- Harbor Health Services, Inc. (Mattapan, MA)
- …aspects of managed care medical management including UM/CM, Grievance and Appeals, inpatient and outpatient services , medical policy, and clinical claims ... to live in their homes and communities. Our Elder Service Plan has two medical and day...EOHHS, CMS and other regulatory entities. Collaborates with Senior Medical Director to resolve complex medical… more
- Dana-Farber Cancer Institute (Boston, MA)
- …and coordination of nursing services within the Institute's oncology inpatient hospital. The Nursing Director (ND) at Dana-Farber Cancer Institute ... The Director of Nursing, Inpatient Hospital is.... This position carries 24-hour accountability operational leadership of inpatient nursing services , ensuring the delivery of… more
- Beth Israel Lahey Health (Needham, MA)
- …and leadership in quality improvement activities to enhance patient care and improve service . Additionally, the Nurse Director participates in the development of ... of programs and processes to provide necessary patient care services using appropriate resources. Inherent in the role is...contributes to ongoing changes within the organization. The Nurse Director is a role model for service … more
- Humana (Providence, RI)
- …reports to a Lead Medical Director . The Medical Director conducts post- service , inpatient care reviews for accurate billing of clinically ... , requested level of care, and/or requested site of service should be authorized at the Inpatient ...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Datavant (Providence, RI)
- …SMART software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and ... to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing...results for review by the facility or CCS HIM director . + Review disagreements on APC/DRG changes with the… more
- AccentCare, Inc. (Milton, MA)
- Overview Clinical Supervisor, Registered Nurse Hospice Inpatient Location: Milton, MA Position Type: Full-Time Remote/Virtual Position: No Find Your Passion and ... Purpose as a Clinical Supervisor, Registered Nurse Hospice Inpatient Salary: $106000 - $130000 / year $10,000 Sign...of care we're building together. Be the Best IPC Director , Registered Nurse You Can Be If you meet… more
- Beth Israel Lahey Health (Boston, MA)
- …Evening Clinical Pharmacy Specialist to join our team and support the expanding inpatient hematology/oncology and cellular therapy services . This role is an ... in people's lives.** The Cancer Center at Beth Israel Deaconess Medical Center provides state-of-the-art cancer care through personalized treatment plans, clinical… more
- Beth Israel Lahey Health (Boston, MA)
- …Evening Clinical Pharmacy Specialist to join our team and support the expanding inpatient hematology/oncology and cellular therapy services . This role is an ... Evenings, No Weekends) The Cancer Center at Beth Israel Deaconess Medical Center provides state-of-the-art cancer care through personalized treatment plans, clinical… more
- CenterWell (Providence, RI)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Humana (Providence, RI)
- …scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external physicians by phone to ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Humana (Providence, RI)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to influence nursing practices and improve care outcomes within a specific unit or service and/or across Nursing and Patient Care Services (NPCS). Education + ... and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Clinical Expertise + Demonstrates expertise in areas… more
- Humana (Providence, RI)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare… more
- Humana (Providence, RI)
- …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... caring community and help us put health first The Medical Director actively uses their medical...meets compliance timelines. + Conduct comprehensive, timely, and compliant medical necessity reviews for inpatient services… more
- Humana (Providence, RI)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Humana (Providence, RI)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Veterans Affairs, Veterans Health Administration (Framingham, MA)
- …full time position in Boston, Massachusetts in vibrant and diverse clinics. The Medical Director is responsible for ensuring that excellent, high-quality care is ... and 49% administrative time. This person will be the Medical Director for the five VA Boston...teaching opportunities for both medical students and medical residents in the inpatient and outpatient… more
- Tufts Medicine (Boston, MA)
- …that conducts game-changing medical and health policy research. **Job Overview** Tufts Medical Center is seeking a Clinical Nursing Director reporting to our ... **About Tufts Medical Center** Tufts Medical Center is...Executive Director of Perioperative services and Endoscopy . You will have overall responsibility… more
- State of Massachusetts (Boston, MA)
- …use disorder treatment including a Suboxone clinic serving 200 patients. In addition to direct medical services LSH hosts and supports an array of services ... skills necessary to thrive to apply for this role. **Job:** **Administrative Services * **Organization:** **Department of Public Health* **Title:** * Director of… more
- Tufts Medicine (Boston, MA)
- …interests in areas such as outpatient psychiatry, consultation-liaison and emergency psychiatry, inpatient psychiatry, or addiction services . **Why Join Us?** + ... The Department of Psychiatry at Tufts Medical Center is seeking a full-time, BC/BE Adult...BC/BE Adult Psychiatrist to serve as our next Program Director for the General Psychiatry Residency. This is a… more
