• 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
    DirectEmployers Association (10/18/25)
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  • Field Case Manager -Sign-On…

    Sedgwick (Boston, MA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case ... to be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
    Sedgwick (10/23/25)
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  • Field Case Manager

    Sedgwick (Boston, MA)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **In order to be considered for this ... Field Case Manager position, you have to live...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or graduate degree in health or… more
    Sedgwick (09/24/25)
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  • RN Case Manager field

    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
    Molina Healthcare (10/22/25)
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  • RN Case Manager field

    Molina Healthcare (Norfolk, MA)
    …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
    Molina Healthcare (10/29/25)
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  • Clinical Manager - Registered

    BD (Becton, Dickinson and Company) (Boston, MA)
    …all other documented quality processes and procedures. **Required experience:** + Licensed Registered Nurse + Previous Urology experience + Comfortable educating ... **Job Description Summary** The Clinical Manager (CM) is responsible for working with the...unit of Becton, Dickinson. The ideal candidate is an RN with extensive SCI Rehabilitation Hospital experience. Surgery and… more
    BD (Becton, Dickinson and Company) (10/19/25)
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  • Registered Nurse (Assistant…

    Veterans Affairs, Veterans Health Administration (Brockton, MA)
    …Former EDRP participants ineligible to apply. Responsibilities This position is an Assistant Nurse Manager for Unit 23C, an Acute Mental Health Inpatient Unit ... level degree in Nursing may have opportunity to become registered as a nurse with a state...Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing… more
    Veterans Affairs, Veterans Health Administration (10/25/25)
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  • ED RN Case Manager - UR…

    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
    Beth Israel Lahey Health (10/30/25)
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  • RN Care Manager , LTSS Field

    Molina Healthcare (Boston, MA)
    …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure and case management experience. Candidates...individuals with substance use disorders. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience working with… more
    Molina Healthcare (10/11/25)
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  • RN Care Manager LTSS Field

    Molina Healthcare (Brockton, 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
    Molina Healthcare (10/22/25)
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  • RN Care Manager , LTSS Remote…

    Molina Healthcare (Mattapan, MA)
    …Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field work is required, Must ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (09/16/25)
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  • Nurse Case Manager - Senior…

    Fallon Health (Foxborough, MA)
    …fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an ... NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric...: Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case more
    Fallon Health (10/28/25)
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  • RN -Patient Safety Manager

    Veterans Affairs, Veterans Health Administration (Providence, RI)
    Summary This RN -Patient Safety Manager position is in...level degree in Nursing may have opportunity to become registered as a nurse with a state ... is full-time at 40 hours per week. Responsibilities The RN -Patient Safety Manager (PSM) is responsible for...Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing… more
    Veterans Affairs, Veterans Health Administration (10/24/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Boston, MA)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (10/22/25)
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  • Behavioral Health - Case Manager II

    Elevance Health (Boston, MA)
    Job Description **Behavioral Health - Case Manager II** **Location** : _Virtual:_ However the candidate must be able to go into the facility twice per week. ... planning. Must live in Massachusetts. The **Behavioral Health - Case Manager II** is responsible for performing...in social work counseling or a related behavioral health field or a degree in nursing, and minimum of… more
    Elevance Health (10/31/25)
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  • Hospice Nurse with $5000 Sign-On Bonus

    Good Shepherd Community Care (Newton, MA)
    … with $5000 Sign-On Bonus Job Details Job Location Main Office - Newton, MA Hospice Registered Nurse Named by the Boston Globe as one of the Top Places to ... mission-driven hospice and palliative care organization seeks a full-time Registered Nurse to join its rapidly expanding...to join its rapidly expanding clinical team as a Case Manager . Local travel is required for… more
    Good Shepherd Community Care (09/28/25)
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  • BH Provider Engagement Program Manager

    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 (10/18/25)
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  • Education Innovation Manager

    Philips (Cambridge, MA)
    **Education Innovation Manager ** The Hospital Patient Monitoring (HPM) Education Innovation Manager is responsible for architecting the education services within ... years experience with a Bachelor's degree in an HPM field -based role that includes experience delivering education to HPM...have experience working in a customer environment, such as RN or biomedical engineer in a hospital. **How we… more
    Philips (08/08/25)
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  • Manager - Utilization Review & Denials…

    Beth Israel Lahey Health (Plymouth, MA)
    …required; Bachelor's degree in nursing, health care administration or related field preferred or commensurate experience and Case Management Certification ... people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel Deaconess… more
    Beth Israel Lahey Health (10/30/25)
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  • Transplant Care Nurse - Remote

    Highmark Health (Boston, MA)
    …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or...**Preferred** + Certification in utilization management or a related field + Certification in Case Management **SKILLS**… more
    Highmark Health (10/10/25)
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