- Parexel (Providence, RI)
- …Data Management Lead to join our team. If you have a passion for clinical research, strong project management skills, and a knack for data management , ... Science, OR equivalent industry experience. + 7+ years experience in pharmaceutical/biotech clinical data management / Biometrics ( clinical trial data… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- Commonwealth Care Alliance (Boston, MA)
- …partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care and ... programs. - Manages information, education and training to CCA staff , clinicians employed by CCA's clinical groups,...& Language (nice to have): - Familiarity with care management and utilization management systems… more
- Commonwealth Care Alliance (Boston, MA)
- …and provider relationship management tools. - Understanding of claims operations, utilization management , and quality programs as they relate to provider ... including provider communications, trainings, and forums. - Demonstrated leadership and team management experience, with the ability to develop staff and lead… more
- Monte Nido (Boston, MA)
- …and distractions (eg not in car) when meeting with clients or joining a clinical staff meeting. You will need a reliable video conferencing setup including ... and outpatient providers + Interact with insurance companies for pre-certification and utilization management + Participating in discharge and aftercare planning… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- Beth Israel Lahey Health (Westwood, MA)
- …systems to enter and access patient care information. 7. Participates in quality management and utilization review programs. 8. May coordinate the work of ... you're making a difference in people's lives.** Job Summary: The Pharmacy Direct Staff Pharmacist is responsible for the quality assurance of the provided pharmacy… more
- Tufts Medicine (Boston, MA)
- …and to help foster a positive work environment 19. May coordinate on-boarding for all new clinical and non- clinical staff 20. Monitor and track trends in OR ... duties and responsibilities may be assigned. 1. Provides direct supervision of assigned clinical , support, and/or bulling staff . 2. Participates in and provides… more
- Brockton Hospital (Brockton, MA)
- …include the development and supervision of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills and ... supervision of staff (RNs, LPN's, SWs and non- clinical support), evaluation and maintenance of case management...while optimizing resource utilization . Provides training to staff on case management methods and techniques.… more
- Evolent (Providence, RI)
- …a Clinical Reviewer, Nurse, you will routinely interact with leadership and management staff , other CR's ( Clinical Reviewers), providers, office staff ... Nurse, you will be a key member of the utilization management team. We can offer you...standards in the participating provider network and for other clinical staff . + Converses with medical office… more
- Edwards Lifesciences (Providence, RI)
- …post-case management , 3 Mensio management , Therapy Awareness program management and clinical education programs. + Implementing sales and educational ... and implementing growth strategies within focused accounts in partnership with Sales Management . + Developing clinical champions among current and potential… more
- Beth Israel Lahey Health (Boston, MA)
- …. + Provides clinical consultation, support, education and mentoring to clinical staff . Assists with the communication and interpretation of changes in ... day/night rotating position with weekend and holiday rotation. The Administrative Clinical Supervisor (ACS) is the on-site senior administrative/ clinical person… more
- Veterans Inc. (Worcester, MA)
- …of the men's Residential Rehabilitation Services (RRS) program is responsible for providing clinical supervision to the RRS program staff . This position is ... DAY TO DAY: + Works in collaboration with the Program Manager and provides clinical supervision and leadership of designated staff . + Responsible for oversight… more
- Deloitte (Boston, MA)
- …plans for both formal and informal education of physicians, CDI team, health information management and other clinical staff + Develop in-service education ... clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review, informatics RN, Quality, DRG… more
- Tufts Medicine (Boston, MA)
- … quality outcomes, evidence-based practices, and professional development of nursing staff . The Clinical Nursing Director works collaboratively with other ... research. **Job Overview** Tufts Medical Center is seeking a Clinical Nursing Director reporting to our Executive Director of...of RN Experience with at least 5 years of management experience. 3. Current Basic Life Support (BLS) Certification.… more
- Tufts Medicine (Boston, MA)
- ** Clinical Pharmacy Specialist, Advanced Heart Failure and Heart Transplant** Opportunity for the position to be a Senior Clinical Pharmacist Specialist, ... professionals, resolving difficult and sometimes complex problems. J **ob Overview** Clinical Pharmacy Specialists work closely with other health practitioners to… more
- Boston University (Boston, MA)
- …personal interaction). + Must be able to effectively communicate with patients, providers, staff and management + Comfortable working with patient and show care ... **FLOATING CLINICAL CARE SUPERVISOR, School of Dental Medicine, ...Care Supervisor must be able to effectively mentor the staff , provide training and support a team-centered environment, as… more
- Tufts Medicine (Boston, MA)
- ** Clinical Social Worker LICSW - Pediatrics: Developmental/Behavioral Pediatrics - Boston - Sign-on Bonus Eligible** **Job Profile** **Summary** This role focuses ... complex problems. **Job Overview** This position oversees a range of clinical social work services to patients/clients and families in inpatient, ambulatory… more
- Evolent (Providence, RI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse… more
- Evolent (Providence, RI)
- … Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
