- Molina Healthcare (Lowell, MA)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… 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)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... 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
- Beth Israel Lahey Health (Wakefield, MA)
- …and efficiency by developing and implementing a patient centered care plan. The RN Care Manager is accountable for ensuring efficient and professional ... to promote engagement in plan. **Quality Improvement:** + The RN care manager is responsible...considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case… more
- CenterWell (Boston, MA)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... Registered Nurse or Physical Therapist. + 5 years of professional experience in Home Care , 2 years of which are in an administrative, supervisory, quality… 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
- Highmark Health (Boston, MA)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… 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
- Children's Hospital Boston (Boston, MA)
- …or Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80501BRJob Posting Title:Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient Care OperationsAutoReqId:80501BRStatus:Part-TimeStandard… more
- Children's Hospital Boston (Boston, MA)
- …or Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard… 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
- Tufts Medicine (Burlington, MA)
- …with physician orders. In addition, this role focuses on performing the following Care Manager related duties: Works as part of a multidisciplinary team ... 2. Obtain appropriate state board where services will be provided as a registered professional nurse **OR** Current multi-state licensure through the enhanced … more
- Molina Healthcare (Cambridge, MA)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … 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
- Commonwealth Care Alliance (Boston, MA)
- … Nurse Supervisor and is under the general supervision of the Primary Care Manager and Clinical Director. **Supervision Exercised:** + None **Essential Duties ... team through health maintenance and chronic disease management, care coordination, and triage within the RN ...Meaningful clinical experience including: + 3+ years' experience as Registered Nurse in a high touch clinical… more
- US Tech Solutions (Malden, MA)
- …the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects ... **JOB SUMMARY:** Note: Candidate will be fully remote however needs to travel to members homes...required)** . Bachelors of Science in Nursing (BSN) and Registered Nurse with current, unrestricted Massachusetts license… more
- Sanofi Group (Boston, MA)
- …pharmaceutical sales position or 4 years clinical experience such as an Advanced Registered Nurse Practitioner, Physician Assistant, Registered Nurse , ... **Job title:** Area Business Manager - Hemophilia - Southern New England **Location:** Boston, MA , Remote , US **About the job** We are an innovative global… more
- ConvaTec (Boston, MA)
- …on solutions for the management of chronic conditions, with leading positions in advanced wound care , ostomy care , continence care , and infusion care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2023 were over $2...us on our journey to #ForeverCaring as a Territory Manager , and you'll do the same. **About the Role:**… more
- CenterWell (Boston, MA)
- …it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal continuity of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more