- 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
- CVS Health (Providence, RI)
- …of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... late day until 7pm your local time.** **No holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Prime Healthcare (Woonsocket, RI)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211012/ case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark… 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
- Charter Care Health Partners (North Providence, RI)
- …Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective services. Makes daily rounds and ... of the Nurse Licensure Compact. Five (5) years of clinical experience that includes recent experience with case...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- CVS Health (Providence, RI)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Providence, RI)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Baylor Scott & White Health (Providence, RI)
- …based on position type and/or level **Job Summary** As a Registered Nurse Case Management , oversee, strategize, and monitor the team to provide quality services ... partnerships with various stakeholders to improve member health outcomes through case management services. **Essential Functions of the Role** + Collaborates in… more
- Sedgwick (Providence, RI)
- …a Great Place 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 for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… 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
- 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
- Charter Care Health Partners (North Providence, RI)
- … Manager of Inpatient Behavioral Health Social Work provides clinical duties including comprehensive assessments and evaluations, individual treatment and family ... records are accurate and up to date. The System Manager provides clinical oversight of treatment planning...audits and special projects to meet regulatory standards. System Manager will carry a case load in… 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
- Datavant (Providence, RI)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... into detailed product requirements, working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release,… more
- Sumitomo Pharma (Providence, RI)
- …. **Job Overview** The Senior Manager , Pharmacovigilance Scientist serves as the ... ensuring continuous benefit-risk assessment. + Collaborate with colleagues in Clinical Development, Regulatory Affairs, Biostatistics, Data Management, and other… more
- Datavant (Providence, RI)
- …customers that provides timely access to complete and comprehensive identified clinical data to supplement traditional sources of de-identified real world data ... (eg, claims). As the Retrieval Solutions Delivery Manager , you will be responsible for the successful execution...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… 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
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Nurse Manager - Emergency Room position is located in Nursing Service at the ... Nursing Leadership Team, working together to improve patient care, safety and clinical outcomes Manages unit resources such as human, financial, material, and… more