• Complex Case Manager

    Highmark Health (Boston, MA)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (05/31/25)
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  • Registered Nurse ( RN ), Care…

    Beth Israel Lahey Health (Wakefield, MA)
    …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... care physicians focusing on at risk, high cost, and chronic/ complex condition patient populations. Collaborates with the primary care...of illness and disability. The Care Manager , RN upholds the current standards of professional case more
    Beth Israel Lahey Health (05/30/25)
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  • Care Manager , Registered

    Sharecare (Boston, MA)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (04/26/25)
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  • Registered Nurse Care Manager

    Molina Healthcare (Waltham, 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 (05/30/25)
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  • Registered Nurse Coordinator

    Beth Israel Lahey Health (Boston, MA)
    …not just taking a job, you're making a difference in people's lives.** Registered Nurse Coordinator, 40 Hours, Days Department Specific Job Responsibilities: ... Qualifications:** Associate's degree required. Bachelor's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support… more
    Beth Israel Lahey Health (05/21/25)
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  • RN Field Case Manager

    Sedgwick (Boston, MA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees ... at this time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (05/09/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +… more
    Children's Hospital Boston (05/24/25)
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  • Emergency Department RN Case

    Children's Hospital Boston (Boston, MA)
    …Hours per Week:40 Job Posting Category:NursingJob Posting Description:The Emergency Department RN Case Manager will be responsible for: ... to obtain within the first two years of employment. + Experience as a nurse Case Manager (Discharge Planning) preferred. Boston Children's Hospital offers… more
    Children's Hospital Boston (05/01/25)
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  • RN Care Manager , Complex

    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
    East Boston Neighborhood Health Center (05/07/25)
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  • RN Admissions Manager

    Boston Health Care for the Homeless Program (Boston, MA)
    …- Friday, 8:00am-4:30pm Union: None Union Name: None Patient Facing: Yes The RN Manager of Admissions has overall administrative, management and clinical ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
    Boston Health Care for the Homeless Program (05/25/25)
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  • Wound Care Specialist RN Per Diem

    Beth Israel Lahey Health (Cambridge, MA)
    …a job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager , the Wound Care Specialist- RN works collaboratively with members ... well-being and as required for license renewal. **Minimum Qualifications:** + License Registered Nurse in the Commonwealth of Massachusetts required. +… more
    Beth Israel Lahey Health (04/16/25)
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  • Field Case Manager

    Sedgwick (Boston, MA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our Boston, ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (05/31/25)
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  • Transplant Care Nurse RN - Stem…

    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 ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
    Highmark Health (04/25/25)
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  • Manager , Care Management

    Milford Regional Medical Center (Milford, MA)
    …+ Masters in Healthcare or MBA preferred Certification / License: + Massachusetts Registered Nurse ( RN ) licensure required OR + Massachusetts Licensed ... Independent Clinical Social Worker (LICSW) required + Certified Case Manager , preferred + Certified Professional in...2+ years of direct management experience including dealing with complex issues or equivalent + Excellent writing skills and… more
    Milford Regional Medical Center (05/14/25)
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  • Manager Utillization Management Operations

    Tufts Medicine (Burlington, MA)
    …minimizing cost, and ensuring optimum outcomes. **Job Description** **Minimum Qualifications:** 1. Registered Nurse (BSN or higher) or other licensed clinical ... year or less), problems faced are difficult to moderately complex , and influences others outside of own job area...Review departments and UM vendor management. The UM Operations Manager is responsible for compliance with CMS Conditions of… more
    Tufts Medicine (06/01/25)
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  • Director Clinical Documentation Integrity

    Tufts Medicine (Burlington, MA)
    …technology. **Job Description** **Minimum Qualifications:** 1. BSN degree 2. Licensed as a Registered Nurse 3. Five (5) years relevant experience in the ... plan, organize, implement, and evaluate the CDI program. This includes management of case mix index (CMI), length of stay (LOS), Observed versus Expected mortality… more
    Tufts Medicine (06/01/25)
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  • Occupational Health Nurse II

    Commonwealth Care Alliance (Boston, MA)
    …in ADA administration **Required Licensing:** + Unencumbered license to practice as a Registered Nurse in Massachusetts **Required Experience:** + 5+ years of ... transmission of illness to members + In collaboration with manager , oversee CCA's Respiratory Protection Program + Train employees...Occupational Health Nurse (COHN) or Occupational Health Nurse Specialist (COHN-S) + Certification in Case more
    Commonwealth Care Alliance (05/21/25)
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  • Transitional Care Nurse

    Beth Israel Lahey Health (Stoughton, MA)
    …accredited Nursing Program required. Bachelor's degree in Nursing preferred. + License Registered Nurse preferred., and American Heart Association - Basic Life ... trained, a remote schedule will be discussed with the Manager . The Transitional Care Nurse (TCN) ensures...practice guidelines and provide post discharge outreach for medically complex patients. The TCN will work collaboratively with BIDHC… more
    Beth Israel Lahey Health (05/25/25)
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  • Nurse Coordinator - Wound Ostomy Continence…

    Beth Israel Lahey Health (Boston, MA)
    …degree in Nursing required. Bachelor's degree in Nursing preferred. 2. License Registered Nurse required., and Certificate 1 Basic Life Support required. ... disorders of the integumentary, gastrointestinal and genitourinary system including complex draining wounds, ulcers, fistulae, tubes and ostomies. Evaluates patient… more
    Beth Israel Lahey Health (04/24/25)
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  • Nurse Coordinator - Specialty Service…

    Beth Israel Lahey Health (Boston, MA)
    …Associate's degree in Nursing required. Bachelor's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support ... and advocating for the health of patients, families, and communities. The Nurse Coordinator is responsible for coordinating care for patients receiving treatment in… more
    Beth Israel Lahey Health (05/21/25)
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