- Commonwealth Care Alliance (Boston, MA)
- …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... 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)
- …+ Certification as an Occupational Health Nurse (COHN) or Occupational Health Nurse Specialist (COHN-S) + Certification in Case Management + Certification in ... and secondary transmission of illness to members + In collaboration with manager , oversee CCA's Respiratory Protection Program + Train employees on the proper… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… 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 ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… 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 ... That is why we are looking for a Registered Nurse or Licensed Practical Nurse to support...in our program. As an RN or LPN Case Manager , you will conduct regular in-person… more
- Vitra Health (Quincy, 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 ... is why we are looking for a Licensed Practical Nurse to support our clients of Quincy, Milton, Hyde...in our program. As an LPN Case Manager , you will be responsible for… more
- University Medicine (Providence, RI)
- SUMMARY: Reporting to the Manager of Case Management, the nurse case manager is responsible for providing comprehensive screenings, assessment, care ... the intent of encouraging self-management for patients with chronic conditions. The Nurse Case manager is integrated in the office-based healthcare team and… 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 ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or… more
- Gentiva (Mansfield, MA)
- …be an EEO employer + We maintain a drug-free workplace keywords: hospice RN jobs, case manager nurse , end-of-life care RN, home health RN, compassionate ... **What You'll Do as a Hospice RN / RN Case Manager :** + Be the primary point...is just one piece.Salary Range: $82,620 - $103,330 ReqID: 2025-126969 Category: Registered Nurse Position Type: Full-Time Company: Gentiva… more
- Beth Israel Lahey Health (Boston, MA)
- …needs. Conducts psychosocial assessments and provides services as indicated. Partners with a nurse case manager and the multidisciplinary team, assists in ... patients and families. Collaborates with physicians, nurses, internal and external case managers, community agencies, and other health care professionals to… more
- Elara Caring (Boston, MA)
- …direction of a Registered Nurse or physician. + Collaborate with the RN Case Manager during normal business hours for advice, assistance, and instructions. + ... in the Right Place. **Job Description:** **Licensed Vocational/ Practical Nurse Hourly** At Elara Caring, we care where you...and changes in condition or environment to the RN Case Manager , the physician, clinical supervisor, and/or… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …+ A. Support Geriatric Team + Advise a team consisting of a nurse and a case manager in the clinical care of older individuals experiencing homelessness. ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Registered Nurse - Assistant Nurse Manager - Urgent Care position ... full-time position at 40 hours per week. The Assistant Nurse Manager of Urgent Care plays a...(may be extended up to two years on a case -by- case -basis.) Preferred Experience: BSN or MSN is… more
- Humana (Providence, RI)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Tufts Medicine (Boston, MA)
- …patients deserve the best. Our nurses give it to them. Position/Job Title: RN - Case Manager , Per Diem Day Shift **Job Profile Summary** This role focuses on ... physician orders. In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a… 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
- Sharecare (Boston, MA)
- …and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in ... an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members,… 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
- BD (Becton, Dickinson and Company) (Boston, MA)
- **Job Description Summary** The Clinical Manager (CM) is responsible for working with the Home Care sales management team to provide clinical support and outreach to ... and their patients. The position involves working closely with nursing leaders, HCPs, case managers and their patients as they transition from the hospital to the… more
- Molina Healthcare (Norfolk, MA)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. Bilingual...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
