- CVS Health (Boston, MA)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Boston, MA)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Children's Hospital Boston (Boston, MA)
- 80501BRJob Posting Title: Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care ... experience required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.… more
- Highmark Health (Boston, MA)
- …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
- Boston Health Care for the Homeless Program (Boston, MA)
- …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 work on a ... from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work...and team-based care. You will serve in a key clinical role to the care team with primary responsibilities… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Nurse (RN) Case Manager for Hospital at Home Care...determine appropriateness for inpatient and outpatient care. 3) Utilizes clinical expertise to determine the appropriate level of care… more
- Fenway Health (Boston, MA)
- …Health Job Type Full-time Description Function: Under the general supervision of the Manager of Low-Barrier Behavioral Health Services, the Behavioral Health ... behavioral health settings + Provide specialty integrated behavioral health clinical care with a focus...per week outside of traditional business hours Provides direct case management services to medical patients + Upon referral… more
- Covenant Health (Nashua, NH)
- …the goal of decreasing fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, ... and delegates care to, the High-Risk Social Worker/ Behavioral Health Clinician for the assessment and determination of...Education and Experience + Minimum of five years broad clinical experience preferred + Case management and/or… more
- Northeast Family Services (Salem, NH)
- …opportunity to join a rapidly growing and well-regarded organization. The Case Manager will report to the Clinical Supervisor. In collaboration with other ... members of the clinical team, the case manager .... Interfaces with DCYF, the NH court system, schools, behavioral health providers, and any other involved members of… more
- Commonwealth Care Alliance (Brighton, MA)
- …Clin Alli-Maries Place **Position Summary:** We are seeking a compassionate and skilled Clinical Social Worker to join our team at the CCA Community Crisis Respite. ... passionate about making a positive difference in the lives on individuals facing behavioral health challenges, we invite you to apply for this rewarding position.… more
- South Middlesex Opportunity Council (Lowell, MA)
- …reporting and day to day activities of a small team comprised of a case manager , an outreach worker, and an administrative assistant. + Recruit, manage, ... Support Services. Direct reports of this position are LTPSH case manager , Outreach Specialist and Administrative Assistant....As part of the responsibilities of this position, the Clinical Support Manager will have direct or… more
- Humana (Boston, MA)
- …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
- Molina Healthcare (Cambridge, MA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Endoscopy Operations Manager Position Summary: Under supervision of Executive Director and Medical Director ... and in collaboration with the Nurse Manager , manage endoscopy unit daily operations including the supervision of the unit coordinators and endoscopy schedulers.… more
- CVS Health (Boston, MA)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- Tufts Medicine (Burlington, MA)
- …Location: Remote with occasional onsite travel **Job Overview** This position utilizes the case management process and works closely with other members of the care ... is an integral member of the care team who conducts comprehensive clinical assessments, develops a patient-centered care plan, and engages the patient through… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than ... The RN Manager of Admissions has overall administrative, management and clinical responsibility for the Respite Admissions Department. The Admissions Manager … more
- Highmark Health (Boston, MA)
- …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
- Beth Israel Lahey Health (Burlington, MA)
- …Coding & UR: Receives direction regarding priorities, assignment, coordination and outcome. Clinical Leaders: Receives direction and training from Case Managers: ... and workflows and works closely with other administrative and clinical areas under the direction of the Executive Director...activities. + Complies with all LHMC Policies. Complies with behavioral expectations of the department and LHMC Clinic. +… more
- Triangle Inc. (Malden, MA)
- Position: Residential Program Manager Reports to: Director of Residential Services Hours: Full-time: Monday-Friday 9am-5pm/Salaried/Exempt Location: Lawrence Street ... staff. Provide direct care coverage as required. + Request clinical support as program needs dictate. + Conduct monthly...and program consultants. Document all contact. + Ensure all case files are well maintained and organized by … more