- Public Consulting Group (Providence, RI)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... Medical Fund on behalf of a state agency. The Case Manager will be charged with helping...informed decisions by acting as their advocate regarding their clinical status and treatment options * Develops effective working… more
- Highmark Health (Providence, RI)
- …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
- Public Consulting Group (Providence, RI)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- CVS Health (Providence, RI)
- …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
- CVS Health (Providence, RI)
- …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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sedgwick (Providence, RI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
- Sedgwick (Providence, RI)
- …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...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
- Athena Health Care Systems (Warwick, RI)
- …facilitates the patient's efforts toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor and assumes ... We are hiring per diem Hospice Registered Nurse Case Managers (RN) to join the Athena Hospice of Rhode Island team! Prior experience in hospice care is required.… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- 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
- Sumitomo Pharma (Providence, RI)
- …guidances, eg, EMA, MHRA, and PMDA regulatory frameworks. + Proficient in end-to-end case management of clinical trial and post-market ICSRs. + Experienced in ... highly motivated, and experienced individual for the position of **Associate Manager , Compliance, Training & Strategic Alliance (CTSA), PVRM** . The Associate… more
- Sharecare (Providence, RI)
- …+ Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Datavant (Providence, RI)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... into detailed product requirements, working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release,… more
- Datavant (Providence, RI)
- …customers that provides timely access to complete and comprehensive identified clinical data to supplement traditional sources of de-identified real world data ... (eg, claims). As the Retrieval Solutions Delivery Manager , you will be responsible for the successful execution...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Highmark Health (Providence, RI)
- …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
- Evolent (Providence, RI)
- …**Job Summary** We are seeking a highly motivated **AI/Data Science Product Manager ** to lead and manage AI initiatives across our organization. This individual ... and executing AI-driven opportunities while working cross-functionally with data science, clinical , operational, and technical teams. The ideal candidate will have a… more
- Sanofi Group (Providence, RI)
- **Job Title:** Regional Account Operations Manager , Northeast **Location:** Remote **About the Job** This position reports to the Regional Accounts Leader and is ... Input** + Serve as a link for V&A training efforts on relevant clinical and business-related topicsTracks issues and coverage questions to V&A to ensure follow-up… more
- Advocates (Swansea, MA)
- …administration of the assigned program, providing leadership, supervision, guidance, and clinical support. The Program Manager actively promotes community ... community centered opportunities for all individuals. + Audit individual financial records/ case records/and medications on a regular basis. + Complete business… more
- State of Massachusetts (Fall River, MA)
- …within the first 14 days.* * * Based on assignment as a Mental Health Case Manager or Forensic Transition Team Coordinator, within the Department of Mental ... case management services when required. * Assists the Clinical Director in monitoring the Respite and vendor ACCS...least four (4) years of full-time, or equivalent part-time, case management of clinical /therapeutic experience. Based on… more
- Commander, Navy Installations (Newport, RI)
- …and civilian representatives and taking all steps required under the FAP. Serves as designated case manager and primary FAP point of contact for spouse and child ... children, youth, and their families, including psychoeducational support, assessment, and clinical intervention. Prepares case summary reports and maintains… more