- Sanofi Group (Cambridge, MA)
- **Job title** : Divisional Director , Case Management - Central **Location:** Cambridge, MA, Hybrid + It is expected that this hire be onsite in Boston 2-3 ... external customers and stakeholders, including but not limited to case management team and patient support services colleagues, medical , sales, market… more
- Humana (Boston, MA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Sanofi Group (Cambridge, MA)
- …**Title:** ** Case Manag** **ement** **Specialist** **Reports To** : Division Director , Case Management **Location:** Cambridge, MA **Department:** ... model highlights the need to reinvent and evolve the Case Management (CM) role with more accountability,...stakeholders, including but not limited to case management team and patient support services colleagues, medical… more
- Cambridge Health Alliance (Cambridge, MA)
- …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management CH Apply Refer a...Management Experience strongly preferred. + 3-5 years of medical /surgical RN experience OR 3-5 years of other RN… more
- Cambridge Health Alliance (Everett, MA)
- …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management Everett Apply Refer a...adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the… more
- Humana (Boston, MA)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Boston Health Care for the Homeless Program (BHCHP) is seeking a talented Associate Medical Director of Medical Respite to work-in close collaboration with ... from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more...the Respite Medical Director and be responsible for the… more
- Humana (Boston, MA)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- State of Massachusetts (Boston, MA)
- …services. As Deputy Commissioner for Clinical & Professional Services**and**serving as State Medical Director , you will establish and oversee a proactive system ... DMH serves the Commonwealth as the State's Mental Health Authority. The State Medical Director is responsible for monitoring performance trends in the MH… more
- 2020 On-site (Everett, MA)
- … case represents a major growth opportunity for our company Job Summary: The Director , Account Management will lead the Life Sciences' efforts in managing and ... instrumental in advancing drug therapy development and distribution, chronic disease management , and essential patient health care in the sponsored communities the… more
- CVS Health (Boston, MA)
- …will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical… more
- Harvard University (Cambridge, MA)
- …Location:USA - MA - Cambridge Business Title:Assistant Director , Research and Prospect ManagementSub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) ... wealth analysis. + Academic, library or legal research will be considered on a case -by- case basis. + Strong communication skills with experience to back up… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management (UM) functions for physical health ... state and federal regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic… more
- South Middlesex Opportunity Council (Framingham, MA)
- …families as they transition from shelters to sustainable housing by providing Case Management , Advocacy and Mediation Services. Perform at-least monthly home ... Assistance Program, Tuition Reimbursement and more. PRIMARY RESPONSIBILITIES + Provide case management services for clients exiting emergency shelter systems… more
- North Shore Community Health (Salem, MA)
- Director of Dental Practice & Operations Salem, MA (http://maps.google.com/maps?q=47+Congress+Street+Salem+MA+USA+01970) Description THE ORGANIZATION North Shore ... offers comprehensive primary care, dental services, behavioral health care, care management , pharmacy, substance abuse disorder treatment, nurse care management ,… more
- Bright Horizons (Lexington, MA)
- **Primary Purpose** The Associate Director reports to the Regional Manager and to a mentoring Director designated by the Regional Manager. Under the guidance of ... the RM and mentoring director , the Associate Director will focus on...finances, such as monitoring the budget, implementing the labor management system, and utilizing Bright Star to maintain accurate… more
- South Middlesex Opportunity Council (Framingham, MA)
- SUMMARY Provide case management services to assigned clients transitioning from emergency shelter into their own housing. Case management includes ... Assistance Program, Tuition Reimbursement and more. PRIMARY RESPONSIBILITIES + Provide case management services for clients exiting emergency shelter systems… more
- City of Somerville (Somerville, MA)
- …Human Services (HHS), the HHS Case Manager will provide complete and customized case management for residents in need of services to support their mental, ... supervision of the Deputy Director of Health and...cohesive working relationships to be formed, and provide intensive case management and oversight for clients. Essential… more
- Covenant Health (Nashua, NH)
- …education of the interdisciplinary team related to the individual patient case management goals, InterQual criteria and coverage determinations, multi-system ... medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed on...team. + Annual goals are achieved. + Attends pertinent case management /utilization review programs to maintain current… more
- Highmark Health (Boston, MA)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more