- 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 (Boston, MA)
- …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
- CVS Health (Boston, MA)
- …standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical ... outcomes. **What you will do** + Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's… more
- Vitra Health (Braintree, MA)
- …support, a customized care plan, community resources, and caring teams of nurses and case managers. The Clinical Manager will oversee the growth, development ... success. That is why we are looking for a Clinical Manager to join our team. If...as well as Semi/Annual compliance. + Manages field staff ( Case Managers and Nurses) and coaches them towards ownership… more
- Beth Israel Lahey Health (Boston, MA)
- …in order to secure post-acute transition services + Provides direct support to the RN Case Manager in the clinical units + Verifies patient demographics, ... discharge planning process. This position will spend time on clinical units and directly interact with patients and their...vendors, rehabilitation facilities, etc. + Collaborates with the RN Case Manager to facilitate timely discharge to… more
- Maxim Healthcare (Kingston, MA)
- …changes in patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all ... medical record and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required + Supports professional… more
- Public Consulting Group (Boston, MA)
- …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
- Children's Hospital Boston (Boston, MA)
- …nursing experience required; pediatrics preferred. + Experience as a nurse Case Manager (Discharge Planning) preferred. Licensure/ Certifications: + Current ... Case Managers at Boston Children's function as the clinical professionals who coordinate the transition from hospital to...Registered Nurse (RN) + A certification as a Certified Case Manager is preferred, if not willingness… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... of care for the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care team, focusing on… 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
- Adecco US, Inc. (Cumberland, RI)
- **Remote Opportunity: Nurse Case Manager II (RN - EST...residing outside FL. In this role, you will use clinical judgment and case management tools to ... Compact)** **About the Role:** We're hiring an experienced **Nurse Case Manager II** to join our remote...Advocate for appropriate services and interventions in line with clinical and benefit guidelines + Collaborate with healthcare providers,… more
- Public Consulting Group (Boston, MA)
- …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
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... years nursing experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.… more
- 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 ... 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 (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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Beth Israel Lahey Health (Plymouth, MA)
- …weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by ... identify the most appropriate level of care while facilitating throughput. The ED Case Manager will assist in identifying patients appropriate for Admission,… more
- Children's Hospital Boston (Boston, MA)
- 80501BRJob Posting Title:Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care OperationsAutoReqId:80501BRStatus:Part-TimeStandard ... experience required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred.… more
- Brockton Hospital (Brockton, MA)
- …Uses accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison between ... and health of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for assuring… 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 in more...and team-based care. You will serve in a key clinical role to the care team with primary responsibilities… more
- 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...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more