- Beth Israel Lahey Health (Plymouth, MA)
- …to enable them to negotiate various social systems. **Qualifications:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5 years acute care nursing + Two ... to department needs **Job Description:** **Position Summary:** The Emergency Department Case Manager is responsible and accountable for patient trajectory… more
- Commonwealth Care Alliance (Boston, MA)
- …have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **MA Health Enrollment (required if licensed in Massachusetts):** + Yes, ... procedures, and facilities under the provisions of CCA's benefits plan. The Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and… more
- Children's Hospital Boston (Boston, MA)
- 74825BRJob Posting Title: RN Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
- Point32Health (Canton, MA)
- …- what you need to perform the job** **Education, Certification and Licensure** + Registered Nurse with current unrestricted license in state of residence + May ... who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Care Manager - Nursing ( RN CM) will ensure that all members receive… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity to make a ... indicated with patients. + Demonstrate knowledge and implementation of HIV nurse -on-call procedures, including functioning as the liaison to inpatient facilities,… more
- Elevance Health (Boston, MA)
- …10:00am - 6:30pm ET; 1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope ... in multiple states. **Preferred skills, capabilities, and experiences:** + Certification as a Case Manager is preferred. + Telephonic Case Management… more
- Highmark Health (Boston, MA)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health care… more
- Prime Therapeutics (Boston, MA)
- …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...- Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State… more
- Brockton Hospital (Brockton, MA)
- …data analysis and/or chart review preferred. III. Certification/Licensure: Current LPN or RN license in the Commonwealth of Massachusetts. Case Management ... continuous, comprehensive, familya€centered, coordinated, compassionate, and culturally effective. The Care Manager position is an integral member of the PCMH team… more
- WTW (Boston, MA)
- …Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company + US Registered Nurse or LCSW with active licensed preferred + Health ... analytics experience preferred + Understanding of health plan utilization / case management processes, network management, credentialing, quality management,… more
- Beth Israel Lahey Health (Middleboro, MA)
- …the age of the patient D. Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. E. Contributes information provided by ... issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit based QI activities...Serves as a liaison with patients, families to physicians, case managers, 3rd party payers, et al. o Reviews,… more