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JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality ca...

Why This Role is Important to Us
Commonwealth Care Alliance’s (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA’s benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-t...

Why This Role is Important to Us
Commonwealth Care Alliance’s (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA’s benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-t...

Working at Freudenberg: We will wow your world!
Responsibilities:
* Identify and pursue new business opportunities, leveraging your existing network of customer relationships.
* Develop and implement strategic sales plans to achieve company goals and objectives.
* Proactively promote Vileda Professional systems to address specific application opportunities.
* Manage and grow you...

Working at Freudenberg: We will wow your world!
Responsibilities:
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Identify and pursue new business opportunities, leveraging your existing network of customer relationships.
*
Develop and implement strategic sales plans to achieve company goals and objectives.
*
Proactively promote Vileda Professional systems to address specific application opportunities.
*
Manage and g...

POSITION SUMMARY :
Works in concert with Boston Medical Center (BMC) clinical, operations, and supply chain leadership to investigate medical product, services, and equipment utilization opportunities throughout the BMC network. Recommends and implements strategic direction of expense management program that enables high quality care and innovation at low cost. Leverages Supply Chain/Finance ...

We Impact Lives Through Purpose-Driven Work in A People First Culture
Ascend Learning is the connection between a powerful portfolio of brands serving students, educators, and employers with outcomes-based, data driven solutions across the lifecycle of learning.
Our values-driven culture unifies our teams and inspires a mindset of action, innovation, and collaboration, with a relentless focus...

We Impact Lives Through Purpose-Driven Work in A People First Culture
Ascend Learning is the connection between a powerful portfolio of brands serving students, educators, and employers with outcomes-based, data driven solutions across the lifecycle of learning.
Our values-driven culture unifies our teams and inspires a mindset of action, innovation, and collaboration, with a relentless focus...

The Director of PMHNP Clinical Education is a 12-month full-time faculty contract position employed by the University reporting to the Director of Advanced Practice - PMHNP Program. The Clinical Director will be prepared as a Psychiatric Mental Health Nurse Practitioner. This role requires both teaching and administrative responsibilities.
The Clinical Director holds an administrative appoi...

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About Us
North Shore Physicians Group (NSPG), the largest multi-specialty physicians group north of Boston, is a leader in innovative practices. We are explorers at heart! Here, ideas come from everyone—to the benefit of everyone we serve.
We continually seek the best ways to streamline care for both patients and providers. Our medical team of more than 400 physicians, nurse practitioner...

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About Us
North Shore Physicians Group (NSPG), the largest multi-specialty physicians group north of Boston, is a leader in innovative practices. We are explorers at heart! Here, ideas come from everyone—to the benefit of everyone we serve.
We continually seek the best ways to streamline care for both patients and providers. Our medical team of more than 400 physicians, nurse practitioner...

We believe there is a smarter, more data-driven way to make decisions in health. As we pass 1,200,000 genomic profiles analyzed and look to the future of our platform, we are now searching for a Clinical Research Associate who will help in transitioning our platform to the next level.
Our mission is to bring data analytics solutions to market, to support healthcare professionals by maximising...

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Directed by Dr. Gene Bukhman, the Center for Integration Science in Global Health Equity develops, implements, and evaluates integrated care delivery models to address severe, chronic noncommunicable diseases in highly constrained health systems. The most prominent of those models is PEN-Plus, a proven integrated healthcare delivery strategy for delivering complex care to people living wit...

Overview
Psychologist (HIV Program) Flexible Schedule, Partially RemoteDartmouth-Hitchcock Medical Center - Lebanon, NH
Dartmouth-Hitchcock's Department of Psychiatry seeks to hire a psychologist to lead the behavioral health team in our HIV Program within the section of Infectious Disease. The HIV Program at Dartmouth Health is dedicated to providing compassionate, comprehensive, and trauma-...

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Directed by Dr. Gene Bukhman, the Center for Integration Science in Global Health Equity develops, implements, and evaluates integrated care delivery models to address severe, chronic noncommunicable diseases in highly constrained health systems. The most prominent of those models is PEN-Plus, a proven integrated healthcare delivery strategy for delivering complex care to people living wit...

* Candidates must reside in the Boston, MA area.
Purpose and Scope
Under limited supervision, the Account Manager- Ped Endo (Boston, MA) is responsible for achieving sales objectives in assigned territory through the development, maintenance, and enhancement of the business. These customers include Pediatric Endocrinologists, nurses, pharmacists, pharmacy and therapeutics groups, teaching ins...

Position Overview:
The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ...