- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Commonwealth Care Alliance (Boston, MA)
- …experience and consistent delivery of quality care. The BH Provider Engagement Program Manager reports to the Director of Delegation Partnerships and Provider ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
- Commonwealth Care Alliance (Boston, MA)
- …service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of ... nurse reviewers and support personnel. - Act as liaison with medical director , provider relations, case management and quality teams to support care… more
- Commonwealth Care Alliance (Boston, MA)
- …require intensive care management and care delivery. Within the CIC Program, the Manager , Clinical APC is responsible for the oversight of clinical care delivery and ... complex care management within the CIC interdisciplinary team. The Manager , Clinical APC is specifically accountable for assigned Advanced Practice Clinicians and… more
- Commonwealth Care Alliance (Boston, MA)
- …in ADA administration **Required Licensing:** + Unencumbered license to practice as a Registered Nurse in Massachusetts **Required Experience:** + 5+ years of ... transmission of illness to members + In collaboration with manager , oversee CCA's Respiratory Protection Program + Train employees...Occupational Health Nurse (COHN) or Occupational Health Nurse Specialist (COHN-S) + Certification in Case … more
- Beth Israel Lahey Health (Needham, MA)
- …people's lives.** 40 hr (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for ... including but not limited to the Emergency Department , PACU and Preadmission testing. The case ...the physicians and nurses about levels of care. The RN Case manager , performs, consults,… more
- Molina Healthcare (Norfolk, MA)
- …concerns. + 25- 40% local travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Beth Israel Lahey Health (Plymouth, MA)
- …6:30p. Every third weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable ... most appropriate level of care while facilitating throughput. The ED Case Manager will assist...** Education /Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5… more
- Elevance Health (Boston, MA)
- **Behavioral Health - Case Manager II** **Location** : _Virtual:_ However the candidate must be able to go into the facility twice per week. Locations are either ... planning. Must live in Massachusetts. The **Behavioral Health - Case Manager II** is responsible for performing...targeted clinical areas of expertise such as Eating Disorders ( ED ) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD)… more
- Elevance Health (Boston, MA)
- **Behavioral Health - Case Manager II** **Location** : _Virtual:_ However the candidate must be able to go into the facility twice per week. Locations are either ... planning. Must live in Massachusetts. The **Behavioral Health - Case Manager II** is responsible for performing...targeted clinical areas of expertise such as Eating Disorders ( ED ) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD)… 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Vitra Health (Fall River, MA)
- …a member in need of care, in a qualified setting. Our care teams, comprised of a Nurse and Case Manager , provide vital support for the clients and caregivers ... success. That is why we are looking for a Registered Nurse or Licensed Practical Nurse ...in our program. As an RN or LPN Case Manager , you… more
- Molina Healthcare (Norfolk, MA)
- …health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
- Athena Health Care Systems (Brockton, MA)
- …your skills and talents are nurtured to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care. The ... We are hiring full-time RN Hospice Case Managers to join...toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor… 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...value for both the client and the reimbursement source ** EDUCATION AND LICENSING** RN licensure preferred; or… more
- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...value for both the client and the reimbursement source ** EDUCATION AND LICENSING** RN licensure preferred; or… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …schedule 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 ... team members, agencies, and healthcare facilities. Qualifications: + Licensed as a Registered Nurse in the Commonwealth of Massachusetts. + Bachelor's degree… more
- Sedgwick (Boston, MA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. ** EDUCATION AND LICENSING** Current unrestricted RN license(s) in a state… more
- Beth Israel Lahey Health (Plymouth, MA)
- …not just taking a job, you're making a difference in people's lives.** REGISTERED NURSE - PER DIEM **Job Description:** **Duties/Responsibilities:** + Identifies ... of care determination/LOS. + Coordinates continuing care for SDC, ED and other outpatient areas on request. _It is...detail of the job that may reasonably be required._ ** Education /Experience Required:** + Current MA RN License… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Algorithms for end-of-life symptom management. + Participate in in-service training and education with a goal of achieving RN certification in Hospice ... include every detail of the job that may reasonably be required._ ** Education /Experience Required** + Current Massachusetts professional RN license +… more
