- Boost Home Health (Woburn, MA)
- …in accordance with physician orders and plan of care under the direction of the Clinical Manager . Why join us at Boost Home Healthcare - North Shore: Treated ... - North Shore is seeking an exceptional per diem RN to join our growing team and...accredited school of professional nursing. Currently licensed as a registered nurse in Massachusetts. Minimum of one… more
- Commonwealth Care Alliance (Wakefield, MA)
- …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately… more
- Vitra Health (Lynn, MA)
- … team is the key to our success. That is why we are looking for a Non- Clinical Registered Nurse to support our clients of East Boston and its surrounding ... a qualified setting. Our care teams, comprised of a Nurse and Case Manager , provide vital support...the clients and caregivers in our program. As a Registered Nurse , in addition to executing assessment… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... reviews in accordance with Standard Operating Procedures + Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency… more
- Boost Home Health (Brookline, MA)
- …development Vision insurance Flexible schedule Relocation bonus Signing bonus Are you an experienced Registered Nurse ( RN ) ready to lead in home healthcare? ... Boost Home Healthcare is seeking a Clinical Manager to oversee and coordinate high-quality...team of clinicians. What you'll be doing: Lead clinical team and manage patient care coordination… more
- HealthCare Support (Boston, MA)
- … clinical judgment to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately following the visit. Utilize our ... communicate with your team , members, and care team . M-F: 8a-5p Required Qualifications for RN ... license 1-2 years of experience Preferred Qualifications for RN Assessments (MDS): 1+ year of clinical … 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 ... - All Shifts Available_** **Full time positions available** The ** Registered Nurse ** provides direct patient care under...care under the supervision of the AVP of Nursing, Nurse Manager , Nursing Supervisor, or designee. **Shift/hours:**… more
- Commonwealth Care Alliance (Boston, MA)
- …Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... Clinical Care Manager functions as the clinical expert on an interdisciplinary team through...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… more
- Commonwealth Care Alliance (Boston, MA)
- …have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR ... over a thousand individuals across the state. Join a team committed to serving complex individuals with the best...member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...closely with CCA's Behavioral Health, Health Home, Network, and Clinical teams to ensure a seamless provider experience and… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care and… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing ... with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and business-as-usual (BAU) communications, support regulatory… 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 ... team members where appropriate. The Primary Care Triage Nurse acts as the patient's primary point of ...as delegated. + Completes other duties as assigned by Clinical Manager . + Have a commitment to… more
- Commonwealth Care Alliance (Boston, MA)
- … Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for centrally authorized services. This position ... procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily… more
- Commonwealth Care Alliance (Boston, MA)
- …, and help deliver healthcare of the 21st century! The Data Science Manager at instED is a clinical /business-facing and technical-facing role that collaborates ... derive key insights from advanced analytics. The Data Science Manager will focus on the data extraction and processing,...to translate complex data and provide actionable insights to clinical and business users. This role needs to be… more
- Commonwealth Care Alliance (Boston, MA)
- …for the Clinical Support Coordinators (CSCs) to ensure proactive administrative clinical team support and accurate, prompt, and courteous service is provided ... when possible, or by collaborating with the Interdisciplinary Care Team members and/or other Clinical staff and...& Language (nice to have): - Strong management and team -building skills - Telehealth - Practice Manager … more
- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... escalating, and resolving provider issues in coordination with network, operational, clinical , and compliance teams. Network Performance & Compliance - Collaborate… more
- Commonwealth Care Alliance (Boston, MA)
- …, Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation ... strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA achieve its mission and… more
- Commonwealth Care Alliance (Boston, MA)
- …expertise to colleagues, including other CHWs and members of the Interdisciplinary Care Team . + CHWs complete mandatory clinical , staff safety, and compliance ... needs, goals, and preferences. The Community Health Worker is knowledgeable of clinical care, health systems, and social drivers of health, and ensures that… more