- Commonwealth Care Alliance (Boston, MA)
- …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 decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- Commonwealth Care Alliance (Springfield, MA)
- …co-morbid BH complexity and substance use concerns. + Provides members with psycho-social, mental health , substance use, and cognitive assessments as needed + ... a crisis plan. + Collaborates with community vendors who are supporting patients' mental health and psycho-social needs + Performs bridge therapy to patients… more
- Commonwealth Care Alliance (Boston, MA)
- …in Business or Health related field preferred Required Licensing: - active RN license required Required Experience: - 7-10 years - 8-10 years of managed care ... and evaluates efficiency and productivity of utilization management functions for physical health services and long term services and supports. Works closely with… more
- Commonwealth Care Alliance (Boston, MA)
- …Health Home and Clinical teams to support consistency and quality across BH and Health Home providers. - Participate in case review meetings and rounds as ... 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong,… more
- Commonwealth Care Alliance (Boston, MA)
- …of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits ... and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and… more
- AccentCare, Inc. (Norwood, MA)
- Overview After Hours Registered Nurse / RN , Hospice Location: Norwood, MA Position: After Hours Registered Nurse / RN , Hospice Position Type: ... Your Passion and Purpose as a Hospice After Hours Registered Nurse Salary: $90000 - $104000 /...building together. Be the Best Hospice After Hours Admission RN You Can Be If you meet these qualifications,… more
- Riverside Community Care (Needham, MA)
- We make a difference - in your community and in your career. Registered Nurse ( RN ) - Relief Join us in making a difference in the community! Riverside ... Community Care is seeking a Registered Nurse ( RN ) to join...wraparound care and services for people living with serious mental health conditions. PACT services are highly… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Yes Boston Health Care for the Homeless Program is seeking a full-time Registered Nurse to work at our clinics at the 112 Southampton Street emergency ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30… more
- Beth Israel Lahey Health (Gloucester, MA)
- …restraint free unit which is licensed by **DPH.** It is not considered a mental health unit licensed by DMH. **Scheduled Hours:** 24 hrs Evenings, every ... group and individual therapy + nutritional assessments + supportive case management The Senior Adult Unit is an **ACE**...of an accredited school of nursing + Current Massachusetts Registered Nurse licenser + BSN preferred +… more
- Beth Israel Lahey Health (Gloucester, MA)
- …voluntary, restraint free unit which is licensed by **DPH.** It is not considered a mental health unit licensed by DMH. **Scheduled Hours** - Per diem, hours ... group and individual therapy + nutritional assessments + supportive case management The Senior Adult Unit is an **ACE**...of an accredited school of nursing + Current Massachusetts Registered Nurse licenser + BSN preferred +… more
