- Highmark Health (Boston, MA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Tufts Medicine (Lowell, MA)
- …for care coordination and medical co-management for patient enrolled in the Complex Care Program. Serves as the accountable nursing leader in the development ... of the complex care program. Together with the team of clinical...sets nursing care priorities for patient care within the complex care program. + Demonstrates commitment and expertise in… more
- Boston Public Schools (Boston, MA)
- …of attention to detail and creative problem solving skills. POSITION OVERVIEW: The MTEL Case Manager works in the Office of Human Resources and meets regularly ... to facilitate the acquisition of initial licensure. The MTEL Case Manager will track educator progress in...school system to enjoy continuous improvement in an increasingly complex and competitive environment. + A deeply held and… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management Team, providing ... case management throughout the continuum of care. The case manager will offer guidance. support, and...and evaluate the medical services required to meet the complex health needs of TRICARE beneficiaries, to maximize each… more
- Children's Hospital Boston (Boston, MA)
- …nursing experience required; pediatrics preferred. + Experience as a nurse Case Manager (Discharge Planning) preferred. Licensure/ Certifications: + Current ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...Registered Nurse (RN) + A certification as a Certified Case Manager is preferred, if not willingness… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
- Children's Hospital Boston (Boston, MA)
- 80501BRJob Posting Title:Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care OperationsAutoReqId:80501BRStatus:Part-TimeStandard ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
- CVS Health (Boston, MA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Boston, MA)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **In order to be considered for this Field Case ... of Boston.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- CVS Health (Boston, MA)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.… more
- Tufts Medicine (Melrose, MA)
- …reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving skills, ... close to home with a community hospital. **Job Overview** The RN Case Manager manages a designated caseload to coordinate and complete timely assessment,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- CVS Health (Boston, MA)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.… more
- Cardinal Health (Boston, MA)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **_Qualifications_** + Previous customer service experience + High School… more
- Cardinal Health (Boston, MA)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place… more
- Tufts Medicine (Melrose, MA)
- …reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving skills, ... to work close to home with a community hospital. **Position Summary:** The Case Manager is responsible and accountable for the management of care for an assigned… more
- Travelers Insurance Company (Boston, MA)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... clinical care management team the Registered Nurse (RN) Care Manager (CM) will have the opportunity to make a...for working with Prevention & Screening team in managing case load of all patients receiving treatment for PrEP… more