- Evolent (Boston, MA)
- …sources to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through ... Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care,… more
- ZOLL Medical Corporation (Boston, MA)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed… more
- Beth Israel Lahey Health (Needham, MA)
- … medical and administrative affairs related to health care delivery and medical staff management of patient care while providing a visible, institutional ... staff opinions, attitudes, preferences and needs to the medical staff, hospital management and Board of...Director of Quality and Safety, actively participates in Medical and Surgical Review Committees, reviews and investigates cases… more
- Fallon Health (Worcester, MA)
- …for medical necessity or benefit review. Along with other members of the medical management leadership team, the Manager is responsible for the quality and ... times are met + Creates and disseminates all required utilization reports on a daily, monthly, quarterly and annual...problems lacking clear precedent are usually reviewed with the Director , UM and PA prior to taking action. **Responsibilities**… more
- Cambridge Health Alliance (Everett, MA)
- …therapy takes place in the hospital setting. Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case ... RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- CenterWell (Pittsfield, MA)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- Fresenius Medical Center (Northampton, MA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Baystate Health (Springfield, MA)
- …model of care, and the unit has a close partnership with Physician Medical Director . + We provide supportive, individualized, and tailored orientation ... nurse driven change projects including activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is… more
- Baystate Health (Springfield, MA)
- …model of care, and the unit has a close partnership with Physician Medical Director . + We provide supportive, individualized, and tailored orientation ... nurse driven change projects including activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is… more
- Baystate Health (Springfield, MA)
- …and the nursing model of care, and the unit has a close partnership with Physician Medical Director . **SCHEDULE:** + **Days 7 PM - 7 AM** + Every other weekend ... nurse driven change projects including activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is… more