• 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 ... record, and through official written notification to the primary care team, specialty providers, vendors and members in adherence with regulatory and contractual… more
    DirectEmployers Association (10/02/25)
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  • DESC (Seattle, WA)
    Registered Nurse (RN) - ORCA Center, Night Shift Seattle, WA (http://maps.google.com/maps?q=517+3rd+Ave+Seattle+WA+USA+98104) -ORCA Center Apply Job Type Full-time ... The Downtown Emergency Service Center (DESC) is now recruiting Registered Nurses (RNs) for one of DESC's newest clinical...the ORCA Center by first responders or transferred from local emergency departments + Rapid initiation of medications for… more
    DirectEmployers Association (10/07/25)
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  • Commonwealth Care Alliance (Springfield, MA)
    …by providing best-in-class disability competent primary care. Within Care Delivery, the Manager , Clinical Nursing is responsible for the oversight of clinical care ... delivery and complex care management within the interdisciplinary team. The Manager , Clinical Nursing is specifically accountable for assigned interdisciplinary team… more
    DirectEmployers Association (10/31/25)
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  • Teleflex (Minneapolis, MN)
    Clinical Affairs Manager , Interventional Access (REMOTE) **Date:** Oct 11, 2025 **Location:** Minneapolis, MN, US **Company:** Teleflex **Expected Travel** : Up to ... on complex coronary and peripheral interventions, vascular access, bone access, specialty biologic treatments and cardiac assist. Our current Interventional products… more
    DirectEmployers Association (09/13/25)
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  • Teleflex (Chelmsford, MA)
    Sr. Human Resources Manager **Date:** Oct 17, 2025 **Location:** Chelmsford, MA, US **Company:** Teleflex **Expected Travel** : Up to 10% **Requisition ID** :12876 ... on complex coronary and peripheral interventions, vascular access, bone access, specialty biologic treatments and cardiac assist. Our current Interventional products… more
    DirectEmployers Association (10/18/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …- Reporting to a member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible for all nursing and nursing ... support functions within the practice, the Primary Care Nursing Manager will collaborate closely with other members of the management team. This role is full-time on… more
    DirectEmployers Association (09/26/25)
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  • Stanford Health Care (Palo Alto, CA)
    …team members serve on the front lines with opportunities to: - Treat local , national, and international patients. - Administer innovative treatment, such as total ... from prescribed treatment delivery and reports all deviations immediately to the Manager in addition to filing incident reports, if applicable. + Performs simple… more
    DirectEmployers Association (10/28/25)
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  • Alameda Health System (San Leandro, CA)
    …admit status based on identified criteria and ensures the patient is registered at the appropriate level of care. Utilizes McKesson Interqual(R) clinical guidelines; ... refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate...referrals and authorizations that adhere to federal, state and local insurance regulatory agencies and offer patient choice per… more
    DirectEmployers Association (10/15/25)
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  • Stanford Health Care (Palo Alto, CA)
    …records. Ensure compliance with Medicare, Medicaid, third-party guidelines, Local Coverage Determinations (LCD), National Coverage Determinations (NCD), clinical ... + Collaboration with Management: Identify and escalate denial patterns to the Manager of Government Audits and Appeals, providing detailed information for follow-up… more
    DirectEmployers Association (10/10/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Supervisor and is under the general supervision of the Primary Care Manager and Clinical Director. **Supervision Exercised:** + None **Essential Duties and ... Partnership in coordinating health plan activities. + Coordination of referrals, specialty visits, testing, social services, skilled services. + Communicate and… more
    DirectEmployers Association (09/25/25)
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