- 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
- Unknown (Boston, MA)
- …role requires a passionate individual with a strong clinical background, including a current RN , NP, or PA license, and a minimum of 4 years' clinical experience. ... and a preference for those with a background in case management and workers' compensation. The role demands a...of diversity, inclusion, and a sense of belonging. Hiring Manager Title Chief Medical Officer Travel Percent Less than… more
- Tufts Medicine (Boston, MA)
- ** RN Case Manager - Case...patient and family centered model of care. **Minimum Qualifications:** 1. Registered Nurse ( RN ) license or license ... best. Our nurses give it to them. Position/Job Title: RN - Case Manager , Per...difficult and sometimes complex problems. **Job Overview** The professional registered nurse possesses and applies the skills… 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- BAYADA Home Health Care (Seekonk, MA)
- …them the opportunity to remain at home and receive the medical care required. ** Registered Nurse ( RN ) Responsibilities:** + Follow a designated care plan ... clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document...provided, utilizing a touch pad tablet **Qualifications for a Registered Nurse ( RN ):** + A… more
- AccentCare, Inc. (Norwood, MA)
- Overview After Hours Registered Nurse / RN , Hospice Location: Norwood, MA Position: After Hours Registered Nurse / RN , Hospice Position Type: ... Your Passion and Purpose as a Hospice After Hours Registered Nurse Salary: $90000 - $104000 /...building together. Be the Best Hospice After Hours Admission RN You Can Be If you meet these qualifications,… more
- Elara Caring (Boston, MA)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** **Full Time - Flex 4 day work week ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Elara Caring (Boston, MA)
- …Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** **Coverage area: Boston proper Downtown, Fenway, Copley, ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Gentiva (Mansfield, MA)
- …to be an EEO employer + We maintain a drug-free workplace keywords: hospice RN jobs, case manager nurse , end-of-life care RN , home health RN , ... You'll Do as a Hospice RN / RN Case Manager :** + Be...one piece.Salary Range: $82,620 - $103,330 ReqID: 2025-126969 Category: Registered Nurse Position Type: Full-Time Company: Gentiva… more
