- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- State of Massachusetts (Boston, MA)
- …to the Regional and Area Staff on special investigations procedures and monitors case practice concerns. The Director of Special Investigations is charged with ... and respond to consumer requests and grievances. * Maintains collaboration with the Director for Case Investigations discussing case situations that may… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- CenterWell (Providence, RI)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- State of Massachusetts (Boston, MA)
- … management of the CORI check and Warrant check processes. In addition to management of these functions, the Director serves as a primary subject matter ... AND RESPONSIBILITIES (NOT ALL INCLUSIVE):_* *__* *_1) Leadership and Oversight_* . The Director provides oversight and management of the core activities of the… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- PagerDuty (Providence, RI)
- …world-all in a flexible, award-winning workplace. PagerDuty is seeking a **Senior Director , Platform Product Management ** to join our diverse, customer-focused ... Inc. (NYSE:PD) is a global leader in digital operations management . Trusted by nearly half of both the Fortune...the merits of an API structure and the business case for integration with a potential platform partner. You… more
- Boston University (Boston, MA)
- …initiatives that foster a culture of care and early help-seeking. Key Responsibilities: + Case Management and Student Support (70%) + Triage and respond to ... time of posting. **Position Type** Full-Time/Regular Reporting to the Director of Student Support Services in the Office of...Maintain detailed case records using the departments case management system. + Administer the emergency… more
- Brown University (Providence, RI)
- …Safety, BUDPS immediately needs an outstanding individual to serve as the Director of Inspectional Services to provide oversight and strategic leadership over the ... violation, and/or other special confidential investigation requests; examine personnel and case records to ensure that police personnel conform to prescribed… more
- Highmark Health (Providence, RI)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations ... Union Name: None Patient Facing: Yes The Associate Medical Director of Medical Respite, in close collaboration with the...5 years of clinical experience as an NP/PA required. Management experience is strongly preferred. DEA X-waiver required. +… more
- AccentCare, Inc. (Norwood, MA)
- …meet you! + Bachelor's degree + 4+ years previous hospice, home health or case management experience, or equivalent + Demonstrated ability to effectively direct ... Overview Director Admissions, Hospice Location: Norwood, MA Position: Director Admissions, Hospice Job ID: 2025-74437 Position Type: Full-Time Remote/Virtual… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- Commonwealth Care Alliance (Boston, MA)
- …with responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and ... Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term services and… more
- Fenway Health (Boston, MA)
- Medical Director of Primary Care Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Medical Job Type Full-time Description Reporting ... to the Chief Medical Officer (CMO), the Medical Director of Primary Care (MDPC) provides strategic and clinical...and trainees as needed. + Participate in peer review, case conferences, and quality improvement initiatives. + Maintains required… more
- Beth Israel Lahey Health (Westwood, MA)
- …system. Responsible for the project management , process improvement, business case development and administrative coordination functions. The Director helps ... taking a job, you're making a difference in people's lives.** The Director , Pharmacy Strategy Planning leads the development and implementation of strategic pharmacy… more
- Northeast Family Services (Fall River, MA)
- …providing direct treatment services + Proficient with supervision, service delivery and case management fundamentals + Experience in quality management ... Director of Internship and Training Are you passionate...and families thrive. We're seeking an experienced and compassionate Director of Internship and Training to lead our programs… more