- 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
- CVS Health (Boston, MA)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … 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...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- 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
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- Summary This Registered Nurse - Reusable Medical Device Program Manager /Coordinator position is located within the Sterile Processing Service Line of the VA ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- US Tech Solutions (Canton, MA)
- …license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in ... his role and is responsible for managing a clinically complex caseload of varied requests for services. The Clinical...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… more
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- …EDRP participants ineligible to apply. Responsibilities The vacancy is for a full time registered nurse on the acute stabilization unit 22B. This vacancy is open ... to internal and external applicants. This Registered Nurse - Unit 22B - Inpatient...per week. Incumbent works under the direction of the Nurse Manager . Incumbent is accountable for the… more
- Children's Hospital Boston (Boston, MA)
- …Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified Case Manager is preferred, ... Experience: + A minimum of 5 years nursing experience required; pediatrics preferred. + Experience as a nurse Case Manager (Discharge Planning) preferred.… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization...license as a Registered Nurse ( RN ) + A certification as a Certified Case ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
- Children's Hospital Boston (Boston, MA)
- 80501BRJob Posting Title:Behavioral Health RN Case Manager -...license as a Registered Nurse ( RN ) + A certification as a Certified Case ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
- 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
- Tufts Medicine (Burlington, MA)
- …2. Obtain appropriate state board where services will be provided as a registered professional nurse **OR** Current multi-state licensure through the enhanced ... Location: Remote with occasional onsite travel **Job Overview** This position utilizes the case management process and works closely with other members of the care… more
- 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
- Sedgwick (Boston, MA)
- …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 ... of Boston.** **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 (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! If you have at least** **1.5 years...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- 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
- 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
- Elevance Health (Boston, MA)
- …leaders passionate about transforming American healthcare delivery. **Behavioral Health Care Manager I** **Location:** This role enables associates to work virtually ... 8:00am to 5:00pm depending on your time zone. The **Behavioral Health Care Manager I** position is responsible for managing psychiatric and substance abuse or… more
- 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
- 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