- Commonwealth Care Alliance (Springfield, MA)
- …Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral health clinician responsible for ... follow-up and clinical care management to a panel of health plan members with complex medical, behavioral, and social...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager… more
- Commonwealth Care Alliance (Boston, MA)
- …Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely ... 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
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... . **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- ERP International (Mountain Home AFB, ID)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN )** in support of the Pediatrics Clinic of the 366th Medical Group at Mountain ... opportunity. www.erpinternational.com **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense pride… 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 - ... role. Supervision Exercised: - Assumes responsibility for all nursing ( RN , LPN) and MA roles in the practice. 10...clinical and care coordination needs. - Evaluate and assess health care needs utilizing established triage protocols and documented… more
- Commonwealth Care Alliance (Boston, MA)
- 022060 Clin Alli-Hospital to Home Position Summary: The Sr Clinician, Behavioral Health , Hospital to Home provides behavioral health assessments, consultation, ... and support to CCA SCO and One Care clinicians regarding behavioral health /substance abuse treatment and management. The SCBH coordinates behavioral health… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Experience in health plan provider relations + Experience with behavioral health providers preferred + Understanding of provider office operations as they ... Alliance's (CCA) diverse provider community - including physician, hospital, behavioral health , community-based, LTSS, and HCBS providers. This individual serves as… more
- Commonwealth Care Alliance (Boston, MA)
- …are an interdisciplinary care team consisting of APCs, physicians, behavioral health clinicians, nurses, medical assistants, rehab, and administrative staff. The ... to connect successfully for telehealth appointments. **Working Conditions** Standard office conditions. **Required** **Education** High School Diploma/GED **Desired Education**… more
- Commonwealth Care Alliance (Boston, MA)
- …internal teams to ensure provider data integrity. Working Conditions: - Standard office conditions. Required Education (must have): - Associate degree or Post High ... have): - A bachelor's degree in any general or health -oriented fields is preferred. Required Experience (must have): -...Must be able to meet directly with providers in office settings. - Must have the ability to work… more
- Commonwealth Care Alliance (Boston, MA)
- …Supports any other Growth & Implementation projects as directed Working Conditions: - Standard office conditions. - Some travel may be required (no more than 10% of ... time). Other: - Standard office equipment Required Education (must have): - Bachelor's Degree...to have): - Master's degree in business administration, Public Health or related field is a plus Desired Licensing… more
