- Molina Healthcare (Quincy, MA)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Highmark Health (Boston, MA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Boston, MA)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… more
- CenterWell (Boston, MA)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... Registered Nurse or Physical Therapist. + 5 years of professional experience in Home Care , 2 years of which are in an administrative, supervisory, quality… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …clinical support and direct patient care for a small panel of patients. The Nurse Care Manager (NCM) and the Care Coordinator will collaborate ... equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in... Manager is a perfect opportunity for a Registered Nurse seeking to grow administrative and… more
- Highmark Health (Boston, MA)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Bear Mountain Health Care (Boston, MA)
- Bear Mountain Healthcare has immediate openings for a Registered Nurse unit manager looking to work in our Long Term Care Facility in the West Roxbury, ... patient-centered care , promoting healing, recovery, and comfort. The unit manager will oversee only one unit, responsible for 40 residents, ensuring personalized… more
- Children's Hospital Boston (Boston, MA)
- …or Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80501BRJob Posting Title:Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care OperationsAutoReqId:80501BRStatus:Part-TimeStandard… more
- Children's Hospital Boston (Boston, MA)
- …or Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard… more
- Molina Healthcare (Boston, MA)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- Sharecare (Boston, MA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Commonwealth Care Alliance (Boston, MA)
- … Nurse Supervisor and is under the general supervision of the Primary Care Manager and Clinical Director. **Supervision Exercised:** + None **Essential Duties ... team through health maintenance and chronic disease management, care coordination, and triage within the RN ...Meaningful clinical experience including: + 3+ years' experience as Registered Nurse in a high touch clinical… more
- Sanofi Group (Boston, MA)
- …pharmaceutical sales position or 4 years clinical experience such as an Advanced Registered Nurse Practitioner, Physician Assistant, Registered Nurse , ... **Job title:** Area Business Manager - Hemophilia - Southern New England **Location:** Boston, MA , Remote , US **About the job** We are an innovative global… more
- ConvaTec (Boston, MA)
- …on solutions for the management of chronic conditions, with leading positions in advanced wound care , ostomy care , continence care , and infusion care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2023 were over $2...us on our journey to #ForeverCaring as a Territory Manager , and you'll do the same. **About the Role:**… more
- Brockton Hospital (North Easton, MA)
- The Nurse Care Manager , under the...level. This role includes serving as the clinical lead nurse for remote blood pressure monitoring of Signature ... hypertensive disorders of pregnancy. During normal business hours, the Nurse Care Manager will monitor...requiring travel to the OBGYN practices 2-3 days per week. 3 years of OB experience required. LPN or RN… more
- CenterWell (Boston, MA)
- …it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal continuity of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 011200 CCA-Central Clin Ops Leadership **Position Summary:** The Manager , Medical Policy reports to the Director of UM, and manages the personnel and work of the… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... CCA-Central Clin Ops Leadership **Position Summary:** The Medical Policy Program Manager is primarily responsible to research, analyze, develop, and disseminate… more
- US Tech Solutions (Canton, MA)
- …license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in ... works under the general direction of the Precertification Team Manager or department Manager . The Clinical Reviewer...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… more