- Fallon Health (Springfield, MA)
- …and deserve. Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high- quality coordinated care and are continually rated among the nation's top health ... plans for member experience, service, and clinical quality . Fallon Health's Summit ElderCare(R) is a Program of...the Elderly-PACE for short. PACE, an alternative to nursing home care, is a program that helps people 55… more
- Hartford HealthCare (Mansfield Center, CT)
- …License **Job:** **Management* **Organization:** **Hartford HealthCare at Home * **Title:** * Quality & Safety Clinical Nurse Manager (RN) - HomeCare* ... Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client's home . Most...quality and clinical team relationships including care, risk, quality , and compliance work streams. ** Job… more
- BioLife Plasma Services (Hartford, CT)
- …our plasma centers. Upon completion of the program, you'll advance into the role of Quality Manager Representative at one of our 175+ and counting US locations. ... application is true to the best of my knowledge. **Job Description** ** Manager ** **Trainee -** ** Quality ** **(Travel and Relocation Required)** Here is… more
- The Cigna Group (Bloomfield, CT)
- **Job Summary:** The Medicare Coding Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance ... receives support from the MDQO and RADV leadership teams, Compliance and Legal teams, and other matrix partners. **Core...solutions are performed as designed + Works closely with Quality Review Audit Advisor to ensure Risk Adjustment coding… more
- The Cigna Group (Bloomfield, CT)
- …medication adherence compliance ; + Perform urgent care visits in the home and telephonically to avoid unnecessary ED transfers and hospital admissions + Leverage ... **Summary of Position:** Evernorth Home Based Care (ENHB), a division of The...the support of care team such as: nurse care manager , behavioral health, social work, and pharmacy to meet… more
- The Cigna Group (Bloomfield, CT)
- Evernorth Home based Care (ENHB), a division of Cigna, is the premier home -based healthcare provider and medical services company. We are an innovative, ... At ENHB Care, our focus is comprehensive care at home to improve outcomes and reduce total healthcare costs....Commercial clients. **Duties & Responsibilities:** + Works to achieve quality medical care and outcomes for patients, in a… more
- Highmark Health (Hartford, CT)
- …actions as a licensed nurse and is accountable to patients for the quality of care delivered. **ESSENTIAL RESPONSIBILITIES:** + Assures safe delivery of nursing ... and procedures regarding medical record documentation and Performance Improvement activity. + Home Infusion visits to administer Infusion Therapy in the home … more
- Moses/Weitzman Health System (Middletown, CT)
- …compliance with internal and external policies and legal requirements + Assist Manager of Compliance and Regulatory Programs in designing and implementing ... Joint Commission, PCMH and HRSA Health Center + Assist Manager of Compliance and Regulatory Programs in...a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively.… more
- The Overlook (West Springfield, MA)
- …Registered Nurse (RN) Case Manager FLSA STATUS: Non-Exempt REPORTS TO: Nursing Manager SUPERVISES: LPNs, Home Health Aides DEPARTMENT: Home Care COMPANY: ... Manager plans and provides individualized nursing care and comprehensive services to home care patients. The Registered Nurse Case Manager assists in clinics… more
- The Overlook (West Springfield, MA)
- Job Description Position Title: Manager of Clinical Practice FLSA STATUS: Exempt REPORTS TO: Regional Director Home Health SUPERVISES: Clinical Team Members, ... Office Support Staff ENTITY: OVNA POSITION SUMMARY : The Manager of Clinical Practice (MCP) directs and supervises both clinical services and the operations of the… more
- Baystate Health (Springfield, MA)
- …OR ON-CALL!** Baystate Health, western Massachusetts's premier healthcare provider, and home to Baystate Medical Center (BMC), a Magnet Hospital for Nursing ... Excellence seeks a **Nurse Manager ** to join our leadership team in the **Pre-Admission...incumbent is expected to adhere to system and department compliance policies and any applicable laws and regulations. +… more
- Baystate Health (Springfield, MA)
- …Financial Growth and Stewardship, and Strategic Planning.** + Clinical Practice and Quality Outcomes: The Nurse Manager is accountable for ensuring excellence ... **NURSE MANAGER - ENDOSCOPY!** Baystate Health, western Massachusetts's premier...ENDOSCOPY!** Baystate Health, western Massachusetts's premier healthcare provider, and home to Baystate Medical Center (BMC), a Magnet Hospital… more
- Baystate Health (Springfield, MA)
- Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to Baystate Rehabilitation, a comprehensive rehab program providing ... is looking for a full time Workers Compensation, Return to Work Case Manager to join our team in Springfield, MA. **DEPARTMENT DESCRIPTION:** + Teamwork,… more
- Fresenius Medical Center (Springfield, MA)
- …Oversees facility's Home Therapies Program if applicable. + Accountable for compliance with all applicable federal, state and local laws and regulations. + ... vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure… more
- Humana (Hartford, CT)
- …Performing utilization management activities for assigned areas. Ensures full compliance with contract requirements, policies and procedures, and performance ... for ACD participants. + Review ABA TPs for policy compliance + Review pend queues for pended authorizations +...experience with Utilization Review, Utilization Management, Peer Reviews and/or Quality Management + Knowledge of CPT codes that apply… more
- Highmark Health (Hartford, CT)
- …health care, social service and custodial needs in a nursing facility or home and community-based care setting. + Coordinate care across the continuum of services ... or HCBS. + Facilitate transitions to alternate care settings such as hospital to home , nursing facility to community setting using an integrated care team to address… more
- Bank of America (Farmington, CT)
- Regulatory Business Controls Manager - Retail Business Enablement & Controls, Lending Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; ... to make a difference. Join us! The **Business Control Manager ** is part of the Regulatory Business Controls team...several regulations including, but not limited to, Fair Lending, Home Mortgage Disclosure Act (HMDA), and Equal Credit Opportunity… more
- Trinity Health (Hartford, CT)
- …people are most comfortable: at home . We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and ... **Employment Type:** Part time **Shift:** **Description:** **Looking for an experienced Home Hospice Registered Nurse (RN) on an as needed basis in Waterbury and… more
- Teleflex (Hartford, CT)
- …International travel may be required. + Responsible for performing all duties in compliance with FDA's Quality System Regulation (QSR), ISO13485, the Canadian ... Sr. Clinical Affairs Manager , Interventional Urology **Date:** Jun 21, 2024 **Location:**...effective medical technologies designed to improve the health and quality of people's lives. We apply purpose driven innovation… more
- BJs Wholesale Club (Waterbury, CT)
- …to validate and train newly hired team members. + Escalates issues as appropriate to Home Office or Club Manager as needed. + Responsible for the effective ... by location Job Summary Working closely with the Club Manager , the Fresh Manager is responsible for...responsibility to enable the application of policies, procedures, and compliance . + Drive a culture of development, strategic thinking… more