- CVS Health (Boston, MA)
- …regulations. The ideal candidate should possess the following skills: + Knowledge of Behavioral Health products, benefits and offerings + Understanding of Group ... a fast-paced environment + A passion for mental and behavioral health **What You Will Do** +...MHWB's Single Point of Contact for Market conduct exams, regulatory inquiries, and objections + Support the development and… more
- Children's Hospital Boston (Boston, MA)
- 80501BRJob Posting Title: Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care ... health community based services and those included in the Child Behavioral Health Initiative + Possessing understanding of the concurrent review process… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical ... for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health . This position… more
- Commonwealth Care Alliance (Brighton, MA)
- …are passionate about making a positive difference in the lives on individuals facing behavioral health challenges, we invite you to apply for this rewarding ... wraparound care for clients. + Works with the Nurse Manager (who may be employed by a partner organization)...+ Must be willing to work in a non-locked behavioral health setting. + Periodic need to… more
- Fallon Health (Worcester, MA)
- …approves their care plan o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...or her health needs, social needs or behavioral health needs o Collaborates with appropriate… more
- Beth Israel Lahey Health (Burlington, MA)
- …making a difference in people's lives.** Under the general direction of the Nurse Manager the Assistant Nurse Manager (ANM) practices within the Lahey Clinic ... full management responsibility in the absence of the Nurse Manager , which includes communicating policies, effectively recommending salary actions, evaluating… more
- Beth Israel Lahey Health (Burlington, MA)
- …(CNO) Associate Chief Nursing Officer (ACNO) and Nursing Directors, the Nurse Manager is responsible for day to day operations, practice development, communicating ... policies, and evaluates staff job performance.. The Nurse Manager works in collaboration with key stakeholder's and department leadership to coordinate the delivery… more
- Highmark Health (Boston, MA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in ... health status/severity and clinical needs. The incumbent assesses ...and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain current knowledge… more
- Highmark Health (Boston, MA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of ... appropriateness of health care services, application of criteria to ensure appropriate...industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… more
- Beth Israel Lahey Health (Burlington, MA)
- …job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse (RN) ... Case Manager for Hospital at Home Care Transitions coordinates utilization...clinical pathways. 12) Adheres to all insurance, contractual and regulatory requirements as mandated. 13) Works with Lahey Clinic… more