- 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 a care plan, encouraging behavior… more
- Tufts Medicine (Lowell, MA)
- …for care coordination and medical co-management for patient enrolled in the Complex Care Program. Serves as the accountable nursing leader in the development ... of the complex care program. Together with the team of clinical...sets nursing care priorities for patient care within the complex care program. + Demonstrates commitment and expertise in… more
- Healthfirst (MA)
- …options, and discharge planning across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, ... additional information required for appropriate utilization management and to solve complex clinical problems + Allocate, monitor, and control resources while… more
- Baystate Health (Springfield, MA)
- …and effective community or post acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. **Full ... The **RN Hospital Case Manager ** is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a designated… more
- Tufts Medicine (Boston, MA)
- …patients deserve the best. Our nurses give it to them. Position/Job Title: Prof RN - Case Manager , 40 Hours Day Shift The nurses at Tufts Medical Center are ... give it to them. Position/Job Title: Prof RN - Case Manager , 40 Hours Day Shift **Job...work of lower level professionals, resolving difficult and sometimes complex problems. **Job Overview** This position is responsible and… more
- The Salvation Army (Canton, MA)
- Overview The Salvation Army's Divisional Headquarters is hiring aRegional Social Services Case Manager and offers an excellent benefit package to eligible ... $75,000 to $82,000 per year The Social Ministries Regional Case Manager is responsible for the supervision...and culturally appropriate manner. + Ability to collaborate on complex social issues within families and communities. + Ability… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... 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 - 20hrsDepartment:Patient Services-Patient Care OperationsAutoReqId:80501BRStatus:Part-TimeStandard ... 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
- 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Tufts Medicine (Lawrence, MA)
- …professionals, resolving difficult and sometimes complex problems. **Job Overview** The Hospice RN Case Manager serves as case manager for the ... evening coverage. + Pursues standards of excellence in performance as a hospice case manager . + Works with Clinical Manager to identify opportunities for… more
- Veterans Inc. (Springfield, MA)
- …to Veterans and their families. We are seeking to fill the Employment and Training Case Manager position and add valuable members to our team to accomplish our ... veterans into meaningful employment as well as addressing the complex barriers they are facing. This team member will...Tracks and reports case management progress through case notes and conferences with the manager ,… 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! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Tufts Medicine (Melrose, MA)
- …reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving skills, ... close to home with a community hospital. **Job Overview** The RN Case Manager manages a designated caseload to coordinate and complete timely assessment,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Cardinal Health (Boston, MA)
- …knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works ... independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place… more
- Tufts Medicine (Melrose, MA)
- …reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving skills, ... to work close to home with a community hospital. **Position Summary:** The Case Manager is responsible and accountable for the management of care for an assigned… more
- Sevita (Marlborough, MA)
- …identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program participant's incentive account + Organize ... a member of the Sevita family, provides day programs for elders with complex medical or rehabilitative needs. This allows seniors to obtain quality healthcare while… more
- Travelers Insurance Company (Boston, MA)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide ... HANDLING: + Directly handle the Company's most severe and complex claims when Travelers has coverage of $2 million...of policy information to facts or allegations of each case . + Directly investigate each claim through prompt and… more
- Travelers Insurance Company (Boston, MA)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury ... **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe/ complex Life Science medical products, clinical trial and pharmaceutical bodily injury… more