- Brown University (Providence, RI)
- Job Description: The Clinical Case Manager will oversee the comprehensive care of students with various health needs, ongoing health conditions, and mental ... providing support in maneuvering through the complexities of the healthcare system. The Clinical Case Manager will serve as a crucial link, ensuring seamless… more
- CVS Health (Providence, RI)
- …of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... late day until 7pm your local time.** **No holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- CVS Health (Providence, RI)
- …standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical ... outcomes. **What you will do** + Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's… more
- Prime Healthcare (Woonsocket, RI)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211012/ case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark Medical Center LocationUS-RI-Woonsocket ID2025-211012… more
- Vitra Health (Braintree, MA)
- …support, a customized care plan, community resources, and caring teams of nurses and case managers. The Clinical Manager will oversee the growth, development ... success. That is why we are looking for a Clinical Manager to join our team. If...as well as Semi/Annual compliance. + Manages field staff ( Case Managers and Nurses) and coaches them towards ownership… more
- Beth Israel Lahey Health (Boston, MA)
- …in order to secure post-acute transition services + Provides direct support to the RN Case Manager in the clinical units + Verifies patient demographics, ... discharge planning process. This position will spend time on clinical units and directly interact with patients and their...vendors, rehabilitation facilities, etc. + Collaborates with the RN Case Manager to facilitate timely discharge to… more
- Fallon Health (Milford, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric Support Service Coordinator,… more
- Public Consulting Group (Providence, RI)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... Medical Fund on behalf of a state agency. The Case Manager will be charged with helping...informed decisions by acting as their advocate regarding their clinical status and treatment options * Develops effective working… more
- Children's Hospital Boston (Boston, MA)
- …nursing experience required; pediatrics preferred. + Experience as a nurse Case Manager (Discharge Planning) preferred. Licensure/ Certifications: + Current ... Case Managers at Boston Children's function as the clinical professionals who coordinate the transition from hospital to...Registered Nurse (RN) + A certification as a Certified Case Manager is preferred, if not willingness… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on… more
- Highmark Health (Providence, RI)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Adecco US, Inc. (Cumberland, RI)
- **Remote Opportunity: Nurse Case Manager II (RN - EST...residing outside FL. In this role, you will use clinical judgment and case management tools to ... Compact)** **About the Role:** We're hiring an experienced **Nurse Case Manager II** to join our remote...Advocate for appropriate services and interventions in line with clinical and benefit guidelines + Collaborate with healthcare providers,… more
- Public Consulting Group (Providence, RI)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Charter Care Health Partners (North Providence, RI)
- …Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective services. Makes daily rounds and ... of the Nurse Licensure Compact. Five (5) years of clinical experience that includes recent experience with case...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... years nursing experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.… more
- CVS Health (Providence, RI)
- …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 (Providence, RI)
- …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
- Elevance Health (Boston, MA)
- **JR155004 Case Consult Manager Therapy Services** **CareBridge Health** is a proud member of the Elevance Health family of companies, within our Carelon ... work-life integration, and ensures essential face-to-face onboarding and skill development. The Case Consult Manager Therapy Services is responsible for managing… more
- Children's Hospital Boston (Boston, MA)
- 80501BRJob Posting Title:Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care OperationsAutoReqId:80501BRStatus:Part-TimeStandard ... experience required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.… more
- Brockton Hospital (Brockton, MA)
- …Uses accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison between ... and health of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for assuring… more