• Behavioral Health Substance Use…

    Fenway Health (Boston, MA)
    Behavioral Health Substance Use Disorder Specialist Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Behavioral Health ... Under the general supervision of the Manager of Integrated Behavioral Health Services, the Behavioral ...+ Develops and maintains resource listings appropriate for Fenway Health patients + Works with Medicaid, Medicare ,… more
    Fenway Health (05/31/25)
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  • Behavioral Health Clinician- Working…

    Fallon Health (Springfield, MA)
    Medicare , Medicaid, and PACE- in the region. **Brief Summary of Purpose:** The Behavioral Health Clinician provides Behavioral Health services in ... caregivers and SE staff. **Responsibilities** **Primary Job Responsibilities:** * Provides behavioral health support to Summit participants as referred by… more
    Fallon Health (07/09/25)
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  • ACO BH Care Coordinator - Hybrid - Chelmsford…

    Fallon Health (Lowell, MA)
    …government and social service systems and works in partnership with the Clinical Integration Behavioral Health Case Managers and Social Care Managers to ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE...interact with members with the goal to enhance the Behavioral Health Case Manager's and… more
    Fallon Health (08/08/25)
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  • Supervisor of BH Clinical Support

    WellSense (Boston, MA)
    …for our members, no matter their circumstances. **Job Summary:** The Supervisor of Behavioral Health Clinical Support (Supervisor) is responsible for the daily ... company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...operations and performance management of the Behavioral Health Clinical Support Team. This role… more
    WellSense (07/11/25)
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  • Care Coordinator / Navigator - Cape Cod

    Fallon Health (Barnstable, MA)
    …care including but not limited to working with providers to arrange medical and behavioral health appointments and following up with members afterwards to ensure ... + If working on the NaviCare Member Population: Facilitates transportation to medical, behavioral health , and social appointments by educating the member about… more
    Fallon Health (08/08/25)
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  • Mental Health Worker I

    State of Massachusetts (Fall River, MA)
    …of Public Health , Board of Health , Department of Mental Health , Centers for Medicare and Medicaid Services. * Certified Nursing Assistant training ... The Dr. John C. Corrigan Mental Health Center is seeking dedicated and compassionate individuals for the position of Mental Health Worker I who desire a… more
    State of Massachusetts (07/23/25)
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  • Senior Strategy Advancement Professional

    CenterWell (Boston, MA)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... an in-depth understanding of the healthcare industry, including value-based care, Medicare , population health , Accountable Care Organizations (ACOs), medical… more
    CenterWell (08/08/25)
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  • Coding Auditor Educator

    Highmark Health (Boston, MA)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more
    Highmark Health (08/08/25)
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  • CIC Advanced Practice Clinician

    Commonwealth Care Alliance (Springfield, MA)
    …lead for medical care delivery and care coordination for the most complex medical and behavioral health patients. The APC functions within and is integral in a ... Plan Care Team members, Community Licensed Practical Nurses, Community Health Workers, Community Behavioral Health ...and CCA Leaders. * Identify and lead ad hoc case reviews with internal/external care team as needed. *… more
    Commonwealth Care Alliance (07/09/25)
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  • Operation Specialist

    Beth Israel Lahey Health (Burlington, MA)
    …insurance authorizations as needed. . Identifies potential payment issues with Medicare and other payers and communicates and/or resolves issues as appropriate ... . Resolves Vendor or Payer complaints and requests related case management issues. . Controls special order requisitions to.... Complies with all Lahey Clinic Policies. Complies with behavioral expectations of the department and Lahey Clinic. .… more
    Beth Israel Lahey Health (07/30/25)
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