- Commonwealth Care Alliance (Springfield, MA)
- …Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... with DMH and DDS (BH) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager +… more
- 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 ... reviews in accordance with Standard Operating Procedures + Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency… more
- Monte Nido (Dedham, MA)
- …while providing the opportunity for people to realize their healthy selves. ** Registered Nurse ** **Walden Behavioral Care** **Dedham, MA** **Offering a $2,500.00 ... with the specialized care they need and deserve. The ** Registered Nurse ** provides direct patient care under...care under the supervision of the AVP of Nursing, Nurse Manager , Nursing Supervisor, or designee. **Shift/hours:**… more
- Commonwealth Care Alliance (Boston, MA)
- …ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based… more
- Commonwealth Care Alliance (Boston, MA)
- …have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR ... member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible...Boston clinic and will assume the primary responsibility for clinical operations. If you enjoy working with a collaborative… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...closely with CCA's Behavioral Health, Health Home, Network, and Clinical teams to ensure a seamless provider experience and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health and… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing ... with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and business-as-usual (BAU) communications, support regulatory… more
- Commonwealth Care Alliance (Boston, MA)
- …instED operations, from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation of instED's growth ... all levels, as well as with stakeholders from outside the organization. The Implementation Manager must be a proactive problem solver, with a strong bias for action,… more
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