• SolutionHealth (Nashua, NH)
    …health status and the patient/family/significant other's care capabilities to facilitate the discharge planning process. The case manager develops a ... insurance coverage.What You'll Do:Assesses and identifies patients' needs during the discharge planning processProvide resources and community referrals for… more
    Talent (10/10/25)
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  • Monte Nido (Waltham, MA)
    …programs utilizing Family Based Treatment (FBT) methods. + Provide clinical care and case management in a manner consistent with the philosophy and objectives ... and other regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning , utilization review, and discharge planning . + Conduct… more
    DirectEmployers Association (09/19/25)
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  • Case Management Discharge

    Beth Israel Lahey Health (Boston, MA)
    …active member of the care transitions team, working collaboratively with the Inpatient RN Case Managers. The Discharge Planning Assistant is responsible for ... the Care Transitions Department. Reporting to Care Transitions leadership, the Discharge Planning Assistant will provide direct administrative support to… more
    Beth Israel Lahey Health (10/08/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Boston, MA)
    …or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning , nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...address complex health and social indicators which impact care planning and resolution of member issues. + Assessments utilize… more
    CVS Health (10/15/25)
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  • Medical Director - Claims Management

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (10/16/25)
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  • Medical Director - Florida

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (10/03/25)
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  • Medical Director - Mid West Region

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (09/16/25)
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  • Medical Director-Payment Integrity

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other… more
    Humana (09/26/25)
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  • Case Management Clinical Leader

    Tufts Medicine (Lowell, MA)
    …7. Maintains working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local ... collaborates with health team members to coordinate and complete timely assessment, planning , implementation and evaluation of discharge plans and care… more
    Tufts Medicine (10/20/25)
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  • RN Case Manager - Case

    Tufts Medicine (Boston, MA)
    **RN Case Manager - Case Management , Per Diem** **Tufts Medical Center** is recognized by the **ANCC Magnet Recognition Program(R)** for excellence in ... eligible. 2. Basic Life Support (BLS) certification. 3. Three (3) years of Case Management experience. **Preferred Qualifications:** 1. Bachelor of Science in… more
    Tufts Medicine (10/20/25)
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  • Nurse Case Manager - per diem

    Beth Israel Lahey Health (Cambridge, MA)
    …The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH inpatient admissions. Inpatient Case Manager ... Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor. **Job Description:** **Primary Responsibilities** (including but not… more
    Beth Israel Lahey Health (08/13/25)
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  • Case Coordinator

    Beth Israel Lahey Health (Danvers, MA)
    …include individual and group counseling, risk assessment for TB & STDs, HIV education, case management , and after-care follow up services. The Case ... Coordinator Responsibilities Are:** + Provides direct counseling and case management services as needed. + Assists... services as needed. + Assists with admission and discharge procedures and planning . + Monitors community… more
    Beth Israel Lahey Health (08/12/25)
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  • Case Manager

    Vitra Health (Brookline, MA)
    …services. + Participate in multidisciplinary care plan creation and review and discharge planning . + Address concerns regarding environment and any changes ... required. + Fluency in both English and second language strongly preferred. + Case management , behavioral health, social services and/or community health worker… more
    Vitra Health (10/19/25)
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  • RN Case Manager Lead

    HCA Healthcare (Derry, NH)
    …compact state Registered Nurse license + Two or more years of clinical experience. + Case Management , Utilization & Managed Care experience and 1 or more years ... elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and...medical necessity, admission status, level of care, and resource management . + The RN Case Manager Team… more
    HCA Healthcare (10/18/25)
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  • Associate Chief Nursing Officer of Quality…

    Beth Israel Lahey Health (Beverly, MA)
    …Care Coordination (ACNO) provides administrative direction and leadership for: Transitions of Care/ Case Management , Utilization Review / Denials management , ... hospital stay is dependent upon effective and efficient Transition of Care and Discharge Planning . Establishing and executing Length of Stay (LOS) reduction,… more
    Beth Israel Lahey Health (10/08/25)
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  • Telephonic Nurse Case Manager Senior

    Elevance Health (Woburn, MA)
    …care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning . Performs duties telephonically. **How you will make an ... experience in acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care… more
    Elevance Health (10/18/25)
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  • Behavioral Health - Case Manager II

    Elevance Health (Woburn, MA)
    …or North Attleboro, MA to meet with Social Work teams and patients to discuss discharge planning . Must live in Massachusetts. The **Behavioral Health - Case ... Manager II** is responsible for performing case management telephonically and/or by home visits within the scope...of the United States required. + Previous experience in case management and telephonic and/or in person… more
    Elevance Health (10/17/25)
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  • Behavioral Health - Case Manager II

    Elevance Health (Woburn, MA)
    …or North Attleboro, MA to meet with Social Work teams and patients to discuss discharge planning . Must live in Massachusetts. The **Behavioral Health - Case ... Manager II** is responsible for performing case management telephonically and/or by home visits within the scope...of the United States required. + Previous experience in case management and telephonic and/or in person… more
    Elevance Health (10/14/25)
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  • Nurse Case Manager I

    Elevance Health (Woburn, MA)
    …the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning . **How you will make an impact:** + Ensures member ... **Nurse Case Manager I** **Location:** _Hybrid1:_ This role requires...Case Manager I** is responsible for performing care management within the scope of licensure for members with… more
    Elevance Health (10/16/25)
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  • Registered Nurse Case Manager

    Beth Israel Lahey Health (Exeter, NH)
    …SNF experience **Major Responsibilities** 1. Assesses or prescreens all patients for Case Management services. Referrals are received from physician orders, ... one weekend per month (may change), alternating holiday rotation The Nurse Case Manager/ Discharge Planner collaborates, facilitates and negotiates the delivery… more
    Beth Israel Lahey Health (09/27/25)
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