- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- HealthCare Support (Boston, MA)
- …Uses clinical judgment to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately following the visit. Utilize ... RN Assessments (MDS) HealthCare Support is actively seeking...1+ year of clinical nursing experience 1+ year of case management experience Ability to function independently Eexcellent organizational… more
- Boost Home Health (Brookline, MA)
- …development Vision insurance Flexible schedule Relocation bonus Signing bonus Are you an experienced Registered Nurse ( RN ) ready to lead in home healthcare? ... Boost Home Healthcare is seeking a Clinical Manager to oversee and coordinate high-quality care for homebound...OASIS documentation, PDGM coding, and patient care planning Monitor case compliance and participate in QAPI activities Support staff… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- Beth Israel Lahey Health (Cambridge, MA)
- …**Qualifications:** 1. Bachelor's degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two years of recent acute ... acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- Beth Israel Lahey Health (Needham, MA)
- …people's lives.** 40 hr (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for ... ongoing education to the physicians and nurses about levels of care. The RN Case manager , performs, consults, and collaborates in activities related to the… more
- Molina Healthcare (Norfolk, MA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- CenterWell (Milford, MA)
- …get back to the life they love. $10K Sign on Bonus Available As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Health experience is a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- Beth Israel Lahey Health (Cambridge, MA)
- …acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge ... planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the...1. Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical… more
- Tufts Medicine (Boston, MA)
- …Nursing. 2. Basic Life Support (BLS) Certification. 3. Registered Nurse ( RN ) License. 4. Three (3) years of Case Management experience. 5. Certifications ... addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care...population by unit, across the continuum of care. The Case Manager works to achieve daily clinical,… more
- Elevance Health (Boston, MA)
- **Behavioral Health - Case Manager II** **Location** : _Virtual:_ However the candidate must be able to go into the facility twice per week. Locations are either ... planning. Must live in Massachusetts. The **Behavioral Health - Case Manager II** is responsible for performing...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… more
- CVS Health (Boston, MA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Beth Israel Lahey Health (Plymouth, MA)
- …the job that may reasonably be required._ **Education/Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5 years acute care nursing + ... weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by… 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 ... preferred. Must have current license from Commonwealth of Massachusetts to practice as a Registered Nurse . Minimum of five years clinical experience in an acute… more
- Vitra Health (Fall River, MA)
- …a member in need of care, in a qualified setting. Our care teams, comprised of a Nurse and Case Manager , provide vital support for the clients and caregivers ... success. That is why we are looking for a Registered Nurse or Licensed Practical Nurse...in our program. As an RN or LPN Case Manager ,...our program. As an RN or LPN Case Manager , you will conduct regular in-person… more
- Charter Care Health Partners (North Providence, RI)
- …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... residency if that state is a member of the Nurse Licensure Compact. Five (5) years of clinical experience...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- Charter Care Health Partners (North Providence, RI)
- …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... residency if that state is a member of the Nurse Licensure Compact. Five (5) years of clinical experience...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- Athena Health Care Systems (Brockton, MA)
- …your skills and talents are nurtured to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care. The ... We are hiring full-time RN Hospice Case Managers to join...toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor… more
