- 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 (Providence, RI)
- …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 (Providence, RI)
- …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
- Public Consulting Group (Providence, RI)
- …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
- Highmark Health (Providence, RI)
- …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 (Providence, RI)
- …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
- Charter Care Health Partners (North Providence, RI)
- …Management or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective services. Makes daily rounds and ... of the Nurse Licensure Compact. Five (5) years of clinical experience that includes recent experience with case...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- CVS Health (Providence, RI)
- …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 (Providence, RI)
- …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
- Sedgwick (Providence, RI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
- Sedgwick (Providence, RI)
- …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...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
- Hartford HealthCare (Dayville, CT)
- …empowering individuals to participate in their own care and recovery. *_Job Summary_* The Case Manager is responsible for providing a range of services for ... *your moment*. **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Case Manager - PHP Adult * **Location:**… more
- Athena Health Care Systems (Warwick, RI)
- …facilitates the patient's efforts toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor and assumes ... We are hiring per diem Hospice Registered Nurse Case Managers (RN) to join the Athena Hospice of Rhode Island team! Prior experience in hospice care is required.… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Sumitomo Pharma (Providence, RI)
- …guidances, eg, EMA, MHRA, and PMDA regulatory frameworks. + Proficient in end-to-end case management of clinical trial and post-market ICSRs. + Experienced in ... highly motivated, and experienced individual for the position of **Associate Manager , Compliance, Training & Strategic Alliance (CTSA), PVRM** . The Associate… more
- Charter Care Health Partners (North Providence, RI)
- … Manager of Inpatient Behavioral Health Social Work provides clinical duties including comprehensive assessments and evaluations, individual treatment and family ... records are accurate and up to date. The System Manager provides clinical oversight of treatment planning...audits and special projects to meet regulatory standards. System Manager will carry a case load in… more
- Sharecare (Providence, RI)
- …+ Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Datavant (Providence, RI)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... into detailed product requirements, working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release,… more
- Datavant (Providence, RI)
- …customers that provides timely access to complete and comprehensive identified clinical data to supplement traditional sources of de-identified real world data ... (eg, claims). As the Retrieval Solutions Delivery Manager , you will be responsible for the successful execution...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more