- Evolent (Boston, MA)
- …mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer, Nurse , you will routinely interact with leadership and management staff,… more
- Evolent (Boston, MA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer, Nurse , you will routinely interact with leadership and management staff,… more
- Commonwealth Care Alliance (Springfield, MA)
- …intensive care management and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral member of an interdisciplinary team for medical ... needs of the defined panel of members, the Registered Nurse will engage in regular assessments, visits at regularly...including but not limited to the Minimum Data Set ( MDS ), functional assessment (time for task tool), Comprehensive Assessments,… more
- 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
- Children's Hospital Boston (Boston, MA)
- 81677BRJob Posting Title: Nurse Practitioner, Gastroenterology in Needham/N. Dartmouth (40 hrs)Department:Patient ... Job Posting Description: Position Summary/ Department Summary: Brief Overview Fulltime Nurse practitioner in Gastroenterology in Needham & North Dartmouth Key… more
- US Tech Solutions (Malden, MA)
- …Winthrop MA area** Under the administrative direction of the Clinical Manager, the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage ... individualized plan of care + Completion of the Minimum Data Set-Home Care ( MDS -HC). Facilitation of member and caregiver access to community resources relevant to… more
- Commonwealth Care Alliance (Boston, MA)
- …Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral health clinician responsible for providing ... care team meetings + Performs applicable standardized assessments, including MDS , Comprehensive, Functional, and Crisis and Risk Assessments + Perform… more
- Fallon Health (Lowell, MA)
- …according to policy guidelines including physical, psychosocial, behavioral, and MDS -HC as indicated. + Involves participants and significant other(s) based ... on needs and abilities. + Delivers care to participants in any setting, including skilled services, based on individualized needs and according to age-appropriate nursing standards. + Provides for cultural and diverse needs of participants when providing care.… more
- Fresenius Medical Center (Northampton, MA)
- …Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs , DOs etc. that governs policies. **EDUCATION AND REQUIRED CREDENTIALS:** + ... Bachelor's Degree or an equivalent combination of education and experience. + Graduate of an accredited School of Nursing (RN). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+ years business operations experience in a… more
- Amergis (Worcester, MA)
- …Travel: $2,800/week + Mileage Reimbursement: $0.70/mile Position Overview: The Assessment Nurse conducts in-person clinical assessments for members to evaluate their ... assessments and clinical screenings using tools like the Minimum Data Set ( MDS ), PHQ-9, and others. + Conduct medication reconciliation, assess adherence, and… more