• Commonwealth Care Alliance (Boston, MA)
    …primary care. - Reporting to a member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible for ... support functions within the practice, the Primary Care Nursing Manager will collaborate closely with other...nursing staff. - Support patient-centered care, ensuring timely service and satisfaction. - Serve as a liaison between… more
    DirectEmployers Association (09/26/25)
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  • Commonwealth Care Alliance (Boston, MA)
    013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... responsible for day-to-day timely clinical and service authorization review for medical necessity and... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in… more
    DirectEmployers Association (10/02/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …to internal and external auxiliary resources such as CCA clinical group CHW, Rehab, Nursing and APCs, home based lab services , instEd, CGW Field Team, ... 025010 Clin Alli-CCAPC **Position Summary:** The Primary Care Triage Nurse functions as a key part of the primary...is under the general supervision of the Primary Care Manager and Clinical Director. **Supervision Exercised:** + None **Essential… more
    DirectEmployers Association (09/25/25)
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  • Commonwealth Care Alliance (Springfield, MA)
    …and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into teams and ... geographically dispersed across the commonwealth The Assessment nurse conducts timely, high-quality, accurate in-person assessments. These individuals leverage the… more
    DirectEmployers Association (10/15/25)
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  • Metrowest Medical Center (Framingham, MA)
    …and support to the senior executive position (CNO) responsible for all nursing and other designated patient care functions/ services within the hospital ... 2 years of progressive management experience in a hospital environment as a manager or full-time charge nurse /related position. Tenet complies with federal,… more
    Talent (10/27/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …medical necessity, appropriateness, and efficiency of the use of health care services , procedures, and facilities under the provisions of CCA's benefits plan. The ... Manager , Utilization Management is responsible for overseeing and managing...managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical… more
    DirectEmployers Association (10/02/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Clin Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... part of the care management dyad, the Clinical Care Manager works directly with assigned CCA members to help...navigate the health care system, gain access to available services , and assist members with finding answers to their… more
    DirectEmployers Association (08/13/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …nursing facilities, rehabilitation hospitals, transportation providers, etc.) or long term services and supports (eg Aging Service Access Points, Independent ... CCA-Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager , Provider Contracting, the Senior Provider Contract Manager is… more
    DirectEmployers Association (10/17/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …administrative support of Care Delivery. programs. Under the supervision of the Manager of Patient Access Operations and in direct partnership with Care Delivery ... ensure proactive administrative clinical team support and accurate, prompt, and courteous service is provided in response to written and telephonic inquiries from… more
    DirectEmployers Association (09/30/25)
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  • Commonwealth Care Alliance (Springfield, MA)
    … services , LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services , care attendants, patient designated contacts, and next of kin. ... types of care for their needs including community long-term services and supports. They will focus on reducing gaps...needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not… more
    DirectEmployers Association (10/07/25)
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