HR Reinvention Consulting Manager, Insurance Accenture PlcHR Reinvention Consulting Manager, InsuranceHartford, CTAccenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships. Design new HR operating models and service delivery frameworks for clients, infusing leading practices from areas such as employee experience, digital HR, shared services, and outsourcing.
SAP Manufacturing Workstream Manager - Automotive / Industrial Accenture PlcSAP Manufacturing Workstream Manager - Automotive / IndustrialHartford, CTThe Automotive industry is going through remarkable levels of transformation as they are developing new business models to support a transition to electric and autonomous vehicles, flexible supply chains to address volatile demand and supply, and transforming internal operations for efficiencies. The Work: Team with clients on their SAP functional transformation programs through your combined SAP application and functional process expertise which includes your ability to: Engage with client executives on the business challenges/trends and the potential value of SAP solutions (current & future).
Hybrid BH (Licsw Or Lmhc) Clinical Care Manager - Plymouth CareSourceHybrid BH (Licsw Or Lmhc) Clinical Care Manager - PlymouthSpringfield, MA$80,000–$120,000 / yearJob Summary: The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with complex medical, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Clinical Program Manager CHD CareersClinical Program ManagerSpringfield, MassachusettsAs the Clinical Program Manager for our DPH/BSAS-funded Low Threshold Housing Program (LTH), you will establish and oversee a residential housing model founded on the principles of housing first, harm-reduction, and trauma-informed care. · Crisis & Risk Management: Direct risk management efforts, participate in on-call elevation protocols, and respond immediately to medical, mental health, or substance use crises to maintain a safe, therapeutic atmosphere.
Hybrid RN Care Manager - Western, MA - $5K Sign ON Bonus! CareSourceHybrid RN Care Manager - Western, MA - $5K Sign ON Bonus!Springfield, MA$80,000–$120,000 / yearJob Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid RN Care Manager - Western, MA - $5K SIGN ON BONUS! CareSourceHybrid RN Care Manager - Western, MA - $5K SIGN ON BONUS!Westfield, MA$80,000–$120,000 / yearJob Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid RN Clinical Care Manager - Springfield - 5K Sign On Bonus CareSourceHybrid RN Clinical Care Manager - Springfield - 5K Sign On BonusSpringfield, MA$80,000–$120,000 / yearJob Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource\Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Pediatric Care Manager Well Sense Health Plan IncPediatric Care ManagerSpringfield, MA$74,000–$107,000 / yearThe Pediatric Clinical Care Manager works collaboratively with a multidisciplinary team, including internal staff, pediatric providers, clinical vendor partners (behavioral health, pharmacy, etc.), schools, early intervention programs, and community and state agencies, to enhance member and caregiver engagement, promote treatment adherence, and address holistic needs from a medical, developmental, psychosocial, and socioeconomic perspective. This includes supporting access to benefits, school-based services, family support systems, and community resources, with the goal of promoting appropriate utilization of services, preventing avoidable emergency department visits and inpatient admissions related to conditions such as asthma, reducing readmissions, and encouraging adherence to outpatient, preventive, developmental, and specialty care.
Practice Leader, Head of Major Case & Excess Casualty Claims, Americas AXA SAPractice Leader, Head of Major Case & Excess Casualty Claims, AmericasHartford, CTCoordinating across Claim business units globally in partnership with Global Casualty Practice and Claims Litigation to drive direction and consistency relating to Large Loss management, as well as the timely and accurate reporting of Large Loss matters (internally and externally), especially those identified as posing aggregated risks. Monitoring our portfolio of Large Losses and potential exposures to ensure that key processes (including coverage analysis, reserving, negotiation, and resolution) are effectively undertaken to achieve the best possible outcome, along with active participation in the analysis of data and analytics designed to measure and evaluate such key processes.
NewCase Administrator Sun Life Financial IncCase AdministratorHartford, CT$38,600–$52,100 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Case Administrator Sun LifeCase AdministratorHartford, ConnecticutThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Mgr, Review Services Aflac IncMgr, Review ServicesWindsor, CT$100,000–$125,000 / yearSupports implementation of new accounts and account initiatives to drive outcomes; reviews assigned customer cases, prioritizes workload, and interprets established policies, applying discretion in order to resolve customer issues; provide status updates on co-management volumes to ensure caseloads are within best practice limits; resolves workflow or addresses technical problems by generating policies, procedures, and referring to IT specifications to ensure accuracy and operational consistency. Models' behaviors that demonstrate commitment to corporate values; completes the performance management cycle with staff, including providing coaching and feedback for improved performance; builds positive team environment; ensures all staff have and are implementing personal development plans; performs time keeping/PTO management for the team.
Case Worker / PHP Adult Hartford HealthCare CorpCase Worker / PHP AdultHartford, CTThe case manager will be directly involved with assisting patients locate resources in the community and on campus, apply for additional benefits, access local transportation services to facilitate program adherence and complete paperwork for leave status. As a Hartford HealthCare entity, The Hartford Hospital Institute of Living provides eligible employees with an extensive benefits package and all the benefits of working in a thriving centrally located urban community: Medical and dental benefits.
Home Care RN Clinical Manager UnitedHealth Group IncHome Care RN Clinical ManagerRocky Hill, CT$59,664–$89,496 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
RN Case Coordinator Hartford HealthCare CorpRN Case CoordinatorHartford, CTAs a Case Coordinator at Hartford Hospital, assigned to a select inpatient population, you will assess patients for appropriate level of care; coordinate their care and services across the care continuum; identify risk factors; facilitate involvement of support services; perform utilization management functions; develop and implement transition planning activities; utilize and document aspects of care in our case management specific computer applications; and collaborate with other health care team members on process and quality improvement initiatives. Three years acute-care, and diversified clinical nursing experience, including medical/surgical nursing is required; case management, home care, and/or managed care experience strongly considered.
NewProbation Case Administrator I - Palmer District Court MTCProbation Case Administrator I - Palmer District CourtPalmer, MassachusettsPosition Summary: Performs entry-level probation case data entry processes, runs data queries in Court Activity Record Information (CARI) system, compiles daily trial list, and provides administrative assistance within assigned office. • Requests information from other agencies, departments, and or courts; • Determines identity issues with records and requests mergers or correction of probation records; • Maintains statistical data concerning case processing activities.
Denials Coordinator-Case Management RIVER VALLEY COUNSELING CENTER INCDenials Coordinator-Case ManagementHolyoke, MAUnder the direct supervision of the Manager of Case Management, the Denials Coordinator is responsible for monitoring denials, appeals and resolution from participating insurance carriers. Note: The compensation range noted above represents the base salaries for all positions at a given grade acrossthe health system.
NewProbation Case Administrator I - Palmer District Court Massachusetts Trial CourtProbation Case Administrator I - Palmer District CourtPalmer, MassachusettsPosition Summary: Performs entry-level probation case data entry processes, runs data queries in Court Activity Record Information (CARI) system, compiles daily trial list, and provides administrative assistance within assigned office. • Requests information from other agencies, departments, and or courts; • Determines identity issues with records and requests mergers or correction of probation records; • Maintains statistical data concerning case processing activities.
*** Business Development Manager *** Caring Senior Service*** Business Development Manager ***Hartford, CT$48,000–$53,000 / yearWe are seeking a motivated, relationship-dris role is ideal for someone who thrives on building partnerships, generating new business opportunities, and making a meaningful impact iiven professional to lead referral development, community outreach, and strategic growth initiatives throughout Essex County and surrounding areas. If you are passionate about relationship-building, healthcare outreach, and helping seniors receive exceptional care at home, apply today and join Caring Senior Service in delivering GreatCare to the families we serve.
Case Worker | Level-Up Gandara CenterCase Worker | Level-UpHolyoke, MassachusettsSensitivity to, and respect for, the diverse world views and different communication styles of individuals of diverse ethnic, linguistic and/or cultures which nurture and shape an organization that celebrates and promotes diversity in its workforce. Highly effective and well-honed verbal and written communication and presentation skills in English; interpersonal skills necessary to persuade and guide both peers and other Agency staff regarding operational matters.