Coding & Compliance Manager, Surgery Lahey Hospital and Medical CenterCoding & Compliance Manager, SurgeryBoston, MA$92,955–$125,091 / yearMay perform additional job duties as time permits, such as: developing and presenting performance metric reports with a review of findings with Attending Physicians, Directors, Managers and Chiefs; service on committees; maintains relationship with third party billing companies to ensure continuous excellence in services; fosters relationships with affiliates related to coding and compliance. Monitors, proposes, and minimizes billing and coding operational inefficiencies by reviewing accuracy and production levels and communicating data analysis on audit trends, scrubber data, government audit requests, denials/appeals as well as developing and implementing corrective action plans for setting performance targets.
Patient Navigator - Nephrology Lowell General HospitalPatient Navigator - NephrologyBoston, MA$24.65–$30.82 / hourConducts telephonic patient outreach for patients discharged from the inpatient setting, emergency department and skilled nursing facility to ensure transitions of care including follow-up appointments, prescriptions are filled, homecare services are set-up and to encourage early symptom management with PCP and Urgent Care with a goal of preventing a readmission. Supports support multiple areas of the Clinical Care and Operations Team by creating and distributing multiple patient activity reports and other patient-based reports including databases for referrals, plan based level of care authorizations, and out of network activity including emergency and inpatient encounters.
Surgical Services APP (NP/PA) Lahey Hospital and Medical CenterSurgical Services APP (NP/PA)Winchester, MA$117,000–$191,000 / yearActual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. In this role, you'll direct inpatient care, collaborate with a tight-knit multidisciplinary team, and actively engage patients and their families to drive exceptional clinical outcomes.
Palliative Care APP (Full Time) South Shore Health Systems IncPalliative Care APP (Full Time)Weymouth, MA$130,600–$189,400 / yearResponsibilities if Required: Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Certified Nurse Practitioner - Board of Registration in Nursing (Massachusetts). The main foci are symptom management; assistance with decision-making and goals of care; collaboration with the interdisciplinary team to provide and facilitate emotional, spiritual, bereavement support, and coordination of care until death or discharge.
Registered Nurse Supervisor (Home Health Assessments) Activate CareRegistered Nurse Supervisor (Home Health Assessments)Boston, MAThe RN Supervisor leads a distributed team of RN Assessors who travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Conduct rigorous pre-submission audits of assessments (Uniform Core, Functional, and Comprehensive), coding, and SOAP notes to intercept errors before final submission to the health plan's review team.
Registered Nurse Supervisor ( Home Health Assessments) Activate CareRegistered Nurse Supervisor ( Home Health Assessments)Boston, MAThe RN Supervisor leads a distributed team of RN Assessors who travel to members' homes across Massachusetts to complete in-person health assessments for a managed care health plan's dually eligible members. Conduct rigorous pre-submission audits of assessments (Uniform Core, Functional, and Comprehensive), coding, and SOAP notes to intercept errors before final submission to the health plan's review team.
Outpatient Pulmonology APP - Lung Health Team Lahey Hospital and Medical CenterOutpatient Pulmonology APP - Lung Health TeamBeverly, MA$133,515.20–$181,563.20 / yearYou will use Natural Language Processing (NLP) screening of radiology reports to identify at-risk patients, drive structured workflows, and deliver guideline-aligned clinical care. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.
Director, Pharmacovigilance Beam Therapeutics IncDirector, PharmacovigilanceCambridge, MA$210,000–$260,000 / yearWork closely with the Medical/Safety Lead to support signal detection activities, which may include: preparing signal assessment, tracking, and validation documents; leading cross functional teams to assess safety signals; preparing action and communication plans to mitigate/manage product risks; responding to safety related regulatory requests; developing and maintaining product risk management plans. The Director of Pharmacovigilance will contribute to a full range of pharmacovigilance activities including but not limited to the oversight and management of safety reports and safety data, signal management activities, PV organization and process development, inspection readiness, PV vendor management, and operational support for Beam products throughout the lifecycle.
Navigator, Clinical Care Tufts MedicineNavigator, Clinical CareBoston, MA$24.65–$30.82 / hourConducts telephonic patient outreach for patients discharged from the inpatient setting, emergency department and skilled nursing facility to ensure transitions of care including follow-up appointments, prescriptions are filled, homecare services are set-up and to encourage early symptom management with PCP and Urgent Care with a goal of preventing a readmission. Supports support multiple areas of the Clinical Care and Operations Team by creating and distributing multiple patient activity reports and other patient-based reports including databases for referrals, plan based level of care authorizations, and out of network activity including emergency and inpatient encounters.
Interventional Pain Management Np/Pa - Lawrence, MA & Nashua, NH Tufts MedicineInterventional Pain Management Np/Pa - Lawrence, MA & Nashua, NHLawrence, MA$116,480–$145,600 / yearDiversity, Equity, Inclusion, and Social Responsibility: We truly believe our employees' diverse backgrounds, experiences, and perspectives are a powerful contributor to creative an inclusive environment where everyone can thrive and reach their maximum potential while adding value to both our organization and our clients. About the area: Living and working in the greater Merrimack Valley area affords residents the unique New England experience with the vibrancy and energy of world-class restaurants, extensive culture, and some of the oldest historic venues in the country.
Referral & Resource Specialist Elevance HealthReferral & Resource SpecialistBoston, Massachusetts$24.27–$41.60 / hourWe are looking for candidates to work on the new Massachusetts Behavioral Health Help Line with knowledge of behavioral health social services and insurance systems, and a deep understanding of the factors that impact a person’s experiences in the mental health system, including but not limited to, race, ethnicity, gender identity, sexual orientation, language proficiency, religion, disability status, socioeconomic status, criminogenic risk, and history of trauma. Requires a HS diploma or the equivalent and a minimum of 1 year of experience in behavioral health or a minimum of 6 months of direct crisis experience to include screenings and assessments to determine appropriate interventions; or any combination of education and experience which would provide an equivalent background.
NewPsychiatric Nurse Practitioner Career Land Center, LLCPsychiatric Nurse PractitionerBoston, MAThe Psychiatric Nurse Practitioner will work closely with therapists, social workers, case managers, and other clinical staff to ensure coordinated, culturally responsive care for individuals and families in the community. Job Description We are seeking a Psychiatric Nurse Practitioner to provide psychiatric evaluation, diagnosis, medication management, and ongoing treatment support for clients receiving behavioral health services.
Internist East Boston Neighborhood Health Center CorporationInternistBoston, WashingtonWhether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.
Nurse Practitioner/ Physician Assistant (Boston, MA) Ennoble CareNurse Practitioner/ Physician Assistant (Boston, MA)Boston, MAEnnoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust.
Neonatal Nurse Practitioner SolutionHealthNeonatal Nurse PractitionerManchester, New HampshireSubspecialty programs supporting the NICU include pediatric surgery, pediatric anesthesia, pulmonary, neurology, gastroenterology, ophthalmology, nephrology, developmental-behavioral pediatrics, as well as an active high-risk MFM service. We are the only hospital in New England verified as a Comprehensive Hospital by the American College of Surgeons Quality Verification Program, and just the second in the country, to earn this highest-level designation for surgical quality and safety.
NewCrisis & Referral Coordinator (US)-4 Elevance HealthCrisis & Referral Coordinator (US)-4Boston, Massachusetts$22.17–$26.11 / hourWe are looking for candidates to work on the new Massachusetts Behavioral Health Help Line with knowledge of behavioral health social services and insurance systems, and a deep understanding of the factors that impact a person’s experiences in the mental health system, including but not limited to, race, ethnicity, gender identity, sexual orientation, language proficiency, religion, disability status, socioeconomic status, criminogenic risk, and history of trauma. Resource & Referral Follow-up Coordinator will be responsible for for providing follow-up services for individuals who have contacted the helpline, ensuring that appropriate resources and assistance are provided and that individuals are able to access recommended behavioral health services initially provided.
Nurse Practitioner or Physician Assistant - Neonatology EMG SolutionHealthNurse Practitioner or Physician Assistant - Neonatology EMGManchester, New HampshireSubspecialty programs supporting the NICU include pediatric surgery, pediatric anesthesia, pulmonary, neurology, gastroenterology, ophthalmology, nephrology, developmental-behavioral pediatrics, as well as an active high-risk MFM service. We are the only hospital in New England verified as a Comprehensive Hospital by the American College of Surgeons Quality Verification Program, and just the second in the country, to earn this highest-level designation for surgical quality and safety.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Cambridge MA CVS Health CorpIn-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Cambridge MAMA$95,738–$206,206 / yearSignify Health, part of CVS Health, is seeking a Full-time Clinician (Nurse Practitioner or Physician Assistant) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care. You'll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people's front doors.
Nurse Practitioner - Wound Care SolutionHealthNurse Practitioner - Wound CareManchester, New HampshireYou will work closely and collaboratively with experienced nursing staff and physicians to identify patient and family needs, and will provide comprehensive assessment, treatment, and education to wound patients. Elliot Health System’s Center for Wound Care & Hyperbaric Medicine is seeking a Nurse Practitioner to join our team of Wound Care providers.
NewCrisis & Referral Coordinator (Us)-4 Elevance HealthCrisis & Referral Coordinator (Us)-4Manchester, NH$22.17–$26.11 / hourWe are looking for candidates to work on the new Massachusetts Behavioral Health Help Line with knowledge of behavioral health social services and insurance systems, and a deep understanding of the factors that impact a person's experiences in the mental health system, including but not limited to, race, ethnicity, gender identity, sexual orientation, language proficiency, religion, disability status, socioeconomic status, criminogenic risk, and history of trauma. Resource & Referral Follow-up Coordinator will be responsible for for providing follow-up services for individuals who have contacted the helpline, ensuring that appropriate resources and assistance are provided and that individuals are able to access recommended behavioral health services initially provided.