- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning, directing, and… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- State of Massachusetts (Boston, MA)
- …to the Regional and Area Staff on special investigations procedures and monitors case practice concerns. The Director of Special Investigations is charged with ... and respond to consumer requests and grievances. * Maintains collaboration with the Director for Case Investigations discussing case situations that may… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- CenterWell (Providence, RI)
- …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Bright Horizons (Newton, MA)
- …with a focus on CRM capabilities powered by Microsoft Dynamics 365. The Director will ensure business results of revenue growth, profitability, employee growth and ... teams in a complete and timely manner and to ensure that product management tools and processes are effectively implemented and managed. + Ensure that critical… more
- Publicis Groupe (Boston, MA)
- …up of fearless, inventive and generous Unicorns of all kinds. **Overview** **Associate Director , Digital Product Management - AI Products and Solutions** Digitas ... is seeking an **Associate Director , Digital Product Management - AI Products...their business goals **.** + Lead requirements gathering, use case documentation, and define acceptance criteria in partnership with… more
- PagerDuty (Providence, RI)
- …world-all in a flexible, award-winning workplace. PagerDuty is seeking a **Senior Director , Platform Product Management ** to join our diverse, customer-focused ... Inc. (NYSE:PD) is a global leader in digital operations management . Trusted by nearly half of both the Fortune...the merits of an API structure and the business case for integration with a potential platform partner. You… more
- Brown University (Providence, RI)
- …Safety, BUDPS immediately needs an outstanding individual to serve as the Director of Inspectional Services to provide oversight and strategic leadership over the ... violation, and/or other special confidential investigation requests; examine personnel and case records to ensure that police personnel conform to prescribed… more
- Highmark Health (Providence, RI)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations ... Union Name: None Patient Facing: Yes The Associate Medical Director of Medical Respite, in close collaboration with the...5 years of clinical experience as an NP/PA required. Management experience is strongly preferred. DEA X-waiver required. +… more
- AccentCare, Inc. (Norwood, MA)
- …meet you! + Bachelor's degree + 4+ years previous hospice, home health or case management experience, or equivalent + Demonstrated ability to effectively direct ... Overview Director Admissions, Hospice - $15,000 Sign-On Bonus! Location:...Hospice - $15,000 Sign-On Bonus! Location: Norwood, MA Position: Director Admissions, Hospice Job ID: 2025-74437 Position Type: Full-Time… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Providence, RI)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Fenway Health (Boston, MA)
- Medical Director of Primary Care Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Medical Job Type Full-time Description Reporting ... to the Chief Medical Officer (CMO), the Medical Director of Primary Care (MDPC) provides strategic and clinical...and trainees as needed. + Participate in peer review, case conferences, and quality improvement initiatives. + Maintains required… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...where the analysis of situations or data requires a case by case consideration of the Medicare… more
- South Middlesex Opportunity Council (Framingham, MA)
- …review and appropriate placement or diversion for all referrals. + Facilitate weekly case management meetings to ensure appropriate assessments and service plans ... Summary: Responsible for management and coordination of all operations of the...position are: I ndividual Shelter Manager, Clinical Manager, YYA Director , Re-entry/Outreach, Housing Support Programs Manager, FCC Director… more
- Datavant (Providence, RI)
- …our bold vision for healthcare. Datavant is seeking a strategic and hands-on ** Director of Quality** to lead product and supplier quality assurance efforts within ... data (RWD) solutions through tokenization, data linkage, and privacy-preserving analytics. As Director of Quality, you will own the implementation and evolution of… more