• RN , ACO Nurse Care

    Baystate Health (Springfield, MA)
    ** RN , ACO Nurse Care Manager, Community Health Center** The ** ACO Nurse Care Manager i** s responsible for the management of care for a ... defined group of patients including complex care management, transitions of care , as well...American Heart AssociationAmerican Heart Association, Driver License - OtherOther, Registered Nurse - State of MassachusettsState of… more
    Baystate Health (07/14/25)
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  • CIC Registered Nurse - Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an interdisciplinary ... and addresses significant medical, behavioral, and social needs. The RN uses evidenced-based care approaches, clinical skills,...care management, including: + 5+ years' experience as Registered Nurse in a high touch clinical… more
    Commonwealth Care Alliance (10/02/25)
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  • RN Care Manager

    East Boston Neighborhood Health Center (East Boston, MA)
    …of the people we serve. As an integral member of the care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity to ... well-being of our patients and communities. Whether you're a nurse or physician providing direct care , a...for members with disabilities. + Maximize the use of ACO care management tools and technology to… more
    East Boston Neighborhood Health Center (08/29/25)
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  • Senior Care Options Nurse Case…

    Fallon Health (Lowell, MA)
    … related field preferred. **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management ... Care Providers and others involved/authorized in the member's care o Manages ACO members in conjunction...**Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
    Fallon Health (09/19/25)
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  • Prior Authorization, RN - Hybrid Remote

    Fallon Health (Worcester, MA)
    …in nursing required** **License/Certifications** + Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience** + A minimum of three ... to five years clinical experience as a Registered Nurse in a clinical setting required....+ 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred.… more
    Fallon Health (10/02/25)
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  • CIC Advanced Practice Clinician - NP / PA - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …or PA in primary care or care management AND 3+ years' experience as Registered Nurse or EMT-P in a high touch clinical environment or home care ; OR ... or PA graduate, must have 5+ years' experience as Registered Nurse or EMT-P in a high...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    Commonwealth Care Alliance (10/07/25)
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  • Navigator, NaviCare / Senior Care Options…

    Fallon Health (Worcester, MA)
    …to facilitate delivery of items as part of the 'Oh Baby' program and work with Nurse Case Managers to coordinate after care needs + The Navigator refers to the ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...member to obtain such + If working on the ACO Member Population: Facilitates transportation to medical and behavioral… more
    Fallon Health (10/02/25)
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  • Behavioral Health Clinician

    Commonwealth Care Alliance (Springfield, MA)
    …specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next ... with Medicaid or Medicare programming and insurance products (ie ACO , MCO, PACE or SCO) **Required Knowledge, Skills &...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    Commonwealth Care Alliance (10/08/25)
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