Clinical Assessor, Registered Nurse - (Hybrid Remote - Worcester, MA) Maximus IncClinical Assessor, Registered Nurse - (Hybrid Remote - Worcester, MA)Worcester, MARemoteIn this field-based role, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings, evaluate medical, functional, behavioral health, and social needs, develop person-centered service plans, and collaborate with healthcare providers and community partners to coordinate care. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
NewClinical Assessor, Registered Nurse - (Hybrid Remote -Fall River, MA) Maximus IncClinical Assessor, Registered Nurse - (Hybrid Remote -Fall River, MA)Fall River, MARemoteIn this field-based role, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings, evaluate medical, functional, behavioral health, and social needs, develop person-centered service plans, and collaborate with healthcare providers and community partners to coordinate care. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
NewClinical Assessor, Registered Nurse - (Hybrid Remote -New Bedford, MA) Maximus IncClinical Assessor, Registered Nurse - (Hybrid Remote -New Bedford, MA)New Bedford, MARemoteIn this field-based role, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings, evaluate medical, functional, behavioral health, and social needs, develop person-centered service plans, and collaborate with healthcare providers and community partners to coordinate care. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
NewClinical Assessor, Registered Nurse - (Hybrid Remote -Brockton, MA) Maximus IncClinical Assessor, Registered Nurse - (Hybrid Remote -Brockton, MA)Brockton, MARemoteIn this field-based role, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings, evaluate medical, functional, behavioral health, and social needs, develop person-centered service plans, and collaborate with healthcare providers and community partners to coordinate care. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Customer Care L3 - Medical Imaging - Hybrid PaxeraHealthCustomer Care L3 - Medical Imaging - HybridNewton, MARemoteFull timeTheir unique mix of skills and qualifications matches our customers’ needs, to ensure the delivery of great, purpose-built, customized software applications for healthcare providers – now and for the future. Our entire team shares a passion for exploring new ideas, overcoming challenges as well as designing, creating, and delivering market-leading health IT solutions and services.
Bilingual Psychotherapist II - (Hybrid Remote/Onsite) Edward M. Kennedy Community Health CenterBilingual Psychotherapist II - (Hybrid Remote/Onsite)Milford, MassachusettsRemoteJob Summary : Provide outpatient mental/behavioral health psychotherapy to patients of the Health Center, including the health center's Office Based Addiction Treatment and SUD patients. Participate in coordinating care for individual patients, support patients and families in self-management, through evidenced-based approaches as part of the team-based approach to care.
NewAuto & General Liability Litigation Attorney (Hybrid/Remote) Hanover Insurance GroupAuto & General Liability Litigation Attorney (Hybrid/Remote)Worcester, MARemoteThe position offers benefits including competitive salary, onsite medical services, and career development opportunities, with the option to work remotely or hybrid from Plymouth or Worcester, Massachusetts.#J-18808-Ljbffr. Hanover Insurance Group, Inc. is seeking a litigation attorney to handle the defense of automobile and personal injury cases in a supportive team environment.
Faculty - Director of Clinical Education - Hybrid Doctor of Physical Therapy Program Massachusetts College of Pharmacy and Health SciencesFaculty - Director of Clinical Education - Hybrid Doctor of Physical Therapy ProgramBoston, MARemoteThe Director of Clinical Education serves as the primary liaison between the program and clinical education partners and is responsible for the development, implementation, assessment, and continuous improvement of the clinical education program. The position requires expertise in physical therapist practice, clinical education, student mentoring, and management of clinical education processes within a hybrid learning environment.
Bilingual Psychotherapist II - (Hybrid Remote/Onsite) Edward M Kennedy Community Health Center IncBilingual Psychotherapist II - (Hybrid Remote/Onsite)Milford, MARemote$65,000–$80,000 / yearJob Summary: Provide outpatient mental/behavioral health psychotherapy to patients of the Health Center, including the health centers Office Based Addiction Treatment and SUD patients. Participate in coordinating care for individual patients, support patients and families in self-management, through evidenced-based approaches as part of the team-based approach to care.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseRIRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Clinical Reviewer Outpatient Registered Nurse # 26-10731 US Tech Solutions, Inc.Clinical Reviewer Outpatient Registered Nurse # 26-10731Canton, MARemote$50 / hourKey Responsibilities/Duties – what you will be doing: Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines or Medical Necessity Guidelines for clinically complex services / coverage requests in a consistent manner and within established, product specific time frames. Interfaces between Precertification staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage decisions timely within all accrediting and regulatory guidelines.
Clinical Reviewer Utilization Management Registered Nurse # 26-07418 US Tech Solutions, Inc.Clinical Reviewer Utilization Management Registered Nurse # 26-07418Canton, MARemote$60–$61 / hourKey Responsibilities/Duties – what you will be doing Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines or Medical Necessity Guidelines for clinically complex services / coverage requests in a consistent manner and within established, product specific time frames. Interfaces between Precertification staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage decisions timely within all accrediting and regulatory guidelines.
Registered Nurse, Radiology - 36hrs Boston Children's HospitalRegistered Nurse, Radiology - 36hrsBoston, MARemote$76,003.20–$163,678.32 / yearPotential to rotating through the assessment role of chart review, patient phone assessment and patient care coordination prior to anxiolysis and anesthesia for a variety of Radiology imaging studies. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team.
Assistant/Associate Professor of Practice & Clinical Simulation Learning Specialist Simmons UniversityAssistant/Associate Professor of Practice & Clinical Simulation Learning SpecialistBoston, MARemote$85,196–$116,716 / yearInterested candidates should submit the following electronically with their application: (1) a letter of application addressing teaching experiences, (2) teaching philosophy, course or content interests, and clinical/professional interests and expertise; and (3) curriculum vitae. Simmons is committed to creating, developing, promoting, and enhancing inclusive hiring practices-at all levels, for all positions-ensuring diverse talent pools and the delivery of a consistent positive candidate experience.
Clinical Guide: Cardiology Nurse Devoted Health ServicesClinical Guide: Cardiology NurseMassachusettsRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Collaborating with an interdisciplinary team of registered nurses, advanced practice nurses, physicians, social workers, and pharmacists on shared members, to ensure we’re working together to meet the needs of the members.
Bilingual (Spanish) Advanced Practice Provider (NP or PA): Cardiology Devoted Health ServicesBilingual (Spanish) Advanced Practice Provider (NP or PA): CardiologyMassachusettsRemoteAs part of the clinic you will also provide dedicated clinical services during part of your clinical time to our heart failure clinic which is a highly tailored, specialty center focused on providing best in class heart failure management including optimizing guideline directed medical therapy, providing health coaching, and managing volume overload. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerRIRemoteWe're seeking board certified Nurse Practitioners licensed in Rhode Island (multi licensed strongly preferred) with broad clinical expertise and a passion for improving healthcare access and quality. In this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams.
RN Clinical Documentation Integrity - Putnam, CT Ensemble Health PartnersRN Clinical Documentation Integrity - Putnam, CTCTRemoteEducates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.