• Complex Case Manager

    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
    Highmark Health (06/13/25)
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  • Case Manager Registered

    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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Registered Nurse , Case

    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 ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Care Manager , Registered

    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
    Sharecare (06/03/25)
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  • Registered Nurse (Assistant…

    Veterans Affairs, Veterans Health Administration (Leeds, MA)
    …application. Former EDRP participants ineligible to apply. Responsibilities This Registered Nurse (Assistant Nurse Manager ) position is located in the ... and referring more serious complaints not resolved to the Nurse Manager . Identifying developmental and training needs...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (06/14/25)
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  • Registered Nurse - Program…

    Veterans Affairs, Veterans Health Administration (Boston, MA)
    Summary This Registered Nurse - Reusable Medical Device Program Manager /Coordinator position is located within the Sterile Processing Service Line of the VA ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Emergency Department RN Case

    Children's Hospital Boston (Boston, MA)
    …Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified Case Manager is preferred, ... Experience: + A minimum of 5 years nursing experience required; pediatrics preferred. + Experience as a nurse Case Manager (Discharge Planning) preferred.… more
    Children's Hospital Boston (05/01/25)
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  • Per Diem RN Case Manager

    Children's Hospital Boston (Boston, MA)
    80451BRJob Posting Title:Per Diem RN Case Manager , Utilization...license as a Registered Nurse ( RN ) + A certification as a Certified Case ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...experience required, pediatric experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
    Children's Hospital Boston (06/16/25)
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  • Behavioral Health RN Case

    Children's Hospital Boston (Boston, MA)
    80501BRJob Posting Title:Behavioral Health RN Case Manager -...license as a Registered Nurse ( RN ) + A certification as a Certified Case ... care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +...required, psychiatric nursing experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization… more
    Children's Hospital Boston (06/05/25)
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  • RN , Hospital Case Manager

    Baystate Health (Springfield, MA)
    The ** RN Hospital Case Manager ** is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes of a ... designated population of patients. The Hospital Case Manager is responsible for overseeing an...or post acute reentry. The Hospital Case Manager leads the interdisciplinary team in developing complex more
    Baystate Health (05/24/25)
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  • RN Admissions Manager

    Boston Health Care for the Homeless Program (Boston, MA)
    …- Friday, 8:00am-4:30pm Union: None Union Name: None Patient Facing: Yes The RN Manager of Admissions has overall administrative, management and clinical ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
    Boston Health Care for the Homeless Program (05/25/25)
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  • RN Care Manager TMIN

    Tufts Medicine (Burlington, MA)
    …2. Obtain appropriate state board where services will be provided as a registered professional nurse **OR** Current multi-state licensure through the enhanced ... Location: Remote with occasional onsite travel **Job Overview** This position utilizes the case management process and works closely with other members of the care… more
    Tufts Medicine (06/22/25)
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  • Wound Care Specialist RN Per Diem

    Beth Israel Lahey Health (Cambridge, MA)
    …a job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager , the Wound Care Specialist- RN works collaboratively with members ... well-being and as required for license renewal. **Minimum Qualifications:** + License Registered Nurse in the Commonwealth of Massachusetts required. +… more
    Beth Israel Lahey Health (04/16/25)
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  • Field Case Manager

    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...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (03/27/25)
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  • Field Case Manager -Sign On Bonus…

    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...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (06/19/25)
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  • Telephonic Case Manager

    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 successful return to work through advocacy,… more
    Sedgwick (06/14/25)
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  • Manager , Care Management

    Milford Regional Medical Center (Milford, MA)
    …+ Masters in Healthcare or MBA preferred Certification / License: + Massachusetts Registered Nurse ( RN ) licensure required OR + Massachusetts Licensed ... Independent Clinical Social Worker (LICSW) required + Certified Case Manager , preferred + Certified Professional in...2+ years of direct management experience including dealing with complex issues or equivalent + Excellent writing skills and… more
    Milford Regional Medical Center (05/14/25)
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  • Manager of Care Management

    Baystate Health (Springfield, MA)
    …DIVERSE PATIENTS. DIVERSE LOCATIONS. **Education:** Bachelors Degree (Required) **Certifications:** Registered Nurse - State of MassachusettsState of ... The **Care Management Manager ** is accountable for the successful planning and...programs associated with the care management program. This includes complex care/disease/social needs management, care coordination, transitions in care,… more
    Baystate Health (06/03/25)
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  • Manager Utilization Management Operations…

    Tufts Medicine (Burlington, MA)
    …minimizing cost, and ensuring optimum outcomes. **Job Description** **Minimum Qualifications:** 1. Registered Nurse (BSN or higher) or other licensed clinical ... year or less), problems faced are difficult to moderately complex , and influences others outside of own job area...Review departments and UM vendor management. The UM Operations Manager is responsible for compliance with CMS Conditions of… more
    Tufts Medicine (06/20/25)
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  • Home Health Aide II (Certified Nurse

    Eastern Connecticut Health Network (Vernon, CT)
    …preparation, laundry, and light housekeeping duties. + Reports to RN Case Manager or Registered Nurse ( RN ) designee any recognized changes in ... plan which is developed by the RN Case Manager . The Nurse Aide...a sympathetic attitude and ability to adjust to varying complex home situations. + Ability to motivate; ability to… more
    Eastern Connecticut Health Network (06/20/25)
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