- Brown University (Providence, RI)
- Job Description: The Clinical Case Manager will oversee the comprehensive care of students with various health needs, ongoing health conditions, and mental ... providing support in maneuvering through the complexities of the healthcare system. The Clinical Case Manager will serve as a crucial link, ensuring seamless… more
- 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
- 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
- CVS Health (Providence, RI)
- …with heart, each and every day. **Requisition Job Description** The Pharmacy Program Manager position is a remote role requiring a HIPAA-compliant workspace and the ... requests pharmacist attendance for an onsite visit/assessment/audit. Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management… 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
- Fujifilm (Providence, RI)
- …for the Fujifilm Healthcare Americas Corporation IT portfolio. The Global Product Manager (GPM) is responsible for developing product plans, acting as a Product ... meet the plan's objectives. The GPM reports to the Manager , Product Planning and is able to fill in...Requirements Definition (PRD), as appropriate. + User Story, Use Case Scenarios and Use Case support documentation.… 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
- Datavant (Providence, RI)
- …Sciences, Ecosystem and Public Sector customers to evaluate, connect, and protect clinical and traditional sources of de-identified real world data (eg, claims). ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- Envista Holdings Corporation (Providence, RI)
- **Job Description:** **Summary:** Reporting to the General Manager of Kerr Restoratives and Endodontics, The **Senior Manager , Professional Education** is ... can. Our comprehensive product portfolio covers an estimated 90% of dentists' clinical needs for diagnosing, treating, and preventing dental conditions as well as… more
- Sanofi Group (Providence, RI)
- **Job Title:** Field Reimbursement Manager , Hemophilia, NORTHEAST **Location** : Remote, Field, Territory: Northeast - Northern NJ, Metro NY, Connecticut, ... required Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals, detailed Clinical Documentation, and Peer to Peer reviews. Educating the HCPs on… more
- CVS Health (Providence, RI)
- …opportunities with key internal business stakeholders + Build the business case to support high conviction partnerships - including financials, consumer experience ... key internal business stakeholders incl UX/design teams, digital/tech delivery teams, clinical teams, legal, analytics/reporting, et al to progress partnership from… more
- Highmark Health (Providence, RI)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical , case /utilization management and/or disease/condition management experience, or… more
- CenterWell (Fall River, MA)
- … case management for each patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial plan of ... Health Registered Nurse** , you will: + Provide admission, case management, and follow-up skilled nursing visits for home...of the patient in accordance with physician orders, under Clinical Manager 's supervision. Revise plan in consultation… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …30-32 clinical contact hours of patient care per week ( case management or care management services) Conducting biopsychosocial assessments to determine care ... Total Rewards of a Allied Health Professional The position is a Clinical Social Worker for the Comprehensive Outpatient Mental Health Services (COMHS) at… more
- Gentiva (Fall River, MA)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and… more