- Commonwealth Care Alliance (Springfield, MA)
- 024040 Clin Alli-HICM Position Summary: Commonwealth Care Alliance's (CCA) Community Intensive Care (CIC) programing is responsible for providing care delivery and ... to CCA's most complex patients, providing care management and care coordination support , and collaborating with external providers with the goal of delivering… more
- Commonwealth Care Alliance (Boston, MA)
- 023540 Clin Alli-Palliative Care Position Summary: Commonwealth Care Alliance's (CCA) Care Delivery service lines are responsible for providing care delivery and ... does not have direct reports. Essential Duties & Responsibilities: * Patient Care Support : * This role requires superb communication skills, the ability to speak… more
- Commonwealth Care Alliance (Boston, MA)
- …this time._** Position Summary: The Clinical Product Designer (PD) at Commonwealth Care Alliance (CCA) creates actionable, insightful, and intuitive digital products ... and definitions as part of overall data governance and analytic support across the organization. Supervision Exercised: None Essential Duties & Responsibilities:… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the ... reviews). * Hire, train and mentor UM staff, including nurse reviewers and support personnel. * Act as liaison with medical director, provider relations, case… more
- Commonwealth Care Alliance (Boston, MA)
- …play a pivotal role in transforming the employee experience at Commonwealth Care Alliance by creating and delivering high-quality, innovative learning experiences. ... learning programs including Clinical Education, New Employee Orientation, Talent development support and alignment of learning programs to Diversity, Equity and… more
- Commonwealth Care Alliance (Boston, MA)
- 023540 Clin Alli-Palliative Care **Position Summary:** Commonwealth Care Alliance's (CCA)Palliative Care Team, comprised of multi-disciplinary clinicians, will ... with significant medical, behavioral, and social complexities that require intensive support . The Palliative teams are comprised of nursing (RN), advance practice… more
- Commonwealth Care Alliance (Boston, MA)
- …of care and assist with transition of care planning and coordination when a Commonwealth Care Alliance clinician is not already involved. Work with ESPs to ensure ... and level of care based on the consistent application of decision support tools, and communicate decisions to facility, providers, treatment team and member.… more
- Commonwealth Care Alliance (Boston, MA)
- …the member experience. This position works collaboratively across many departments at Commonwealth Care Alliance (CCA) as well as externally to facilitate timely ... and member outreach related to the member complaint. + Support creation, review, and mailing of notices to members...and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants… more
- Commonwealth Care Alliance (Boston, MA)
- …drive impactful material, recommendations, and data driven decision making to support overall payment integrity and claim operations discussions and strategic ... and vendor performance associated with Service Level Agreements to support organizational decision-making, and identify opportunities to improve quality and… more
- Commonwealth Care Alliance (Boston, MA)
- …This position works collaboratively with the AG Representatives and Management to support the development and maintenance of a quality program. This position will ... and areas on noncompliance. In addition to NCQA program support , this role will also support compliance...and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants… more