- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (Dorchester, MA)
- …government funded health plans for members who reside in Massachusetts. We are looking for Care Managers with a RN licensure and a back ground in care ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… more
- Highmark Health (Boston, MA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Boston, MA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… more
- AccentCare, Inc. (Norwood, MA)
- …Location: Norwood, MA Position: After Hours Registered Nurse / RN , Hospice Position Type: Full-Time Remote /Virtual Position: No Coverage Area: Greater ... Overview After Hours Registered Nurse / RN , Hospice... transitions as directed. + If serving as a Care Manager , coordinates all aspects of patient … more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- CVS Health (Boston, MA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- BD (Becton, Dickinson and Company) (Boston, MA)
- …all other documented quality processes and procedures. **Required experience:** + Licensed Registered Nurse + Previous Urology experience + Comfortable educating ... **Job Description Summary** The Clinical Manager (CM) is responsible for working with the... (CM) is responsible for working with the Home Care sales management team to provide clinical support and… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …clinical support and direct patient care for a small panel of patients. The Nurse Care Manager (NCM) and the Care Coordinator will collaborate ... equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in... Manager is a perfect opportunity for a Registered Nurse seeking to grow administrative and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist Registered Nurse ( RN ) assists with the appropriate ... that are representative of the patient's hospital stay and care provided including Severity of Illness (SOI), Risk of...the body of the medical record. The CDI Specialist RN works under the direction of the Manager… more
- Molina Healthcare (Boston, MA)
- …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... severity of illness and the site of service. The Care Manager , LTSS provides support for ...We are looking for a candidate with a MA RN licensure and case management experience. Candidates need to… more
- Bear Mountain Health Care (Boston, MA)
- Bear Mountain Healthcare has immediate openings for a Registered Nurse unit manager looking to work in our Long Term Care Facility in the West Roxbury, ... patient-centered care , promoting healing, recovery, and comfort. The unit manager will oversee only one unit, responsible for 40 residents, ensuring personalized… more
- Molina Healthcare (Brockton, MA)
- …who reside in Massachusetts. We are looking for candidates with a MA RN licensure, care management and hospital experience. Bilingual candidates that speak ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Molina Healthcare (Boston, MA)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are looking for a candidate with a MA RN licensure. Candidates with case management and home health… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members and families of members who ... any barriers to care . The Team The RN Case Manager is part of a...Mobile, and eWorker personas. This position can be fully remote with an expectation to work in our Hingham,… more
- Tufts Medicine (Boston, MA)
- …the care of the patient under the direction of the Registered Nurse . 2. Provides direct patient care within the primary nursing model to ensure ... for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and...regarding patients to the appropriate person (ie, physicians, clinical manager , or charge nurse ) and records those… more
- Commonwealth Care Alliance (Boston, MA)
- …(must have): * Meaningful clinical experience including: * 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care , ... member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Sharecare (Boston, MA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Highmark Health (Boston, MA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more