- Cambridge Health Alliance (Cambridge, MA)
- RN Case Manager - Inpatient ...Days** : rotating weekend/ **Category** : Registered Nurse **Department** : Inpatient Case Management ... setting. Summary: Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Pay Range:** $41.58 - $93.96 per hour **Location:** CHA Everett ... Days:** 8-4:30pm including weekend rotation **Category:** Registered Nurse **Department:** Inpatient Case Management...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… more
- Tufts Medicine (Melrose, MA)
- …+ Bachelor of Science in Nursing (BSN) preferred + ASN required + Recent experience as an inpatient case manager + 3 years + case management experience ... Ready to grow with us? If you are a Case Manager , that enjoys working with complex...8-4:30, 8:30-5, or 9-5:30 **Education and Qualifications:** + Massachusetts RN Licensure. + Current Basic Life Support (BLS) Certification.… more
- Beth Israel Lahey Health (Cambridge, MA)
- …a 200-bed acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates ... discharge planning for MAH inpatient admissions. Inpatient Case Manager performance is...degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two… more
- Tufts Medicine (Lowell, MA)
- **Job Overview** Under the direct supervision of the Trauma Program Manager and through the use of the trauma registry, the Trauma Performance Improvement ... Location: Lowell General Main Campus **Job Description** **Minimum Qualifications:** 1. Massachusetts RN Licensure. 2. Three (3) Years of RN experience in… more
- Baystate Health (Springfield, MA)
- …to Baystate Medical Center (BMC), a Magnet Hospital for Nursing Excellence is looking for inpatient Registered Nurses to join our team. At Baystate Health, RN ... supportive management team. The team also includes a geriatrician, physical therapist, case manager , NICHE program coordinator, geriatric resource nurses, and… more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
- Brockton Hospital (Brockton, MA)
- …the delivery of services. Uses accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as ... preferred. Must have current license from Commonwealth of Massachusetts to practice as a Registered Nurse . Minimum of five years clinical experience in an acute… more
- Beth Israel Lahey Health (Plymouth, MA)
- …not just taking a job, you're making a difference in people's lives.** REGISTERED NURSE - PER DIEM **Job Description:** **Duties/Responsibilities:** + Identifies ... may reasonably be required._ **Education/Experience Required:** + Current MA RN License + Bachelor's Degree in Nursing or advanced...CCM certification preferred. + A minimum of 1 year case management experience working independently in an acute or… more
- Beth Israel Lahey Health (Beverly, MA)
- …trends the data as it relates to denials and reports that data to the Manager of Case Management for review. The Clinical Denials Specialist utilizes nursing ... retroactive and concurrent denials. This position reports directly to the Manager of Case Management. **Responsibilities** Concurrently reviews all medical… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members and ... health, and any barriers to care. The Team The RN Case Manager is part...in a variety of appropriate clinical health care settings ( Inpatient , outpatient, or differing levels of care). + Utilization… more
- State of Massachusetts (Boston, MA)
- Lemuel Shattuck Hospital is seeking a dedicated and experienced Case Manager to coordinate key functions within our Case Management Program. The ideal ... have at least (A) two years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B)… more
- Beth Israel Lahey Health (Woburn, MA)
- …not just taking a job, you're making a difference in people's lives.** The registered nurse plans, organizes and directs home care services and is experienced ... in accordance with home care regulations, hospital regulations and payer guidelines. The registered nurse is also trained in caring for Acute Hospital Care… more
- Beth Israel Lahey Health (Woburn, MA)
- …all providers. . Assess patient and coordinate cares with hospital care team including MD, Case Manager , RN and hospice team. . Provides expert symptom ... physical, emotional, and spiritual needs **Minimum Qualifications:** Education: . Registered Nurse from a Graduate of National...a multi-disciplinary team for quality patient outcome. 2 Clinical Manager Reports to - case conferences with… more
- Elevance Health (Woburn, MA)
- **Telephonic Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... members in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care… more
- Tufts Medicine (Lowell, MA)
- …pre-admission activities, completes admission when determined hospice appropriate, monitors inpatient care at contracted hospitals, performs in-service training and ... facility or assisted living. **Job Description** **Minimum Qualifications:** 1. Massachusetts RN Licensure. 2. Hospice and/or end of life experience required.… more
- Beth Israel Lahey Health (Boston, MA)
- …is an active member of the care transitions team, working collaboratively with the Inpatient RN Case Managers. The Discharge Planning Assistant is ... order to secure post-acute transition services + Provides direct support to the RN Case Manager in the clinical units + Verifies patient demographics,… more
- Deloitte (Boston, MA)
- …CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, ... Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical… 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)
- …denial prevention strategies * Integrate clinical and reimbursement knowledge for optimal outcomes ** RN Case Manager - Emergency Department UR & Discharge ... plays a vital role in ensuring seamless, patient-centered care. ** RN - Utilization Review** This role is ideal for...Proficiency in InterQual required + CCM, ACM, or other case management certification preferred or in progress ** Manager… more