- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... DMH and DDS (BH) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager + Medication… more
- Beth Israel Lahey Health (Boston, MA)
- …**:** 1-3 years related work experience required. **License/Certification(s)** **:** + License Registered Nurse required. + American Heart Association - Basic ... opened in 2023. The building is designed to accommodate the latest diagnostic, hybrid , and surgical procedures, with patient care spaces developed in… more
- Fallon Health (Worcester, MA)
- …degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of ... three to five years clinical experience as a Registered Nurse in a clinical setting required....* 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred.… more
- CenterWell (Boston, MA)
- …it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal continuity of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- Brockton Hospital (North Easton, MA)
- The Nurse Care Manager , under the...the broader goals of Signature Healthcare's commitment to quality care . This role is a 32 hr/week hybrid ... hypertensive disorders of pregnancy. During normal business hours, the Nurse Care Manager will monitor...requiring travel to the OBGYN practices 2-3 days per week. 3 years of OB experience required. LPN or RN… more
- Commonwealth Care Alliance (Boston, MA)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... 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… 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 ... 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and… more
- Humana (Boston, MA)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… 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 ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- CenterWell (Boston, MA)
- …in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean ... Belt or higher) * Project Management Professional (PMP) * Nursing license ( RN or LPN/LVN) preferred but not required **Additional Information:** To ensure Home… more
- Wolters Kluwer (Waltham, MA)
- …preferred + Experience as a Nursing Professional Development Specialist or Critical Care educator preferred. + Active RN license required. **TRAVEL:** <10 ... **LOCATION:** Hybrid - 8 days a month in the...of evidence-based clinical content. + Collaborate with the Product Manager , Content Director, and Content Editing Manager … more