17 jobs match your criteria
Network Health - Medford, MA
Responsible for managing Network Health's Quality Management Program in a manner that is effective at improving that quality of services provided to members and provider partners, and promoting the values...
www.network-health.org
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October 6 -
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Network Health - Medford, MA
As part of the marketing and communications team, the editor/communications coordinator will be primarily responsible for providing editorial services to the department and the organization, and for ensuring...
www.network-health.org
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October 6 -
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Associate Medical Director of Medical Management (Part-Time)
Network Health - Medford, MA
Reporting to the Chief Medical Officer, plays a supportive role in the Clinical Affairs of Network Health so that the highest quality of care is administered throughout the entire provider network. Play...
www.network-health.org
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October 6 -
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Behavioral Health Case Manager - Outpatient (Grade 16)
Network Health - Medford, MA
To provide behavioral health case management and utilization review in order to ensure timely and appropriate level of care of the membership while in BH acute care, diversionary, or ambulatory levels...
www.network-health.org
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October 6 -
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Junior Programmer/Analyst (Grade 16)
Network Health - Medford, MA
Assists in the development and maintenance of regulatory and management reports in Crystal/Business Objects. Works closely with other report programmers, and ensures that all reports needed for regulatory...
www.network-health.org
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October 6 -
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Associate Medical Director of Behavioral Health (Part-Time)
Network Health - Medford, MA
Working with the director of behavioral health and medical director for the behavioral health department, play a leadership role in behavioral health including clinical quality in the provider network,...
www.network-health.org
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October 6 -
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Network Health - Medford, MA
The Social Work Case Manager will conduct clinical assessments for Network Health members and/or their family through face to face and/or telephonic outreach. This masters prepared clinician will, when...
www.network-health.org
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October 5 -
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Network Health - Medford, MA
Develops, implements and maintains regulatory and management reports in Crystal/Business Objects. Works closely with other report programmers, and ensures that all reports needed for regulatory compliance...
www.network-health.org
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September 13 -
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Application Business Analyst (Grade 18)
Network Health - Medford, MA
Provide technical application support at all levels for assigned managed care applications and databases. Formulate and define system scope and objectives for assigned projects by preparing detailed specifications...
www.network-health.org
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September 6 -
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Quality Specialist (HEDIS) (Grade 16)
Network Health - Medford, MA
Responsible for supporting Network Health's Quality Program activities in a manner that is effective at improving the quality of services provided to members and provider partners, improving the internal...
www.network-health.org
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August 31 -
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Behavioral Health Case Manager, Acute Care (Grade 16)
Network Health - Medford, MA
Provide behavioral health (BH) case management and utilization review in order to ensure timely and appropriate level of care of the membership while in BH acute care, diversionary, or ambulatory levels...
www.network-health.org
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August 23 -
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Network Health - Medford, MA
The Auditor for the Claims Department is responsible for reporting findings on claim payment audits to the Manager of Training and Quality Assurance. This individual tracks trends and identifies training...
www.network-health.org
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August 23 -
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Utilization Review Nurse (Grade 17) 2 Positions
Network Health - Medford, MA
Ensures that the Network Health member population receives timely concurrent reviews and interventions as established by Network Health's medical management department. Ensures efficient operation for...
www.network-health.org
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August 15 -
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BH Case Manager - Intensive Clinical Management
Network Health - Medford, MA
Intensive clinical management (ICM) is offered to members who are at the highest risk for recurrent behavioral health hospitalizations. This clinical position focuses on providing proactive individualized...
www.network-health.org
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August 15 -
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Health Care Community Partners Representative (Grade 15)
Network Health - Massachusetts
The representative for community partners has primary responsibility for establishing and building relationships with individuals and community and health organizations across Massachusetts and to directly...
www.network-health.org
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August 14 -
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Behavioral Health Utilization Reviewer, Clinical Access Line
Network Health - Medford, MA
A full-time clinical position focused on the clinical access line for behavioral health. Conduct behavioral health utilization review in order to ensure timely and appropriate level of care of the membership...
www.network-health.org
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June 28 -
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Network Health - Medford, MA
The case manager will ensure that Network Health members receive timely case management/population/disease management interventions as established by the clinical affairs team. The position will be responsible...
www.network-health.org
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June 9 -
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