Utilization Management Care Manager - Somerville, MA

Site: Mass General Brigham Health Plan Holding Company, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient ca ...

The UMCM will utilize clinical knowledge to analyze and render approval decisions. · Principal Duties and Responsibilities:Expertise in clinical review for prospective utilization management reviews utilizing Interqual. · Review authorization requests for medical services includi ...

Site: Mass General Brigham Health Plan Holding Company, Inc. · Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient ...

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

At Molina Healthcare, our team of dedicated care managers plays a vital role in ensuring our members receive high-quality, cost-effective care across the continuum. As a Care Manager with us, you will be responsible for providing support and collaboration to multidisciplinary tea ...

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. · ...

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.Lead and manage a team of clinical and non-cli ...

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 ...

eternalHealth – The Next Generation of Medicare Advantage · Are you an RN with the following experiences with the geriatric population, looking to move into the health plan world: transitions of care or case management or disease management or utilization management. eternalHealt ...

About Us · A pioneer in the caregiving space, · Careforth supports family caregivers across the United States to confidently care for their loved ones at home.Position Summary · The Manager, Care Management directs care management operations and leads a team to deliver services t ...

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 ...

Job Title: Care Manager – Adult Foster Care Program · Location: Boston/Roxbury MA Area · Company: We Care 365 AFC · About Us: · We Care 365 is a dedicated organization committed to delivering quality care and support for elderly and disabled adults through our Adult Foster Care ( ...

Schedule: Mon-Fri 9am-5pm · Salary: $90,000/year · The Clinical Care Manager - Registered Nurse (RN) on the Community Partner team provides clinical care management and intensive care coordination for people with complex medical and behavioral health needs. The RN will act as a C ...

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

We are looking for a Life Care Manager to join our team at Alder. · ...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teachin ...

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 ...