- 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
- 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 (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
- Molina Healthcare (Plymouth, 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 (Plymouth, 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
- 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. Duties include… more
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Registered Nurse - Assistant Nurse Manager - Urgent Care position ... full-time position at 40 hours per week. The Assistant Nurse Manager of Urgent Care plays a...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- Summary This Registered Nurse (Endoscopy) position is located within the Nursing, Ambulatory Care Service Line within the VA Boston Healthcare System, Jamaica ... week. Responsibilities Incumbent works under the direction of the Nurse Manager . Incumbent also works directly with...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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
- 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 (Dorchester, 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
- 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
- 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
- Humana (Boston, MA)
- …multi-tasking **Preferred Qualifications** + BSN or Bachelor's degree in a related field + Registered Nurse ( RN ) with 3 years or more of NICU level 3 ... skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the...adult acute care + Managed care experience + Certified Case Manager (CCM) + Bilingual is a… more
- Humana (Boston, MA)
- …alternate time zone virtually. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) with 3 years or more of NICU level ... and help us put health first** The NICU Care Manager , Telephonic Nurse 2, in a telephonic...guidance along the healthcare continuum. You will perform clinical case review on members during an inpatient hospital admission.… 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
- 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
- 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
- Fallon Health (Plymouth, MA)
- … Managers to coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. ... and other data which may indicate a need for Nurse Case Manager involvement and...job experience in a managed care company, medical related field , or community social service agency required + Understanding… more
