- Tufts Medicine (Burlington, MA)
- …**Minimum Qualifications:** 1. Bachelor of Science in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, ... MA. **About Tufts Medicine:** Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver… more
- Commonwealth Care Alliance (Boston, MA)
- 023520 Clin Alli-Physicians Group **Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review, the Utilization ... will be responsible for providing leadership and subject matter expertise to our utilization management (UM) group. This role is a key role in helping our… more
- Commonwealth Care Alliance (Boston, MA)
- 011200 CCA-Central Clin Ops Leadership **Position Summary:** Reporting to the Sr. Medical Director of Utilization Management (UM) and Policy, the Medical Policy ... to the population serviced by CCA. The Medical Policy Director is an independent contributor who works in partnership...workflows are streamlined and maintained + Develop and maintain systems for tracking medical policy reviews and revisions. +… more
- Beth Israel Lahey Health (Cambridge, MA)
- …just taking a job, you're making a difference in people's lives.** Reporting to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse ... on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... PURPOSE OF POSITION: The Director of Case Management is responsible for planning,...monitoring mechanisms to identify areas for improvement of resource utilization . Plans and develops systems and processes… more
- Atrius Health (Boston, MA)
- …delivery market. *SUMMARY * Under the direction of the Clinical Director , Nurse Leader or designee, the professional licensed registered nurse provides ... its partnership with Optum, a leading national value-based care system , Atrius Health continues its longitudinal growth in the...the primary care, and limited specialty service lines. The RN utilizes the nursing process and adheres to current… more
- Tufts Medicine (Burlington, MA)
- …technology. **Job Description** **Minimum Qualifications:** 1. BSN degree 2. Licensed as a Registered Nurse 3. Five (5) years relevant experience in the ... impact key performance indicators (KPI) for the department and the health care system . The Director assists in leading continuous improvement in the development… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
- Erickson Living (Hingham, MA)
- …Linden Ponds by Erickson Senior Living Join our team as the Assistant Director of Nursing is responsible for clinical leadership and outcomes within our Skilled, ... and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee. +… more
- Beth Israel Lahey Health (Boston, MA)
- …Hospital. **LICENSE, CERTIFICATION REQUIRED:** Current Massachusetts license as a registered nurse . ACLS Required. **LIFE SUPPORT CERTIFICATION REQUIRED:** ... regarding unit based administrative concerns. + Keeps Administrative Director informed of pertinent issues. + Recommends system...care conferences, primary nurse role and associate nurse role. + Promotes utilization of continuing… more