- Beth Israel Lahey Health (Boston, MA)
- …to obtain provider numbers from insurance carriers that currently contract nurse practitioners ( Medicare , Medicaid, Blue Cross/Blue Shield etc.) **Location** ... **Please click on this link to apply to the Nurse Practitioner (Adult) position via HMFP. (https://hmfp.wd5.myworkdayjobs.com/HMFP/job/Joslin-Diabetes-Center/ Nurse -Practitioner--Adult-Diabetes\_R0965)**… more
- Fallon Health (Lowell, MA)
- …and PACE- in the region. **Brief summary of purpose:** Responsible for the effective management and delivery of direct nursing care to PACE participants in any ... Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high- quality coordinated care and are continually rated among the...for the Elderly-PACE for short. PACE, an alternative to nursing home care, is a program that helps people… more
- Fallon Health (Springfield, MA)
- …and PACE- in the region. **Brief Summary of Purpose:** Responsible for the effective management and delivery of direct nursing care to PACE participants in any ... Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high- quality coordinated care and are continually rated among the...for the Elderly-PACE for short. PACE, an alternative to nursing home care, is a program that helps people… more
- Commonwealth Care Alliance (Boston, MA)
- 024450 Clin Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently ... responsible for providing intensive monitoring, follow-up and clinical care management to a panel of health plan members with...DMH and DDS (BH) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager… more
- Bear Mountain Health Care (Worcester, MA)
- …Healthcare is looking for an experienced, motivated, and creative Assistant Director of Nursing (ADON/ADNS) for our Worcester, MA location. As the ADON/ADNS, you are ... the second in command of the nursing department. You will work closely with the DON/DNS...will work closely with the DON/DNS to improve the quality of patient care and services provided by your… more
- BAYADA Home Health Care (Plymouth, MA)
- …seeking a **Clinical Manager (RN required)** to join our **Plymouth, MA** ** Medicare Certified Home Health, Senior Living office.** **Responsibilities for a Clinical ... Rehab Manager (where applicable), Director, and DCO to ensure cohesive and consistent management of all field staff. + Review all clinical documentation to ensure… more
- Fallon Health (Worcester, MA)
- …Quality audit reviews of authorizations + Updates to Medicare /Medicaid regulatory rules + Authorization documentation standards **Qualifications** **Education:** ... Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high- quality , coordinated care and is continually rated among the nation's top… more
- Humana (Boston, MA)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...Our nurses are titled Care Managers, because our case management services are centered on the person rather than… more
- Elevance Health (Hingham, MA)
- …workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...perform all duties of lower-level positions as directed by management . + Participate in development and maintenance of Audit… more
- Athena Health Care Systems (Marlborough, MA)
- … Medicare denial letters per CMS regulations. + Assures appropriate management of residents' Medicare /Insurance benefits. + Maintains adequate systems to ... their dedication. We are not only committed to delivering high- quality care and customer service to our patients and...& Education: + Must possess, as a minimum, a Nursing Degree from an accredited school of nursing… more