- Highmark Health (Providence, RI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Providence, RI)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- AccentCare, Inc. (Norwood, MA)
- …Location: Norwood, MA Position: After Hours Registered Nurse / RN , Hospice Position Type: Full-Time Remote /Virtual Position: No Coverage Area: Greater ... Overview After Hours Registered Nurse / RN , Hospice... transitions as directed. + If serving as a Care Manager , coordinates all aspects of patient … more
- CVS Health (Woonsocket, RI)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- AccentCare, Inc. (Norwood, MA)
- Overview RN / Registered Nurse ,...MA - Office Location Position: RN Case Manager , Home Health Position Type: Full-Time Remote /Virtual ... surrounding areas Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager... care we're building together. Be the Best RN Case Manager You Can Be If… more
- Molina Healthcare (Norfolk, MA)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and home health...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Brockton, MA)
- …who reside in Massachusetts. We are looking for candidates with a MA RN licensure, care management and hospital experience. Bilingual candidates that speak ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Sharecare (Providence, RI)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Humana (Providence, RI)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
- Brockton Hospital (North Easton, MA)
- The Nurse Care Manager , under the...level. This role includes serving as the clinical lead nurse for remote blood pressure monitoring of Signature ... hypertensive disorders of pregnancy. During normal business hours, the Nurse Care Manager will monitor...requiring travel to the OBGYN practices 2-3 days per week. 3 years of OB experience required. LPN or RN… more
- Molina Healthcare (Norfolk, MA)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Sedgwick (Providence, RI)
- …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 ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- CenterWell (Providence, RI)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more