• Commonwealth Care Alliance (Boston, MA)
    …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
    DirectEmployers Association (10/02/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …experience and consistent delivery of quality care. The BH Provider Engagement Program Manager reports to the Director of Delegation Partnerships and Provider ... Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral… more
    DirectEmployers Association (10/18/25)
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  • Nurse Case Manager - Per Diem

    Beth Israel Lahey Health (Cambridge, MA)
    …is the liaison between post-acute providers and the patient. 5. The Case Manager is part of the department 's weekend, holiday, and beeper rotation schedule ... teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and...degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two… more
    Beth Israel Lahey Health (10/30/25)
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  • Telephonic Nurse Case Manager

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
    Humana (11/06/25)
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  • RN Case Manager (40hr, Day)

    Beth Israel Lahey Health (Needham, MA)
    …people's lives.** 40 hr (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for ... including but not limited to the Emergency Department , PACU and Preadmission testing. The case ...the physicians and nurses about levels of care. The RN Case manager , performs, consults,… more
    Beth Israel Lahey Health (10/30/25)
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  • Nurse Case Manager - Senior…

    Fallon Health (Foxborough, 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 ... Teams o Performs other responsibilities as assigned by the Manager /designee o Supports department colleagues, covering and...: Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case more
    Fallon Health (10/28/25)
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  • RN Case Manager Field Care…

    Molina Healthcare (Norfolk, MA)
    …concerns. + 25- 40% local travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (10/22/25)
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  • Registered Nurse Case

    CenterWell (Milford, MA)
    …get back to the life they love. $10K Sign on Bonus Available As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Health experience is a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
    CenterWell (10/25/25)
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  • ED RN Case Manager

    Beth Israel Lahey Health (Plymouth, MA)
    …6:30p. Every third weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable ... most appropriate level of care while facilitating throughput. The ED Case Manager will assist...** Education /Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5… more
    Beth Israel Lahey Health (10/30/25)
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  • Behavioral Health - Case Manager II

    Elevance Health (Boston, MA)
    Job Description **Behavioral Health - Case Manager II** **Location** : _Virtual:_ However the candidate must be able to go into the facility twice per week. ... planning. Must live in Massachusetts. The **Behavioral Health - Case Manager II** is responsible for performing...targeted clinical areas of expertise such as Eating Disorders ( ED ) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD)… more
    Elevance Health (11/15/25)
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  • RN Case Manager - Case

    Tufts Medicine (Boston, MA)
    ** RN Case Manager - Case...patient and family centered model of care. **Minimum Qualifications:** 1. Registered Nurse ( RN ) license or license ... best. Our nurses give it to them. Position/Job Title: RN - Case Manager , Per...difficult and sometimes complex problems. **Job Overview** The professional registered nurse possesses and applies the skills… more
    Tufts Medicine (11/08/25)
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  • Case Manager

    State of Massachusetts (Boston, MA)
    …Services* **Organization:** ** Department of Public Health* **Title:** * Case Manager * **Location:** *Massachusetts-Boston-170 Morton Street* **Requisition ... Lemuel Shattuck Hospital is seeking a dedicated and experienced Case Manager to coordinate key functions within...years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic… more
    State of Massachusetts (10/28/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... Main Function Reports to the Director Care Management or designee. Provides coordinated care...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
    Charter Care Health Partners (10/18/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... Reports to the Director Care Management or designee. Provides coordinated care...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
    Charter Care Health Partners (10/18/25)
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  • RN Case Manager Field Care in

    Molina Healthcare (Norfolk, MA)
    …health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
    Molina Healthcare (11/06/25)
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  • RN Case Manager (Complex…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members and ... health, and any barriers to care. The Team The RN Case Manager is part...services as appropriate, communicate effectively and provide members with education and resources as needed. Promote member compliance with… more
    Blue Cross Blue Shield of Massachusetts (10/23/25)
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  • Hospice RN Case Manager

    Athena Health Care Systems (Lakeville, MA)
    …your skills and talents are nurtured to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care. The ... We are hiring full-time RN Hospice Case Managers to join...toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor… more
    Athena Health Care Systems (10/11/25)
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  • Field Case Manager -Sign-On Bonus…

    Sedgwick (Boston, MA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...value for both the client and the reimbursement source ** EDUCATION AND LICENSING** RN licensure preferred; or… more
    Sedgwick (10/23/25)
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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...value for both the client and the reimbursement source ** EDUCATION AND LICENSING** RN licensure preferred; or… more
    Sedgwick (09/24/25)
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  • Case Manager Registered

    Prime Healthcare (Woonsocket, RI)
    …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/229944/ case - manager - registered ... an accredited school of nursing and a current state Registered Nurse license2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
    Prime Healthcare (10/16/25)
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