• Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    Post - Acute Program Director Direct Reporting Relationship 2 BILHPN Post - Acute Medical Director Consultative 3 Care Team Members Collaborative ... Reviews at risk cases with the Post - Acute Program Director and Medical Director as needed, in a concise, effective, professional manner. Addresses… more
    Beth Israel Lahey Health (12/03/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Boston, MA)
    **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...hospitals. The clinical scenarios predominantly arise from inpatient or post - acute care environments. There are discussions with… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Boston, MA)
    …in care management. The clinical scenarios arise from outpatient, inpatient or post - acute care environments. The Medical Director will have discussions ... caring community and help us put health first** The Medical Director relies on medical ...management, case management, discharge planning and/or home health or post - acute services (such as inpatient rehabilitation). **Preferred… more
    Humana (10/25/25)
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  • Medical Director - Medicaid (remote)

    Humana (Boston, MA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.… more
    Humana (12/07/25)
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  • Medical Director -Payment Integrity

    Humana (Boston, MA)
    …Information** Typically reports to a Lead Medical Director . The Medical Director conducts post -service, inpatient care reviews for accurate billing ... caring community and help us put health first** The Medical Director actively uses their medical...associates. The clinical scenarios predominantly arise from inpatient or post - acute care environments. A remote possibility exists… more
    Humana (12/11/25)
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  • Medical Director - IP Claims…

    Humana (Boston, MA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (12/11/25)
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  • Director Case Management

    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 Program for ... revenue and expense and provides mission critical access to Hospital & Signature Medical Group. Collaborates with all disciplines with a specific focus on tangible… more
    Brockton Hospital (12/12/25)
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  • National Director , IG Business Development…

    Option Care Health (Boston, MA)
    …clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, ... best and brightest talent in healthcare. **Job Description Summary:** The National Director IG Business Development role will be responsible for growing and… more
    Option Care Health (10/19/25)
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  • Maintenance Director

    Bear Mountain Health Care (Reading, MA)
    …Improvement and Department Head meetings About our facilities: We provide post - acute services, rehabilitative services, skilled nursing and short-term/long-term ... Bear Mountain Healthcare is looking for a Full Time Maintenance Director to work in our Long Term Care Facility in Reading MA. In this role, your priority is the… more
    Bear Mountain Health Care (10/07/25)
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  • Health Information Management Audit Specialist…

    Beth Israel Lahey Health (Newburyport, MA)
    …future reference. . Handles the logging, tracking, and quality control/reviews of all post -payment audit appeals, as provided by the Director of Health ... of: 8:30am - 5:00pm* Under the direction of the Director of Health Information Management, the Health Information Management...EPIC computer system and the IatriTRAC System (for specific post -payment audits) for all records and medical more
    Beth Israel Lahey Health (10/30/25)
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  • Clinical Nutrition Supervisor

    Trinity Health (Springfield, MA)
    …that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute , and post - acute care. We aim to deliver top level ... Shift **Description:** Come join the Dietitian team at Mercy, Medical Center, part of Trinity Health Of New England!...Clinical Nutrition Supervisor, under the direction of the Mercy Director Food Services and Nutrition and the Trinity Health… more
    Trinity Health (11/11/25)
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  • Nurse Resident Medical Surgical Telemetry…

    Baystate Health (Springfield, MA)
    …and the nursing model of care, and the unit has a close partnership with Physician Medical Director . **SCHEDULE:** + **Nights 7 PM - 7 AM** + Every other weekend ... after 1 year post separation from Baystate Health + High-quality, low-cost medical , dental and vision insurance + Pet, home, auto and personal insurance +… more
    Baystate Health (12/10/25)
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  • Licensed Practical Nurse Medical Telemetry…

    Baystate Health (Springfield, MA)
    …and the nursing model of care, and the unit has a close partnership with Physician Medical Director . **SCHEDULE:** + **Days 7 PM - 7 AM** + Every other weekend ... a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Center (BMC), a Magnet Hospital for Nursing Excellence is looking for a… more
    Baystate Health (12/07/25)
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  • Licensed Practical Nurse Medical Surgical…

    Baystate Health (Springfield, MA)
    …model of care, and the unit has a close partnership with Physician Medical Director . + We provide supportive, individualized, and tailored orientation ... a nationally recognized leader in healthcare quality and safety, and home to Baystate Medical Center (BMC), a Magnet Hospital for Nursing Excellence is looking for a… more
    Baystate Health (10/03/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Boston, MA)
    …appropriate letter language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted ... + Work directly with the provider(s) and health plan Medical Director as needed to facilitate timely...to perform + Minimum Experience: 3 to 5 years acute care experience + 2 years Health Plan or… more
    Datavant (11/12/25)
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  • Registered Nurse Case Manager-Care Transitions

    Beth Israel Lahey Health (Boston, MA)
    …by ensuring appropriate clinical follow-up is arranged and referrals to proper post - acute providers are initiated. + Communicates the plan effectively with ... as regulatory requirements for clinical care, discharge planning, and authorization for post - acute services. Tasks: + Attends and contributes to departmental… more
    Beth Israel Lahey Health (11/21/25)
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  • Facilities Operations and Regulatory Coordinator

    Trinity Health (Springfield, MA)
    …that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute , and post - acute care. We aim to deliver top level ... time **Shift:** Day Shift **Description:** Come join the Plant Operations team at Mercy Medical Center, part of Trinity Health Of New England! We are a member of… more
    Trinity Health (09/27/25)
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  • Virtual Hospital RN in Charlestown, 24 hours,…

    Beth Israel Lahey Health (Burlington, MA)
    …of the care provided to inpatients who are cared for in their home by medical personnel. This RN will have virtual visits with the patient, document in the ... electronic medical record, coordinate the plan of care, and participate...point. **Job Description:** **Reporting Directly to the Virtual Hospital Director of Nursing, The Control Center Staff RN is… more
    Beth Israel Lahey Health (10/30/25)
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  • Complex Case Manager

    Beth Israel Lahey Health (Burlington, MA)
    …the healthcare team to coordinate and facilitate patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post ... discharges. Under the general direction of the Manager and Director of the Case Management, and within the Lahey...acute care Services. 15) Participates in hospital or medical committees representing patient issues and department functions such… more
    Beth Israel Lahey Health (11/21/25)
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  • Regional Security Officer

    Baystate Health (Westfield, MA)
    …- Midpoint - Maximum $18.91 - $21.73 - $25.36 We are an 85-bed acute care community hospital in Westfield, Massachusetts. We provide access to the world-class ... Baystate Health network. Our team members, including skilled, compassionate nurses and medical support staff members, provide advanced and compassionate care. As our… more
    Baystate Health (11/13/25)
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