• Metrowest Medical Center (Framingham, MA)
    …, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management ... completed to support post-acute needs, j) timely complete and concise documentation in Case Management system, k ) maintenance of accurate patient demographic… more
    Talent (11/10/25)
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  • Case Management Discharge

    Beth Israel Lahey Health (Boston, MA)
    …active member of the care transitions team, working collaboratively with the Inpatient RN Case Managers. The Discharge Planning Assistant is responsible for ... the Care Transitions Department. Reporting to Care Transitions leadership, the Discharge Planning Assistant will provide direct administrative support to… more
    Beth Israel Lahey Health (10/30/25)
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  • Telephonic Nurse Case Manager

    Humana (Providence, RI)
    …living in Puerto Rico.** **Preferred Qualifications** + 2 or more years of experience with case management , discharge planning and patient education for ... Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a comprehensive, holistic approach for case management more
    Humana (11/06/25)
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  • Case Manager Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management ... BONUS! 20hrs/week 8:00am - 4:30pm Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
    Prime Healthcare (10/16/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …recent experience with case management , patient navigation, case management , utilization review or discharge planning is strongly preferred. Must ... Utilization Review; Resource Management ; Continuum of Care Management ( Discharge planning ) and Clinical...calendar and basic keyboard skills are also required. Center Case Management (CCM) (R) board certification or… more
    Charter Care Health Partners (10/18/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …recent experience with case management , patient navigation, case management , utilization review or discharge planning is strongly preferred. Must ... Utilization Review; Resource Management ; Continuum of Care Management ( Discharge planning ) and Clinical...calendar and basic keyboard skills are also required. Center Case Management (CCM) (R) board certification or… more
    Charter Care Health Partners (10/18/25)
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  • Case Manager

    Brockton Hospital (Brockton, MA)
    …years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... lives and health of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for… more
    Brockton Hospital (10/31/25)
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  • RN Case Manager (40hr, Day)

    Beth Israel Lahey Health (Needham, MA)
    …or managed care setting with two years prior experience in case management . 4. Knowledge of discharge planning practices, understanding of utilization ... practice model. **Job Description:** **Essential Responsibilities:** 1. Performs utilization management , care coordination, and discharge planning more
    Beth Israel Lahey Health (10/30/25)
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  • Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …of five years acute care nursing experience. + At least one year of experience in case management , discharge planning , or nursing management . + ... Shift (8:00 AM - 4:30 PM) The Per Diem Case Manager is responsible for overseeing the quality and...with clinical standards and regulatory requirements. + Facilitate utilization management , including prior authorizations, discharge planning more
    Prime Healthcare (11/08/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Providence, RI)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health + The curiosity to… more
    Humana (11/11/25)
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  • Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Providence, RI)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (11/07/25)
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  • Medical Director - Claims Mgmt (Remote)

    Humana (Providence, RI)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (11/01/25)
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  • Medical Director - Medicaid N. Central

    Humana (Providence, RI)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (10/25/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Providence, RI)
    …experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
    CenterWell (11/06/25)
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  • Respite Clinician

    Riverside Community Care (Upton, MA)
    discharge summaries) + complete concurrent reviews with insurance companies, case management and discharge planning + provide clinical guidance and ... for suicide risk, brief crisis counseling, individualized risk management /safety planning , psychoeducation, discharge planning , and care coordination.… more
    Riverside Community Care (09/25/25)
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  • Community Crisis Stabilization Clinician - Weekend…

    Riverside Community Care (Upton, MA)
    discharge summaries) + complete concurrent reviews with insurance companies, case management and discharge planning + provide clinical guidance and ... for suicide risk, brief crisis counseling, individualized risk management /safety planning , psychoeducation, discharge planning , and care coordination. In… more
    Riverside Community Care (09/21/25)
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  • ED RN Case Manager - UR & Discharge

    Beth Israel Lahey Health (Plymouth, MA)
    …field + Three years of recent utilization management and discharge planning experience + ED nursing and/or case management + Demonstrates expertise ... four major functions + Utilization Management + Care Coordination + Discharge Planning + Preventing Unnecessary Re-admissions Each of these functions support… more
    Beth Israel Lahey Health (10/30/25)
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  • Social Worker

    Veterans Affairs, Veterans Health Administration (Brockton, MA)
    …Responsibilities The Social Worker provides high quality assessment, psychotherapy, case management , and discharge planning services for veterans in the ... using the DSM 5 for each veteran assessed. Treatment Planning /Goal Setting: The social worker may be responsible...include but are not limited to: providing social work case management ; acting as an advocate with… more
    Veterans Affairs, Veterans Health Administration (11/07/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    PURPOSE OF POSITION: The Director of Case Management is responsible for planning , directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning , directing, and… more
    Brockton Hospital (09/12/25)
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  • Social Work Case Manager - LICSW…

    Cambridge Health Alliance (Cambridge, MA)
    Social Work Case Manager - LICSW - Inpatient Case Management CH **Requisition Number:** 10652 **Pay Range:** $41.74 - $57.64 per hour **Location** : CHA ... and holidays **Category** : Social Work **Department** : Inpatient Case Management CH **Job Type** : Part...to community based resources and addressing social barriers to discharge . Coordinates and executes discharge planning more
    Cambridge Health Alliance (11/11/25)
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