ensuring patient care coordination, adherence to clinical protocols, and regulatory standards. The MCM shall develop and… more
- Fallon Health (Worcester, MA)
- …Case Manager (NCM) is an integral part on an interdisciplinary team focused on care coordination, care management and improving access to and quality of ... may also be Non-English speaking, required * Home Health Care experience preferred * Effective case management ...and the ability to appropriately develop and implement a care plan following regulatory guidelines and level… more
- Commonwealth Care Alliance (Boston, MA)
- …telehealth technologies (video, chat, etc.), when appropriate, for a variety of clinical care and care management services. **Desired Knowledge, Skills & ... the policies which direct coverage of medical services are in compliance with regulatory , accreditation, and contractual requirements. The manager is a subject… more
- TD Bank (Boston, MA)
- …of Business:** Human Resources **Job Description:** **Department Overview:** The Senior Manager , Financial Crime Risk Management Training leads/manages a team ... crime risk topics, including AML, sanctions, anti-bribery & corruption, fraud, and other regulatory requirements. In this role, you will ensure the team is on track… more
- Commonwealth Care Alliance (Boston, MA)
- …the policies which direct coverage of medical services are in compliance with regulatory , accreditation, and contractual requirements. The program manager is a ... CCA-Central Clin Ops Leadership **Position Summary:** The Medical Policy Program Manager is primarily responsible to research, analyze, develop, and disseminate… more
- Highmark Health (Boston, MA)
- …applicable state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and established criteria, as well ... inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with… more
- Beth Israel Lahey Health (Boston, MA)
- …just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care...+ Documents avoidable days (if not captured by another Care Transitions Team member), case management assessments,… more
- Tufts Medicine (Burlington, MA)
- …day to day support and oversight to Utilization Review departments and UM vendor management . The UM Operations Manager is responsible for compliance with CMS ... of the Utilization Management Committee. The Utilization Management Operations Manager follows the system's Utilization...CCM, CMAC) 3. Five (5) years of progressive UM/Case Management leadership in an acute- care hospital or… more
- Sunrise Senior Living (Wayland, MA)
- …NAME** Sunrise of Wayland **Job ID** 2025-228827 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality ... to supervisor. + Counts all narcotics with another Medication Care Manager (MCM) or Lead Care...Plans (ICP) and monthly updates. + Transcribes orders. Risk Management and General Safety: + Partners with community team… more
- Children's Hospital Boston (Boston, MA)
- …per Week:40 Job Posting Category:AdministrationJob Posting Description:The Division of Cardiovascular Critical Care is eager to add a Project Manager to their ... administrative team within the Department of Cardiology. The Project Manager will provide administrative support to division leadership, including the Division… more
- AccentCare, Inc. (Norwood, MA)
- …Full Time in office Find Your Passion and Purpose as a Home Health Patient Care Manager Reimagine Your Career in Home Health As a medical professional, you ... scrubs for patient-facing employees Qualifications Be the Best Patient Care Manager You Can Be If you...we want to meet you! Previous experience in home care setting with two years management or… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Enterprise Risk Management Manager - Remote **Job Description** In a rapidly evolving business ... landscape, the Manager of Enterprise Risk Management (ERM) is...to their job, and comply with all applicable legal, regulatory , and contractual requirements and internal policies and procedures… more
- Point32Health (Canton, MA)
- …partners, colleagues and communities. **Job Summary** SUMMARY: Under direction of the management , the Compliance Program Manager II is responsible for managing ... determining both quantitative and qualitative business implications focused on fulfillment of regulatory obligations. + Support management of regulatory … more