- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ( RN ) at Fenway Health you ... environments. Requirements + Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree required. + Current… more
- Beth Israel Lahey Health (Burlington, MA)
- …Time Days 8:00am-4:30pm weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home ... team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and med/surg experience are… more
- Atrius Health (Boston, MA)
- …Clinical Director, Nurse Leader or designee, the professional licensed registered nurse provides patient centric, after-hours phone and/or telehealth support ... specialties, behavioral health, and women's health service lines. The RN utilizes the nursing process and adheres to current standards of nursing… more
- Elevance Health (Woburn, MA)
- …services only, and there is licensed staff supervision. Previous experience in case management / utilization management with a broad range of experience with ... to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines… more
- Sharecare, Inc. (Boston, MA)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Beth Israel Lahey Health (Burlington, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) RN Clinical Informatics **Job Description:** **Position Summary** As part of the ... upgrades, and enhancements minimizing disruption and downtime. **Ongoing system utilization throughout clinical areas:** + Troubleshoots questions and problems… more
- Commonwealth Care Alliance (Boston, MA)
- …as NP or PA in primary care or care management AND 3+ years' experience as Registered Nurse or EMT-P in a high touch clinical environment or home care; OR + ... visits within 48 hours with focus on hospitalization and utilization reduction + Longitudinal chronic disease management ...or PA graduate, must have 5+ years' experience as Registered Nurse or EMT-P in a high… more
- WellSense (Boston, MA)
- …function of this position + Other duties as assigned **Qualifications:** **Education:** + Registered Nurse + Bachelor's degree or an equivalent combination of ... Nurse Care Manager SCO WellSense Health Plan is...of diverse and complex face-to- face and telephonic care management responsibilities. The Care Manager provides care coordination for… more
- Brockton Hospital (Brockton, MA)
- …disease management preferred. * Experience with substance abuse and behavioral health conditions preferred. * Completion of self- management support training ... RN license in the Commonwealth of Massachusetts. Case Management certification preferred. Valid driver's License IV. Software/Hardware: Experience with… more
- Commonwealth Care Alliance (Boston, MA)
- …supervision and leadership to a team of facility-based providers (medical and behavioral health) as well as community health workers, and is additionally expected ... improving member experience through care transitions, promoting the appropriate utilization of clincial services, and reducing unnecessary hospital admissions and… more
- Commonwealth Care Alliance (Boston, MA)
- …of committees (including but not limited to credentialing committee activities, utilization management reviews, medical policy committee) 11) Other duties ... + Knowledge and successful track record of health plan operations including utilization and care management , claims processing, contracting and provider… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and collaboratively to facilitate care based on the principles of care management . Facilitation is focused on assessing needs, identifying health care disparities, ... dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical directors and… more
- Beth Israel Lahey Health (Burlington, MA)
- …other disciplines to deliver patient care. **Job Description:** Neurosurgery/Interventional Pain Management 7 Central Lahey Hospital and Medical Center is now ... patient Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence....for identified patient populations + Monitors patient progress by utilization of disease specific registries to proactively reach out… more