Utilization Management Care Manager - Somerville

The Care Management Operational Compliance Manager reports to the Director of Clinical Operational Compliance and collaborates closely with the Legal, Regulatory Affairs, and Compliance (LRAC) department.The team member will provide clinical process expertise; identify impacts to ...

The Clinical Care Manager (CCM) provides care coordination and clinical management for One Care enrollees with complex healthcare needs. · ...

A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. · ...

Manager, Care Management directs care management operations and leads a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals keeping care at home. · ...

Reporting to the Director, · Care Management,the Manager,Care Management is responsible for directing care management operations and leading a team to deliver services that engage,motivate,and educate family caregivers to support complex individuals keeping care at home. · ...

Reporting to the Director, Care Management, the Manager, Care Management is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals. · Lead and manage a team of ...

This role focuses on providing professional nursing care services in accordance with physician orders.Assesses, plans implements evaluates the care needs of patients. · ...

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. ...

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. · Prepares for patient interaction by gathering information from reviewing the patient's medical record when available and communicating with the PCP and oth ...

As a Care Manager Nurse with eternalHealth you will be a core member at eternalHealth – whose responsibilities will include care management. · This position will work towards meeting clinical, financial and operational performance goals and standards. · We provide a unique oppor ...

This role focuses on providing professional nursing care services in accordance with physician orders.The Nurse Care Manager will work closely with the child/family, primary care physician, and all members of the healthcare team to ensure that a specific population of patients re ...

We are seeking a Life Care Manager to join our team at Alder in Boston/Cambridge. The ideal candidate will have an advanced degree and licensure in social work, nursing, geriatrics, mental health or related field with 3-5 years experience working with older adults and families. · ...

We help families approach aging with confidence.Alder has been a trusted guide for over 30 years in Greater Boston. · ...

We are seeking a Managed Care Analyst I. The candidate will identify payment variances, collect underpayments from third-party payers and notify management when overpayments are detected.The Managed Care Analyst I will also identify payment trends, calculate impact and report fin ...

The Care Manager (BCM) is an essential member of the CBES Home Care Interdisciplinary Team. · ...

+The RN Care Manager is responsible for providing assessments, planning, interventions and follow-up for patients and family members at Shriners Children's across the continuum of care. · +Coordinates the plan of care to achieve desired outcomes and integrates the work of the hea ...

The Clinical Care Manager provides intensive care coordination and clinical care management for MassHealth Members with complex medical and behavioral health needs.The CCM collaborates with the Community Partner team and the clinical staff of each Enrollee's ACO/MCO's plan to min ...

The Clinical Care Manager provides intensive care coordination and clinical care management for MassHealth Members with complex medical and behavioral health needs. · ...

Description · $10,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment. · Join a dynamic and collaborative team as a Care Manager at our Everett facility, part of a highly acclaimed department recognized as the Seattle Metro Be ...

RN Care Manager is a vital role in the Project SHINE clinical care management team. The Registered Nurse (RN) Care Manager will have the opportunity to make a profound impact on the lives of people living with HIV/AIDS and those at risk for HIV transmission. · Cordinates treatmen ...