- Molina Healthcare (Waltham, MA)
- …government funded health plans for members who reside in Massachusetts. We are looking for Care Managers with a RN licensure and a back ground in care ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... Care experience + 2 or more years of LTSS experience + 2 or more years working in...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an interdisciplinary ... LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts,...care management, including: + 5+ years' experience as Registered Nurse in a high touch clinical… more
- Molina Healthcare (Boston, MA)
- …and supports ( LTSS ), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... members who reside in Massachusetts. We are looking for Care Managers with a RN licensure and...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Boston, 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
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
- Beth Israel Lahey Health (Wakefield, MA)
- …and his/her family or natural supports, as directed by the member's PCP, Social Worker, or RN Care Manager + Attends Care Management Team meetings and ... Behavioral Health (BH) and Long Term Services and Supports ( LTSS ), Health Related Social Needs (HRSN) Providers/Community Based Organizations...reviews as scheduled or as requested by Social Worker, RN Care Manager , or PCP… more