- Boston Health Care for the Homeless Program (Boston, MA)
- …of a population health lens to provide both preventative and reactionary services. As a Nurse Care Manager , you will use clinical expertise to collaborate ... Team Coordinator and Clinical Program Manager . Qualifications: + Licensed as Registered Nurse in the Commonwealth of Massachusetts. + Nursing experience with… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Manager , Clinical Care Partnerships will play a vital role in the success of the entire Care Partnership ... care management, care coordination, and care delivery. The Clinical Manager will ensure...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- CenterWell (Boston, MA)
- …the primary care network. The Associate Director, Clinical Coding Education ( RN ) will develop, design, and deploy the overall clinical coding curriculum to ... department(s). The Clinical Education team exists to support all the Primary Care Organization's providers, nurses, social workers, and other staff members through… more
- Elevance Health (Woburn, MA)
- ** RN Hospital Bill Audit/Appeal Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead** is responsible for leading a team of… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... **Why This Role is Important to Us:** Commonwealth Care Alliance's Community Health Services (CHS) Department is...The CHW II reports to the Community Health Services Manager . **Supervision Exercised:** No, this position does not have… more
- Commonwealth Care Alliance (Boston, MA)
- …health needs assessment. The Scheduling Coordinator also provides administrative support to Care Planning Operations and works closely with nurse assessors to ... appointment for an office or in-home meeting with a nurse who will assess member needs and create a...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Beth Israel Lahey Health (Boston, MA)
- …Prevention, Nursing, Public Health, Epidemiology, or Statistics preferred 2. Licensed Registered Nurse Preferred. 3. Board Certification in Infection Control ... of four managers covering different geographic areas across BILH. This Manager , Infection Prevention oversees Infection Prevention & Control operations and personnel… more
- Elevance Health (Boston, MA)
- …1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for ... members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …DFCI-Longwood and satellites, the DFCI inpatient hospital, and Dana-Farber Community Cancer Care (DFCCC). The Risk Manager provides leadership in risk management ... The Risk Manager is a member of the Patient Safety...by promoting the highest level of quality care to the patients, ensuring regulatory compliance and mitigating… more
- HealthEdge Software Inc (Boston, MA)
- …improve both clinical outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required** ; ideally ... implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and… more
- Elevance Health (Boston, MA)
- **Sign-on Bonus:** $3,000 The ** Manager Behavioral Clinical Services** is responsible for managing the clinical operations department. Manages the delivery of ... quality care management, clinical utilization and referral services. **Location:** Remote...unrestricted license in a mental health field as an RN , PhD, LCSW (as applicable by state law and… more