• Complex Case Manager

    Highmark Health (Boston, MA)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (06/13/25)
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  • Registered Nurse ( RN ), Care…

    Beth Israel Lahey Health (Wakefield, MA)
    …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... care physicians focusing on at risk, high cost, and chronic/ complex condition patient populations. Collaborates with the primary care...of illness and disability. The Care Manager , RN upholds the current standards of professional case more
    Beth Israel Lahey Health (05/30/25)
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  • Registered Nurse , Case

    CVS Health (Boston, MA)
    …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 ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Case Manager Registered

    CVS Health (Boston, MA)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Care Manager , Registered

    Sharecare (Boston, MA)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (06/03/25)
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  • Registered Nurse - Program…

    Veterans Affairs, Veterans Health Administration (Boston, MA)
    Summary This Registered Nurse - Reusable Medical Device Program Manager /Coordinator position is located within the Sterile Processing Service Line of the VA ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Clinician Reviewer Outpatient UM Registered

    US Tech Solutions (Canton, MA)
    …license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in ... his role and is responsible for managing a clinically complex caseload of varied requests for services. The Clinical...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… more
    US Tech Solutions (06/23/25)
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  • Emergency Department RN Case

    Children's Hospital Boston (Boston, MA)
    …Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified Case Manager is preferred, ... Experience: + A minimum of 5 years nursing experience required; pediatrics preferred. + Experience as a nurse Case Manager (Discharge Planning) preferred.… more
    Children's Hospital Boston (05/01/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization...license as a Registered Nurse ( RN ) + A certification as a Certified Case ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
    Children's Hospital Boston (06/16/25)
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  • Behavioral Health RN Case

    Children's Hospital Boston (Boston, MA)
    80501BRJob Posting Title:Behavioral Health RN Case Manager -...license as a Registered Nurse ( RN ) + A certification as a Certified Case ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
    Children's Hospital Boston (06/05/25)
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  • RN Care Manager , Complex

    East Boston Neighborhood Health Center (East Boston, MA)
    …As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity to make a ... well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager...for working with Prevention & Screening team in managing case load of all patients receiving treatment for PrEP… more
    East Boston Neighborhood Health Center (05/07/25)
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  • Emergency Department RN Case

    Tufts Medicine (Melrose, MA)
    …reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving skills, ... opportunity to work close to home with a community hospital. **Position Summary:** The Case Manager is responsible and accountable for the management of care for… more
    Tufts Medicine (06/23/25)
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  • RN Admissions Manager

    Boston Health Care for the Homeless Program (Boston, MA)
    …- Friday, 8:00am-4:30pm Union: None Union Name: None Patient Facing: Yes The RN Manager of Admissions has overall administrative, management and clinical ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
    Boston Health Care for the Homeless Program (05/25/25)
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  • RN Care Manager TMIN

    Tufts Medicine (Burlington, MA)
    …2. Obtain appropriate state board where services will be provided as a registered professional nurse **OR** Current multi-state licensure through the enhanced ... Location: Remote with occasional onsite travel **Job Overview** This position utilizes the case management process and works closely with other members of the care… more
    Tufts Medicine (06/22/25)
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  • Wound Care Specialist RN Per Diem

    Beth Israel Lahey Health (Cambridge, MA)
    …a job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager , the Wound Care Specialist- RN works collaboratively with members ... well-being and as required for license renewal. **Minimum Qualifications:** + License Registered Nurse in the Commonwealth of Massachusetts required. +… more
    Beth Israel Lahey Health (04/16/25)
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  • Field Case Manager

    Sedgwick (Boston, MA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **In order to be considered for this Field Case ... of Boston.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (03/27/25)
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  • Field Case Manager -Sign On Bonus…

    Sedgwick (Boston, MA)
    …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! If you have at least** **1.5 years...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (06/19/25)
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  • Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    …considered in lieu of degree. + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... care physicians focusing on at risk, high cost, and chronic/ complex condition patient populations. Collaborates with the primary care...of illness and disability. The Care Manager , RN upholds the current standards of professional case more
    Beth Israel Lahey Health (06/06/25)
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  • Director Clinical Documentation Integrity

    Tufts Medicine (Burlington, MA)
    …technology. **Job Description** **Minimum Qualifications:** 1. BSN degree 2. Licensed as a Registered Nurse 3. Five (5) years relevant experience in the ... plan, organize, implement, and evaluate the CDI program. This includes management of case mix index (CMI), length of stay (LOS), Observed versus Expected mortality… more
    Tufts Medicine (06/23/25)
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  • Outpatient Oncology Nurse Coordinator Per…

    Beth Israel Lahey Health (Boston, MA)
    …Qualifications:** Associate's degree required. Bachelor's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support ... oncology, radiation oncology, and specialties providers in a convenient location. The nurse coordinator role supports the medical oncologists and nurse more
    Beth Israel Lahey Health (06/17/25)
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