- Commonwealth Care Alliance (Springfield, MA)
- …**Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral health clinician ... and expert for members regarding available benefits and resources to meet their needs. + Clinical resource...resource for other members of the interdisciplinary care team + Additional duties as requested by supervisor **Working… 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 - ... over a thousand individuals across the state. Join a team committed to serving complex individuals with the best...engaged in collaborative care with a wide range of resources . Our goal is to improve the lives of… more
- Parexel (Boston, MA)
- …Data Management resources to ensure alignment with contracted budgets, project resource forecasts, actuals, and demand. + Determine and resolve the root cause of ... dynamic and experienced Data Management Lead to join our team . If you have a passion for clinical research,...practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable… more
- Commonwealth Care Alliance (Boston, MA)
- …of the patient's home. Come join this early stage, innovative, growing company, and team , and help deliver healthcare of the 21st century! The Customer Experience ... team is responsible for implementing instED's growth opportunities, when...in developing and reviewing contracts; can ensure contracts include resources , provisions and requirements that position instED for success… more
- Commonwealth Care Alliance (Boston, MA)
- …initiatives, including convening multidisciplinary teams and leveraging specialized CCA resources to support provider performance improvement strategies. - Support ... provider education, program operations, regulatory requirements, performance and care team collaboration Delegation Governance Committee Management: - Support cross-functional… more
- Commonwealth Care Alliance (Boston, MA)
- …encounter in instED's medical record, and relays any essential follow-up needs to the care team via the instED Clinical Resource Center (CRC) team . This is ... with mobile integrated healthcare clinicians (paramedics and EMTs) and other instED team members + Participate in biannual performance reviews + Participate in… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary: Commonwealth Care Alliance's Long-Term Services and Supports (LTSS) team is responsible for relationship management with the contracted community-based ... - Performance reporting/data management support o Link with CCA's Business Intelligence team and Provider Engagement Analytics Manager to request reports as needed o… more
- Commonwealth Care Alliance (Boston, MA)
- …presentations, and ongoing education initiatives. + Serve as a primary resource for resolving provider inquiries and supporting issue resolution. + Collaborate ... + Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan… more
- Commonwealth Care Alliance (Boston, MA)
- …in accordance with the treatment plan, and works collaboratively with the clinical team , ED, and inpatient staff to manage or co-manage complex behavioral health ... with mental health symptoms. - Ability to connect to resources in the community and refer to these community...maintains effective communication with employees and managers - Lead team meetings and social / teambuilding events - Contributes… more
- Commonwealth Care Alliance (Boston, MA)
- …workflows, and shares information with the Provider Data Management (PDM) team . The incumbent will maintain thorough documentation of all interactions and ... - Share collected information and updates with the Provider Data Management team . - Escalate issues or discrepancies according to established protocols. - Maintain… more
