- US Navy (Boston, MA)
- …of serving others to be incredibly rewarding. This is especially true in the Navy Nurse Corps. When you work to improve the lives of others, you can vastly improve ... well - both professionally and personally. As a Navy Nurse , you will serve your country by helping not...global relief efforts such as distributing vaccines or providing emergency care to victims of natural disasters Work Environment… more
- Commonwealth Care Alliance (Boston, MA)
- …Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- Monte Nido (Dedham, MA)
- …while providing the opportunity for people to realize their healthy selves. ** Registered Nurse ** **Walden Behavioral Care** **Dedham, MA** **Offering a $5,000.00 ... **_Registered Nurses - All Shifts Available_** **Full time positions available** The ** Registered Nurse ** provides direct patient care under the supervision of… more
- Commonwealth Care Alliance (Boston, MA)
- …and quality of all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor.... (must have):** + Associate degree in Nursing + RN with an active registered nursing license… more
- Commonwealth Care Alliance (Boston, MA)
- …**Required Experience:** Meaningful clinical experience including: + 3+ years' experience as Registered Nurse in a high touch clinical environment or home ... chronic disease management, care coordination, and triage within the RN scope of practice. The Primary Care Triage Nurses...Nurse makes outbound calls in order to do ED , hospital, facility discharge checks, follow up after an… more
- Commonwealth Care Alliance (Boston, MA)
- …and substance use disorder resources. CHWs play an integral role in reducing high emergency department ( ED ) and inpatient utilization related to unmet social ... **Position Summary:** Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for addressing health related social needs (HRSN)… more
- Commonwealth Care Alliance (Boston, MA)
- …millions of people do not have access to proper care and visit Emergency Departments because they have no alternatives. The poor patient experience, the sub-optimal ... care, and the estimated $8.3B spent on unnecessary ED visits each year, make it extremely clear that...We strive to eliminate unnecessary and avoidable visits to Emergency Departments and the inpatient hospital admissions that often… more
- Commonwealth Care Alliance (Boston, MA)
- …millions of people do not have access to proper care and visit Emergency Departments because they have no alternatives. The poor patient experience, the sub-optimal ... care, and the estimated $8.3B spent on unnecessary ED visits each year, make it extremely clear that...We strive to eliminate unnecessary and avoidable visits to Emergency Departments and the inpatient hospital admissions that often… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral health clinician ... CCA members or patients as part of the job duties. **Required Education (must have):** + RN Clinical Care Managers must have: + Associate degree in nursing +… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR - ... a great fit for this role. Supervision Exercised: - Assumes responsibility for all nursing ( RN , LPN) and MA roles in the practice. 10 - 15 direct reports across… more
- Jobleads-US (Boston, MA)
- …(PowerPoint, Word, Excel, Outlook) Preferred: 1-3 years of clinical experience (ie Registered Nurse , Nurse Practitioner, Physician Assistant, Pharm. D.) ... Job Description About the role: As a member of Takeda Oncology, as an Associate Director , your work will contribute to our bold, inspiring vision: We aspire to cure… more
- Commonwealth Care Alliance (Boston, MA)
- …is delivered by bringing high-quality services directly to patients' homes-reducing unnecessary Emergency Department visits and improving access to care. As ... in sales **Working Conditions:** + Standard office conditions. **Required Education (must have):** + Bachelors or equivalent experience required **Required… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... incorporate CLAS (Culturally and Linguistically Appropriate Services) standards into provider education and engagement activities. + Lead or support the development… more
- Commonwealth Care Alliance (Boston, MA)
- …plan QI Committee. Co-chair of health plan Utilization Management Committee Required Education : - Bachelor's Degree or equivalent experience Desired Education : - ... or Health related field preferred Required Licensing: - active RN license required Required Experience: - 7-10 years -...Alliance takes into consideration a combination of a candidate's education , training, and experience as well as the position's… more
- Commonwealth Care Alliance (Boston, MA)
- …medical management, and analytics teams to advance provider network operations, education , and performance improvement. The Provider Relations Director reports ... 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider… more
- Commonwealth Care Alliance (Boston, MA)
- …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... Lead provider servicing activities, including onboarding, orientation presentations, and ongoing education initiatives. + Serve as a primary resource for resolving… more
- Commonwealth Care Alliance (Boston, MA)
- …Ensure confidentiality of member and company proprietary information is maintained ** Education Required:** + Bachelor's degree or equivalent work experience ** ... Education Desired:** + Master's in computer science or related...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Commonwealth Care Alliance (Boston, MA)
- 021350 Clin Alli-Care Delivery Administration Position Summary: The Director , Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's ... outreach workers in all CCA Care Delivery programs with BH components.The Director will collaborate closely with the Care Delivery Leadership to oversee, develop… more
- Commonwealth Care Alliance (Boston, MA)
- …meetings, virtual or in person, with CBOs focused on provider education , program operations, regulatory requirements, performance and care team collaboration ... as they relate to delegation programs. - Manages information, education and training to CCA staff, clinicians employed by...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Commonwealth Care Alliance (Boston, MA)
- 013450 CCA-Health Information Mgmt. Position Summary: Reporting to the Director of Health Information Management, the Senior HIM Specialist is responsible for ... - Ensures all Authorized Representative documents received in the Health Information Management Department are routed to the Member Services Department to be… more