- Elevance Health (Woburn, MA)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
- HCA Healthcare (Derry, NH)
- …is incentive eligible. **Introduction** Do you have the career opportunities as a Director of Oncology you want with your current employer? We have an exciting ... opportunity for you to join Parkland Medical Center which is part of the nation's leading...of colleagues. Do you want to work as a(an) Director of Oncology where your passion for creating positive… more
- Elevance Health (Woburn, MA)
- **Process Improvement Director -HEDIS** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director -HEDIS** will be responsible for enterprise HEDIS improvement and governance programs, with… more
- Elevance Health (Woburn, MA)
- Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 hour ... office. Monday and Tuesdays preferred. The **Provider Network Management Director ** develops the provider network through contract negotiations, relationship… more
- Beth Israel Lahey Health (Cambridge, MA)
- …and processes to achieve maximized results. Establish working relationship with medical staff and utilize the physician advisors when necessary. Ensures that ... accountability for compliance with all regulatory standards including Centers for Medicare and Medicaid (CMS), The Joint Commission, the Massachusetts Department of… more
- Tufts Medicine (Lowell, MA)
- …hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where ... indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare /Medicaid benefits to referral sources. + Thoroughly understands the … more
- WellSense (Manchester, NH)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as ... Boston Medical Center HealthNet Plan, we provide plans and services...for multiple products. Under the direction of the NH Director of Contracting and Provider Engagement, he/she performs all… more
- Beth Israel Lahey Health (Wakefield, MA)
- …to ensure efficient, quality care delivery. - Reviews at risk cases with Medical Director and physicians in a concise, effective, professional manner. Addresses ... quality improvement. - Refers quality/risk management cases to Manager, Medical Director and reports events per BILHPN...+ Experience with Commercial Insurance quality gap closure and Medicare population in managed care, medical home… more
- Advocates (Waltham, MA)
- …other members of the multidisciplinary teams, including students, if assigned. + Work with Medical Director and Clinical Program Director to develop and ... board eligible, if the candidate demonstrates to the satisfaction of the Medical Director comparable experience and competence). + Current, valid, unrestricted… more
- Beth Israel Lahey Health (Burlington, MA)
- …process improvement + Develops performance improvement programs in association with the appropriate medical director (s) and surgical members of the medical ... financial resources and develops business plan in collaboration with CNO and Chair/ Medical Director + Articulates business model and translates into operational… more
- North Shore Community Health (Peabody, MA)
- …of the Chief Clinical Officer (CCO) and the direct supervision of the Medical Director , the physician will provide continuing and comprehensive health care ... be added with the written approval of the (associate) medical director and the CCO. + Adheres...and compliance with all policies and procedures related to Medicare , Medicaid, other federal and state reimbursement programs, Blue… more
- Covenant Health (Nashua, NH)
- …the telephone triage of all calls forwarded to the rehabilitation center. Assists Medical Director with authorizations for Botox. Responsible for accurate & ... experience as it relates to the position. Summary Under the supervision of the Program Director , the Program Assistant has the responsibility and accountability for… more
- Tufts Medicine (Lowell, MA)
- …+ Communicates regularly with Clinical Managers as well as with the Clinical Director when issues arise relative to clinical practice or other performance related ... working knowledge of all regulations;Has a working knowledge of the Medicare Conditions of Participation; and Assisting with individual caseload reviews or… more
- Fallon Health (Leominster, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief Summary of Purpose:** ... monthly nurses' notes and health care teaching in the medical record. + Participates in training and orientation of...necessary by the Clinical Nurse Manager and or Site Director . + Assumes the role of the primary nurse,… more
- Cambridge Health Alliance (Cambridge, MA)
- …referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. ... Summary: Under the general supervision of the Director of Care Management, the RN Case Manager provides...patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will… more
- Elara Caring (Newburyport, MA)
- …and continuing education opportunities for all employees + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer match + Paid ... a registered nurse in a Skilled Home Health, Oasis, Medicare knowledge + 1 year of supervisory experience preferred...tasks You will report to the Administrator or Branch Director . \#LI-EF1 _This is not a comprehensive list of… more
- Fallon Health (Leominster, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose** ... : Under the direction of the SE Site Director , the Dietitian is responsible for the provision and coordination of nutritional care of patients. Evaluates and… more
- Cambridge Health Alliance (Everett, MA)
- …referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. Under ... the general supervision of the Director of Care Management, the RN Case Manager provides...patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will… more
- Covenant Health (Nashua, NH)
- …(eg, Medicare , Medicaid, SCHIP). Additional Details: * Mentorship by Program Director * Hospitalist coverage for non-psychiatric medical care New Hampshire ... is a Wonderful Place to Work, Live and Play: Nashua is the only city in the country voted the "Best Place to Live in America" twice by Money magazine. Located just north of the Massachusetts border, Nashua is nicknamed the "Gate City" for its proximity to.… more
- BAYADA Home Health Care (Nashua, NH)
- …position of **Clinical Associate** for our **Nashua, NH (relocating to Derry, NH)** Medicare Certified home health office. **Why choose BAYADA?** + BAYADA offers the ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...+ Work closely with the Rehab Manager (where applicable), Director , and DCO to ensure cohesive and consistent management… more