- 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
- 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 ... designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a...least one year experience in case management, discharge planning or nursing management, preferred. +… 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
- 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
- Travelers Insurance Company (West Bridgewater, MA)
- …others to meet current or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), ... you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base...assigned. **What Will Our Ideal Candidate Have?** + Disability case management experience preferred. + Prior clinical … 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
- Athena Health Care Systems (Warwick, RI)
- …facilitates the patient's efforts toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor and assumes ... We are hiring per diem Hospice Registered Nurse Case Managers (RN) to join the Athena Hospice of Rhode Island team! Prior experience in hospice care is required.… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- 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
- State of Massachusetts (Taunton, MA)
- …within the first 14 days.* * * Based on assignment as a Mental Health Case Manager or Forensic Transition Team Coordinator, within the Department of Mental ... must have at least four (4) years of full-time, or equivalent part-time, case management of clinical /therapeutic experience. Based on assignment, travel may be… more
- CVS Health (Providence, RI)
- …with heart, each and every day. **Requisition Job Description** The Pharmacy Program Manager position is a remote role requiring a HIPAA-compliant workspace and the ... requests pharmacist attendance for an onsite visit/assessment/audit. Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management… more
- Sumitomo Pharma (Providence, RI)
- …guidances, eg, EMA, MHRA, and PMDA regulatory frameworks. + Proficient in end-to-end case management of clinical trial and post-market ICSRs. + Experienced in ... highly motivated, and experienced individual for the position of **Associate Manager , Compliance, Training & Strategic Alliance (CTSA), PVRM** . The Associate… more
- Sharecare (Providence, RI)
- …+ Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Fujifilm (Providence, RI)
- …for the Fujifilm Healthcare Americas Corporation IT portfolio. The Global Product Manager (GPM) is responsible for developing product plans, acting as a Product ... meet the plan's objectives. The GPM reports to the Manager , Product Planning and is able to fill in...Requirements Definition (PRD), as appropriate. + User Story, Use Case Scenarios and Use Case support documentation.… more
- Highmark Health (Providence, RI)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Evolent (Providence, RI)
- …**Job Summary** We are seeking a highly motivated **AI/Data Science Product Manager ** to lead and manage AI initiatives across our organization. This individual ... and executing AI-driven opportunities while working cross-functionally with data science, clinical , operational, and technical teams. The ideal candidate will have a… more
- Datavant (Providence, RI)
- …Sciences, Ecosystem and Public Sector customers to evaluate, connect, and protect clinical and traditional sources of de-identified real world data (eg, claims). ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- Envista Holdings Corporation (Providence, RI)
- **Job Description:** **Summary:** Reporting to the General Manager of Kerr Restoratives and Endodontics, The **Senior Manager , Professional Education** is ... can. Our comprehensive product portfolio covers an estimated 90% of dentists' clinical needs for diagnosing, treating, and preventing dental conditions as well as… more
- Sanofi Group (Providence, RI)
- **Job Title:** Field Reimbursement Manager , Hemophilia, NORTHEAST **Location** : Remote, Field, Territory: Northeast - Northern NJ, Metro NY, Connecticut, ... required Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals, detailed Clinical Documentation, and Peer to Peer reviews. Educating the HCPs on… more
- CVS Health (Providence, RI)
- …opportunities with key internal business stakeholders + Build the business case to support high conviction partnerships - including financials, consumer experience ... key internal business stakeholders incl UX/design teams, digital/tech delivery teams, clinical teams, legal, analytics/reporting, et al to progress partnership from… more