- Highmark Health (Providence, RI)
- …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
- Sharecare (Providence, RI)
- …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
- Fallon Health (Worcester, MA)
- …fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an ... NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric...: Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case… more
- Evolent (Providence, RI)
- …care across multiple settings and with multiple providers - **- Required** + Current Registered Nurse license without restrictions must be able to qualify for AK ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus -… more
- 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
- Highmark Health (Providence, RI)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Cardinal Health (Providence, RI)
- …life-changing therapies to patients who need them-faster.** **_Position Summary_** The Manager , Clinical is responsible for strategic oversight and management of ... demands to long-term implications, in alignment with the supporting business case + Prioritizes multiple tasks while meeting deadlines + Communicates program… more
- Beth Israel Lahey Health (Stoughton, MA)
- …accredited Nursing Program required. Bachelor's degree in Nursing preferred. + License Registered Nurse preferred., and American Heart Association - Basic Life ... trained, a remote schedule will be discussed with the Manager . The Transitional Care Nurse (TCN) ensures...practice guidelines and provide post discharge outreach for medically complex patients. The TCN will work collaboratively with BIDHC… more