- Molina Healthcare (Chelsea, 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)
- …**Monday July 21st, 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
- Sharecare (Boston, MA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- Public Consulting Group (Boston, MA)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Boston, MA)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… 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
- 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
- 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
- Cambridge Health Alliance (Malden, MA)
- …residency. Job Summary:Under the supervision of the Nurse Manager , the Remote Nurse Advice RN is responsible for telephonic and electronic patient ... RN - Nurse Advice Call Center...Commerce Place **Work Days:** 4:10hr or 5:8hr Shifts **Category:** Registered Nurse **Department:** Nurse Advice… more
- Children's Hospital Boston (Boston, MA)
- …an independent, competent pediatric nurse . The New Graduate Registered Nurse will be responsible for: + Providing care for inpatient pediatric patients ... 80146BRJob Posting Title:Transition to Nursing Practice (New Grad RN ), August 2025 CohortDepartment:Patient Services-NursingAutoReqId:80146BRStatus:Full-TimeStandard Hours per Week:40… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... Hours per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or ambulatory) will be responsible… more
- Children's Hospital Boston (Boston, MA)
- 79897BRJob Posting Title:Emergency Department RN Case ManagerDepartment:Patient Services-Patient Care OperationsAutoReqId:79897BRStatus:Full-TimeStandard Hours ... per Week:40 Job Posting Category:NursingJob Posting Description:The Emergency Department RN Case Manager will be responsible for:...first two years of employment. + Experience as a nurse Case Manager (Discharge Planning) preferred. Boston… more
- Molina Healthcare (Boston, 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
- Fresenius Medical Center (Waltham, MA)
- …to ensure scheduling attendance. + Communicate any potential issues to supervising Registered Nurse and/or management staff. + Documents all activities completed ... **PURPOSE AND SCOPE:** Associate will assist registered nurses with scheduling and care ...day-to-day problems that may arise. + Escalates issues to supervisor/ manager for resolution, as deemed necessary. + Performs other… more
- Tufts Medicine (Lowell, MA)
- …cooperatively within department and other services to create a system of quality health care . **Location** : Remote /Hybrid- Needs to be onsite, once per quarter ... and Holiday Rotation Required **Job Description** **Minimum Qualifications:** 1. Massachusetts RN Licensure. 2. Three (3) years of relevant clinical nursing… more
- WTW (Boston, MA)
- …Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company + US Registered Nurse or LCSW with active licensed preferred + Health ... data requests on behalf of each client/carrier + Coordinate with Project Manager regarding sending requests, timing, status, and follow-up + Attend internal and… more