- 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 ... 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
- Monte Nido (Dedham, MA)
- …while providing the opportunity for people to realize their healthy selves. ** Registered Nurse ** **Walden Behavioral Care** **Dedham, MA** **Offering a $5,000.00 ... - All Shifts Available_** **Full time positions available** 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 (Springfield, MA)
- …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately… more
- Metrowest Medical Center (Framingham, MA)
- …experience in a hospital environment as a manager or full-time charge nurse /related position. Active and current registered nurse license in the ... and evaluating nursing practice on a unit level. Role assumes 24/7 responsibility of manager 's assigned areas. The role is accountable to support CNO to ensure high… 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 ... DDS (BH) + Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager + Medication Reconciliation +… more
- Commonwealth Care Alliance (Boston, MA)
- …**Required Experience:** Meaningful clinical experience including: + 3+ years' experience as Registered Nurse in a high touch clinical environment or home ... 025010 Clin Alli-CCAPC **Position Summary:** The Primary Care Triage Nurse functions as a key part of the primary...chronic disease management, care coordination, and triage within the RN scope of practice. The Primary Care Triage Nurses… more
- Commonwealth Care Alliance (Springfield, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR - ... by providing best-in-class disability competent primary care. Within Care Delivery, the Manager , Clinical Nursing is responsible for the oversight of clinical care… more
- Commonwealth Care Alliance (Boston, MA)
- …(must 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...role. Supervision Exercised: - Assumes responsibility for all nursing ( RN , LPN) and MA roles in the practice. 10… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- Commonwealth Care Alliance (Boston, MA)
- …administrative support of Care Delivery. programs. Under the supervision of the Manager of Patient Access Operations and in direct partnership with Care Delivery ... in Care Delivery Programs The role reports to the Manager , Care Delivery Patient Access Operations Supervision Exercised: -...(nice to have): - Medical Assistant or Licensed Practical Nurse - Coding Certification Required Experience (must have): -… more
