• Registered Nurse Care Manager Remote…

    Molina Healthcare (Quincy, MA)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... determines who may qualify for case management based on clinical judgment, changes in member's health or...management. + Promotes integration of services for members including behavioral health care and long term services… more
    Molina Healthcare (06/04/25)
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  • Manager , Healthcare Services (Remote…

    Molina Healthcare (Worcester, MA)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
    Molina Healthcare (06/01/25)
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  • Manager Utilization Management

    Beth Israel Lahey Health (Burlington, MA)
    …and reviews staff schedules and workflows and works closely with other administrative and clinical areas under the direction of the Executive Director and the VP of ... systems and processes in close collaboration with other revenue cycle and clinical areas. + Assists leadership in managing vendor relationships, IT setup and… more
    Beth Israel Lahey Health (06/06/25)
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  • Manager , Medical Policy

    Commonwealth Care Alliance (Boston, MA)
    …that researches, analyzes, develops and disseminates medical policies pertaining to medical and behavioral health services (eg procedures, DME, Part B drugs) ) ... 011200 CCA-Central Clin Ops Leadership **Position Summary:** The Manager , Medical Policy reports to the Director of...and services addressing social determinants of health across all products and geographies in collaboration with… more
    Commonwealth Care Alliance (05/31/25)
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  • Admissions Manager

    Veterans Inc. (Shrewsbury, MA)
    …therapeutic environment. We are seeking passionate and innovative individuals to join our behavioral health programming. Under the general direction of the Vice ... for the admissions personnel and intake and billing matters for our behavioral health program. This individual exercises discretion and independent judgment… more
    Veterans Inc. (06/09/25)
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  • Assistant Nurse Manager , RN, Emergency…

    Trinity Health (Springfield, MA)
    …years demonstrated clinical experience in an acute care setting / Behavioral Health Setting (may vary by specialty), Assistant Nurse Management experience ... Medical Center** has established itself as one of the leading providers of health care services in Western Massachusetts. Mercy Medical Center is a 182-bed acute… more
    Trinity Health (04/26/25)
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  • Nurse Manager - Obstetrics Delivery (Labor…

    Beth Israel Lahey Health (Winchester, MA)
    …centers and teaching hospitals, community and specialty hospitals, primary and specialty care, behavioral health and home care services, and more than 5,900 ... regional hospital that is the leading provider of comprehensive health care services in the northwest suburban Boston area._...Minimum of 5 years of leadership experience in a clinical setting. Budget management experience is preferred. + Current… more
    Beth Israel Lahey Health (06/09/25)
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  • Medical Policy Program Manager

    Commonwealth Care Alliance (Boston, MA)
    …to research, analyze, develop, and disseminate medical policies pertaining to medical and behavioral health services (eg, procedures, DME, Part B drugs) ) and ... services addressing social determinants of health across all products and geographies in collaboration with...compliance with regulatory, accreditation, and contractual requirements. The program manager is a subject matter expert in the area… more
    Commonwealth Care Alliance (05/31/25)
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  • Care Manager - Dsnp - 100%

    Healthfirst (MA)
    …systems, including child welfare and/or medically fragile/developmentally disabled populations + For Behavioral Health (BH) Care Management: + NYS RN or + ... **Duties and Responsibilities:** + The care manager will be responsible for dual eligibility plan....state) + 3 years of work experience in a mental/ behavioral health or addictions setting + For… more
    Healthfirst (05/29/25)
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  • Manager , Strategic Consulting, Patient…

    IQVIA (Boston, MA)
    …the initiatives of life science companies. Our approaches are rooted in behavioral science, clinical expertise, strategic consulting, and technology to uniquely ... ** Manager , Strategic Consulting, Patient Centered Solutions** IQVIA provides...Consulting, Patient Centered Solutions** IQVIA provides scientific services spanning clinical trials, real world evidence, and consulting in all… more
    IQVIA (05/21/25)
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