- CVS Health (Boston, MA)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Boston, MA)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Fallon Health (Worcester, MA)
- …experience and service and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a ... mental health or social care need or as indicated behavioral health clinical change (not otherwise accounted...assessments with members and forward results to the Nurse Case Manager or PCP as indicated. Documents… more
- Children's Hospital Boston (Boston, MA)
- 80501BRJob Posting Title: Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care ... experience required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.… more
- Fallon Health (Milford, MA)
- …approves their care plan o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric ... nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,...Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part… more
- Elara Caring (Worcester, MA)
- …the Right Time, in the Right Place. **Job Description:** **Join Our Team as a Behavioral Health RN Case Manager !** Position: Full-Time | Monday-Friday, 8:00 ... daily in the comfort of their homes. As a ** Behavioral Health RN Case Manager **...in the right place._ **You will report to the Clinical Manager or Clinical Supervisor.**… more
- Highmark Health (Boston, MA)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …possible Union: No Union Name: Non-union Patient Facing: Yes We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to work on a ... from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work...and team-based care. You will serve in a key clinical role to the care team with primary responsibilities… more
- Fenway Health (Boston, MA)
- …Health Job Type Full-time Description Function: Under the general supervision of the Manager of Low-Barrier Behavioral Health Services, the Behavioral Health ... behavioral health settings + Provide specialty integrated behavioral health clinical care with a focus...per week outside of traditional business hours Provides direct case management services to medical patients + Upon referral… more
- Prime Healthcare (Woonsocket, RI)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211012/ case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark Medical Center LocationUS-RI-Woonsocket ID2025-211012… more
- Vitra Health (Worcester, MA)
- …need of care, in a qualified setting. Our care teams, comprised of a Nurse and Case Manager , provide vital support for the clients and caregivers in our program. ... success. That is why we are looking for a Non- Clinical Per Diem Registered Nurse to support our clients...in both English and second language strongly preferred. + Case management, behavioral health, social services and/or… more
- Sevita (Worcester, MA)
- …identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program participant's incentive account + Organize ... as directed + Assist in internal communication to team members regarding case -specific issues + Attend required meetings, including clinical team meetings… more
- Charter Care Health Partners (North Providence, RI)
- …professional growth and participation. The System Manager of Inpatient Behavioral Health Social Work provides clinical duties including comprehensive ... Behavioral Health and in partnership with the behavioral health leadership team, the System Manager ...records are accurate and up to date. The System Manager provides clinical oversight of treatment planning… more
- Molina Healthcare (Worcester, MA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- CVS Health (Boston, MA)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than ... The RN Manager of Admissions has overall administrative, management and clinical responsibility for the Respite Admissions Department. The Admissions Manager … 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
- Fallon Health (Worcester, MA)
- …tasks; reassignment of work to meet department needs and involvement of navigator and behavioral health case manager resources as appropriate * Ensures ... and other vendors and providers fostering collaborative working relationships * Works with Manager to recommend changes to the case management system platform… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than ... and women's emergency adult homeless shelters. Our clinics provide integrated primary care, behavioral health care, and urgent care as well as respond to medical… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than ... a Charge RN who will act as a designated clinical leader for a given patient care area while...performance reviews. The Charge RN reports to the ADON/RN Manager . Responsibilities: 1. Patient Care: + Plans, implements and… more