- Commonwealth Care Alliance (Boston, MA)
- …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Certification as an Occupational Health Nurse (COHN) or Occupational Health Nurse Specialist (COHN-S) + Certification in Case Management + Certification in ... and secondary transmission of illness to members + In collaboration with manager , oversee CCA's Respiratory Protection Program + Train employees on the proper… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- Olympus Corporation of the Americas (Westborough, MA)
- …and Customers directly. Performs routine assignments with minimal direction from manager ; requires general instruction for new or special assignments from ... Manager . The Analyst II will maintain quality documents to...Review incoming complaints to determine the facts of the case . + Verify information including information available in ancillary… more
- Elevance Health (Woburn, MA)
- ** Nurse Case Manager I** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... Monday - Friday 8:00AM - 4:30PM (twice per month 11:30AM - 8:00PM) The ** Nurse Case Manager I** is responsible for performing care management within the… 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 ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …schedule 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 ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- … based in Milford. As part of a team-based approach to care, the HIV Nurse Case Manager provides, coordinates, and organizes evidence-based care to Health ... AIDS to MDPH State Lab + Participate in regular case conferences with the HIV Team. Represent the HIV...Perform other duties as assigned Required Qualifications: + Registered Nurse License in MA + Current CPR certification +… more
- Vitra Health (Quincy, MA)
- …a member in 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 ... is why we are looking for a Licensed Practical Nurse to support our clients of Quincy, Milton, Hyde...in our program. As an LPN Case Manager , you will be responsible for… more
- CenterWell (Milford, MA)
- …back to the life they love. $10K Sign on Bonus Available As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, and follow-up ... first** Make a meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients regain independence in… more
- Beth Israel Lahey Health (Cambridge, MA)
- …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 evaluated using the...Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical nursing care experience.… more
- Tufts Medicine (Melrose, MA)
- …careers, and reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving ... to work close to home with a community hospital. **Position Summary:** The Case Manager is responsible and accountable for the management of care for an assigned… more
- US Tech Solutions (Malden, MA)
- …Winthrop MA area** Under the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible ... required)** . Bachelors of Science in Nursing (BSN) and Registered Nurse with current, unrestricted Massachusetts license is required. **EXPERIENCE: (Years of… more
- Athena Health Care Systems (Worcester, MA)
- We are hiring a per diem Registered Nurse (RN) Case Manager to join our dynamic care team at Hospice of Western & Central Massachusetts in Worcester County! ... talents are nurtured to allow you to grow within the company. The RN Case Manager plans, organizes, and directs hospice care to our patients across the region… more
- Elara Caring (Worcester, MA)
- …Right Care, at the Right Time, in the Right Place. **Job Description:** **Registered Nurse RN Case Manager ** **Covering the following areas:** **Worcester, ... that's why we are a great match. Partnering with Elara Caring, a Registered Nurse RN Case Manager provides patient care across the entire continuum of care.… 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 ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or… more
- Gentiva (Medfield, MA)
- …be an EEO employer + We maintain a drug-free workplace keywords: hospice RN jobs, case manager nurse , end-of-life care RN, home health RN, compassionate ... **What You'll Do as a Hospice RN / RN Case Manager :** + Be the primary point...is just one piece.Salary Range: $82,620 - $103,330 ReqID: 2025-126969 Category: Registered Nurse Position Type: Full-Time Company: Gentiva… more
- Fallon Health (Worcester, MA)
- … Managers to coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. ... and reviewing claims and other data which may indicate a need for Nurse Case Manager involvement and assessment + Assists the interdisciplinary team in… more
- Elevance Health (Woburn, MA)
- …knowledge, skills, and behavioral needs. + Coordinates specific health coaching as directed by nurse case manager to address objectives and goals as ... barriers and develop ways to overcome those barriers. + Coordinates with the nurse case manager to provide feedback on member goal attainment and clinical… more
- Beth Israel Lahey Health (Boston, MA)
- …needs. Conducts psychosocial assessments and provides services as indicated. Partners with a nurse case manager and the multidisciplinary team, assists in ... patients and families. Collaborates with physicians, nurses, internal and external case managers, community agencies, and other health care professionals to… more
