- Health Plans, Inc. (Manchester, NH)
- Case Manager RN at HPI Do you envision working for...What you bring + An active professional licensure as a Registered Nurse ( RN ) in MA, ME or ... access resources, and navigate care confidence. What you'll do: As an HPI Case Manager , you'll be dedicated to helping members achieve the best possible health… more
- 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
- Health Plans, Inc. (Manchester, NH)
- Case Manager Oncology at HPI Do...documented proof*): + Active, current and unrestricted professional licensure Registered Nurse ( RN ) or Licensed ... navigate care confidence. What you'll do: As an HPI Case Manager , you'll be dedicated to helping...Three or more years' clinical experience as an Oncology RN , working in either a hospital or clinic setting… more
- Beth Israel Lahey Health (Wakefield, MA)
- …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... lives.** **Job Description:** + **Schedule: FT, M-F, business hours (hybrid/ remote option)** BILHPN has oversight of population health and...of illness and disability. The Care Manager , RN upholds the current standards of professional case… 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
- Adecco US, Inc. (Cumberland, RI)
- ** Remote Opportunity: Nurse Case Manager II ( RN - EST Time Zone)** **Full-Time | Remote | EST Time Zone Required** **Location: Must reside in the ... Eastern Time Zone** **License Required: Active RN License (FL or Compact)** **About the Role:** We're...hiring an experienced ** Nurse Case Manager II** to join our remote care… more
- Sharecare (Boston, MA)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… 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 ... works under the general direction of the Precertification Team Manager or department Manager . The Clinical Reviewer...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… 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
- Public Consulting Group (Boston, MA)
- …PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible for assisting enrollees ... experience in case management, including as a nurse , medical, mental health care manager or...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… 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 ... - Fridays. This is a hybrid role with primarily remote work but may need to be on campus...required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… 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 ... years nursing experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.… more
- Public Consulting Group (Boston, MA)
- …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- Molina Healthcare (Cambridge, MA)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… 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 ... ensure healthy, happy neighborhoods throughout the greater Boston region. Location: Remote with occasional onsite travel **Job Overview** This position utilizes the… 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 ... require additional hours on weekends/off hours as needed. **Location:** Primarily remote . May require occasional travel to local facilities including Tufts Medical… 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...on the health and lives of others, and a remote work environment that allows face to face interaction… 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...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- WTW (Boston, MA)
- …Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company + US Registered Nurse or LCSW with active licensed preferred + Health ... data requests on behalf of each client/carrier + Coordinate with Project Manager regarding sending requests, timing, status, and follow-up + Attend internal and… more