- Humana (Boston, MA)
- …communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or ... in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post-acute services such as… more
- Fallon Health (Barnstable, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... on an interdisciplinary team focused on care coordination, care management and improving access to and quality of care...advocate for member needs, the Navigator may make in home or facility visits (depending upon the product and… more
- Molina Healthcare (Essex, MA)
- …candidate with a Massachusetts LCSW, LMSW, or LADC licensure. Candidates with case management and home health are highly preferred. Bilingual candidates are ... regulated timelines and determines who may qualify for case management based on clinical judgment, changes in... management , managed care settings. * Field-based case management or home health experience. * Certified… more
- Tufts Medicine (Stoneham, MA)
- …surgeries, admissions, procedures, imaging, and all other in-scope services by providing clinical data to payers. Enters precertification information and proper ... and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. Collects patient's necessary demographic and financial… more
- Boston Public Schools (Boston, MA)
- …The Office also provides essential training/professional development, consultation, clinical supervision and crisis response coordination. Position Summary: The ... in order to provide services and support in the home languages of students and families. This is a...students in the school system. + Maintain documentation and data on all activities, analyzing for trends and sharing… more
- Sanofi Group (Cambridge, MA)
- …requiring EGDS expertise, including innovations in pharmacovigilance, portfolio management , patient-centric early development including diversity in clinical ... drug development and enhance patient care by implementing innovative clinical trials and Real-World evidence-based decision-making, leveraging our expertise in… more
- CenterWell (Boston, MA)
- …and matrixed value-based health care organizations + Experience at a top tier management consulting firm + Clinical experience appreciated, or deep experience in ... for program implementation. Leveraging experience in health trend forecasting and data analysis, the Advisor will collaborate across functions (particularly Data… more
- Evolent (Boston, MA)
- …sites of care/service is preferred + Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the critical ... candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy,… more
- Sanofi Group (Cambridge, MA)
- …products, including those in early and late-stage development, life cycle management (LCM), and marketed portfolios. This role provides functional leadership and ... labeling strategy early in product development by providing regulatory input into clinical development plans, including guidance on Phase 2 and Phase 3 protocols,… more
- Baystate Health (Springfield, MA)
- …earned increases + Continuing education support and reimbursement + First Time Home Buyers Financial Packages + Farm Share Memberships + 403b retirement company ... that include but are not limited to mental, physical, and financial health + Pet, home , auto and personal insurance + Life insurance + Reimbursement for a variety of… more
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