- 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
- Maxim Healthcare (Kingston, MA)
- …changes in patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all ... medical record and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required + Supports professional… 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
- 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
- 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
- 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
- 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
- Beth Israel Lahey Health (Plymouth, MA)
- …weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by ... identify the most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission,… 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
- Sedgwick (Providence, RI)
- …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! If you have at least** **1.5 years...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
- Beth Israel Lahey Health (Plymouth, MA)
- …the hospice pharmacist(s), other members of the IDG , hospice office staff, clinical supervisors and directors, other agencies and facilities as needed to coordinate ... and delivering patient and family care + Proactively informs Clinical Supervisor or Clinical Director of unusual...from an NLN accredited program preferred + Recent Hospice Case Management or related Home Health Experience required +… 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
- US Tech Solutions (Canton, MA)
- …/ Outpatient UM team and works under the general direction of the Precertification Team Manager or department Manager . The Clinical Reviewer is expected to ... a and unrestricted Massachusetts license required + Minimum of five years clinical experience in utilization management, case management or quality assurance… more
- Beth Israel Lahey Health (Plymouth, MA)
- …HRSA reporting requirements + Provide training and direct supervision to the Medical Case Manager and Counselor/Tester + Coordinate and implement weekly HIV team ... HRSA reporting requirements. **Job Description:** **Essential Duties and Responsibilities** : ** Clinical ** + Manage and monitor HIV primary care patients including… 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