NewClinical 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.
Senior Manager, Clinical Study Quality Lead (Hybrid) Vertex Pharmaceuticals IncSenior Manager, Clinical Study Quality Lead (Hybrid)Boston, MARemote$137,800–$206,800 / yearGeneral Summary: The Senior Manager, Clinical Study Quality Lead provides study-level quality oversight for assigned clinical trials to help ensure they are conducted in compliance with Good Clinical Practice (GCP), applicable global regulations, study protocols, and Vertex procedures. This is an individual contributor role focused on GCP quality assurance oversight for clinical trials, including risk-based audit strategy, quality risk identification, issue escalation, CAPA support, compliance trend analysis, and inspection readiness.
NewSenior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantRIRemote$78,400–$107,800 / yearWork at Home Requirements 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. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
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, MassachusettsRemoteJobSummary: 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.
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.
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.
Clinical & Translational Research Innovation Analyst III - Remote or Hybrid Lowell General HospitalClinical & Translational Research Innovation Analyst III - Remote or HybridBoston, MARemote$84,300.22–$107,481.20 / yearIn addition, this role focuses on performing the following Software Product Development duties: Designs, tests, and develops software products (end user applications, systems software, mobile/web applications, database products, etc.); Conducts requirements analysis and high-level design/modeling to convert external customer needs into software solutions; designs and specifies the overall software structure, core elements, and properties by analyzing the software requirements, constraints, interfaces, and dependencies. Examples of day to day tasks include: extract and manage data from institutional data warehouses; develop, maintain and document high quality reusable queries, and pipelines; translate complex research questions into structured data requests and analytic workflows; collaborate with CTSI informatics, and research teams to support grant-funded and investigator-initiated studies; contribute to data governance and quality assurance processes that ensure regulatory compliance; and facilitate process improvement initiatives.
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 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 doingProvides 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 Outpatient Registered Nurse # 26-10731 US Tech Solutions, Inc.Clinical Reviewer Outpatient Registered Nurse # 26-10731Canton, MARemote$50–$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.
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.
Manager, Care Management, RN CareforthManager, Care Management, RNBoston, MassachusettsRemote$89,160–$115,000 / yearFull timeWhat You Will Bring: Bachelor’s degree or equivalent work experience preferably in a health care or social services discipline is required along with 7+ years of case management experience in healthcare and social services, preferably with experience in eldercare, and/or people with disabilities or other complex medical needs . This person is responsible for directing care management operations and leading a team to deliver services that engage, motivate, and educate family caregivers to support complex individuals, keeping care at home.
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.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorProvidence, Rhode IslandRemote$72,000–$80,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
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.
Manager, Product Quality Clinician - Medical Device / Complaint Handling & Cardiovascular RN Edwards Lifesciences CorpManager, Product Quality Clinician - Medical Device / Complaint Handling & Cardiovascular RNMARemote$126,000–$178,000 / yearAs a Manager, Product Quality Clinician, you will be a member of Complaint Handling and Post Market Surveillance/Risk Management team to provide clinical guidance/clinical expert knowledge to Quality, Engineering and other cross functional teams to understand the nature of complaints and possible health risks. How you will make an impact: Provides medical/clinical guidance to complaint investigators and engineers related to event interpretation, event investigation, proper coding, required regulatory reporting (Medical Device Reports, Medical Device Vigilance, etc.), and complaint closure.
Utilization Management Nurse Consultant (Weekend) CVS Health CorpUtilization Management Nurse Consultant (Weekend)RIRemote$29.10–$62.32 / hourEducation: Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience. Position Summary: Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorBoston, MARemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.