• Monte Nido (Dedham, MA)
    …make a difference today._** Responsibilities Include: + Provide clinical social work and case management consistent with the philosophy and objectives of Walden ... Behavioral Care + Conduct psychosocial assessments, participate in treatment planning , and discharge planning for assigned cases + Manage cases on both the… more
    DirectEmployers Association (11/08/25)
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  • Monte Nido (Waltham, MA)
    …programs utilizing Family Based Treatment (FBT) methods. + Provide clinical care and case management in a manner consistent with the philosophy and objectives ... and other regulatory agencies. + Conduct psychosocial assessments, participate in treatment planning , utilization review, and discharge planning . + Conduct… more
    DirectEmployers Association (09/19/25)
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  • Case Management Discharge

    Beth Israel Lahey Health (Boston, MA)
    …active member of the care transitions team, working collaboratively with the Inpatient RN Case Managers. The Discharge Planning Assistant is responsible for ... the Care Transitions Department. Reporting to Care Transitions leadership, the Discharge Planning Assistant will provide direct administrative support to… more
    Beth Israel Lahey Health (10/30/25)
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  • Telephonic Nurse Case Manager

    Humana (Boston, MA)
    …living in Puerto Rico.** **Preferred Qualifications** + 2 or more years of experience with case management , discharge planning and patient education for ... Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a comprehensive, holistic approach for case management more
    Humana (11/06/25)
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  • Case Manager Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management ... BONUS! 20hrs/week 8:00am - 4:30pm Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
    Prime Healthcare (10/16/25)
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  • Case Manager, Registered Nurse - Oncology…

    CVS Health (Boston, MA)
    …**Oncology** or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning , nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...address complex health and social indicators which impact care planning and resolution of member issues. + Assessments utilize… more
    CVS Health (11/13/25)
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  • Case Manager

    Brockton Hospital (Brockton, MA)
    …years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... lives and health of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for… more
    Brockton Hospital (10/31/25)
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  • RN Case Manager (40hr, Day)

    Beth Israel Lahey Health (Needham, MA)
    …or managed care setting with two years prior experience in case management . 4. Knowledge of discharge planning practices, understanding of utilization ... practice model. **Job Description:** **Essential Responsibilities:** 1. Performs utilization management , care coordination, and discharge planning more
    Beth Israel Lahey Health (10/30/25)
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  • Medical Director - Claims Management

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (11/01/25)
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  • Utilization Management Nurse

    Humana (Boston, MA)
    …Excel, and Outlook **Preferred Qualifications** + Bachelor's degree (BSN) + Experience with case management , discharge planning and patient education ... of medical services and/or benefit administration. This is essentially a hybrid case management role designed to ensure members get the benefits they need at… more
    Humana (11/08/25)
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  • Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …of five years acute care nursing experience. + At least one year of experience in case management , discharge planning , or nursing management . + ... Shift (8:00 AM - 4:30 PM) The Per Diem Case Manager is responsible for overseeing the quality and...with clinical standards and regulatory requirements. + Facilitate utilization management , including prior authorizations, discharge planning more
    Prime Healthcare (11/08/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health + The curiosity to… more
    Humana (11/11/25)
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  • Medical Director - National UM Team (Inpatient)

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (11/07/25)
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  • Medical Director - Medicaid N. Central

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (10/25/25)
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  • Medical Director - Mid West Region

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (09/16/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Boston, MA)
    …experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
    CenterWell (11/06/25)
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  • Respite Clinician

    Riverside Community Care (Upton, MA)
    discharge summaries) + complete concurrent reviews with insurance companies, case management and discharge planning + provide clinical guidance and ... for suicide risk, brief crisis counseling, individualized risk management /safety planning , psychoeducation, discharge planning , and care coordination.… more
    Riverside Community Care (09/25/25)
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  • Community Crisis Stabilization Clinician - Weekend…

    Riverside Community Care (Upton, MA)
    discharge summaries) + complete concurrent reviews with insurance companies, case management and discharge planning + provide clinical guidance and ... for suicide risk, brief crisis counseling, individualized risk management /safety planning , psychoeducation, discharge planning , and care coordination. In… more
    Riverside Community Care (09/21/25)
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  • Social Worker

    Veterans Affairs, Veterans Health Administration (Brockton, MA)
    …Responsibilities The Social Worker provides high quality assessment, psychotherapy, case management , and discharge planning services for veterans in the ... using the DSM 5 for each veteran assessed. Treatment Planning /Goal Setting: The social worker may be responsible...include but are not limited to: providing social work case management ; acting as an advocate with… more
    Veterans Affairs, Veterans Health Administration (11/07/25)
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  • Registered Nurse Case Manager, Inpatient…

    Children's Hospital Boston (Boston, MA)
    …experience required; pediatrics preferred. + Experience as a Case Manager ( Discharge Planning and or Utilization Management ) preferred. Licensure/ ... 82769BRJob Posting Title:Registered Nurse Case Manager, Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care… more
    Children's Hospital Boston (11/11/25)
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