- Humana (Boston, MA)
- … team on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual ... and tactical goals to focus on consistent execution of Care Management processes and ensure teams meet...valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/ management… more
- Beth Israel Lahey Health (Wakefield, MA)
- …just taking a job, you're making a difference in people's lives.** The Care Manager , RN provides care management services to the BILHPN primary care ... current standards of professional case management practice, and reports to the Manager of Care Management . **Job Description:** + The Care Manager… more
- Beth Israel Lahey Health (Wakefield, MA)
- … services are provided to the BILHPN provider's risk populations. The Care Manager , RN provides care management services to the BILHPN primary ... of professional case management practice, and reports to the Manager of Care Management . **Essential Duties & Responsibilities including but not limited… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Manager , Trade and Channel Management Specialty Care -GenMeds-EP **Grade:** L3 **Hiring Manager :** Christine Hummel **Location:** ... Cambridge, MA, Morristown, NJ **About the Job** The Manager , Trade and Channel Management serves as...your contribution and amplifies your impact. + Take good care of yourself and your family, with a wide… more
- Commonwealth Care Alliance (Boston, MA)
- …daily operations, including the member experience, care management , and care coordination. The Team Manager is primarily responsible for ensuring that ... 024020 Clin Alli- Care ManagementLeadership **Position Summary:** The Team Manager...their team is providing high quality, regulatory compliant, longitudinal care coordination and care management ,… more
- Commonwealth Care Alliance (Boston, MA)
- 024450 Clin Alli- Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other ... Severe and Persistent Mental illness. As part of the care management dyad, the Clinical Care Manager works directly with assigned CCA members to help… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for ... facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing...Act as liaison with medical director, provider relations, case management and quality teams to support care … more
- ConvaTec (Boston, MA)
- …a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in advanced wound care , ... care , continence care , and infusion care . With around 10,000 colleagues, we provide our products...us on our journey to #ForeverCaring as a Territory Manager , and you'll do the same. **About the Role:**… more
- Sunrise Senior Living (Peabody, MA)
- …of.** **COMMUNITY NAME** Sunrise at Gardner Park **Job ID** 2025-227154 **JOB OVERVIEW** The Care Manager /"Designated Care Manager " is responsible for ... living/long term care and reminiscence neighborhoods. The Care Manager provides hands on care...timely, courteous, and professional manner. + Assist with continence management and dispose of all continence products properly to… more
- Option Care Health (Brookline, MA)
- …ensures that a total quality management program for all aspects of patient care is maintained. The Nurse Manager is responsible for assisting the Director of ... health/infusion care goods and services. + Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of… more
- Sharecare (Boston, MA)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- CVS Health (Boston, MA)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ... experience for the member. + Meticulous documentation of care management activity in the member's electronic… more
- Beth Israel Lahey Health (Boston, MA)
- …just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions partners with the ... patient. Together with the medical provider, the RN Case Manager collaborates with all members of the care...+ Documents avoidable days (if not captured by another Care Transitions Team member), case management assessments,… more
- US Tech Solutions (Malden, MA)
- …area** Under the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all ... Care Attendant Program. + Participation in routine primary care team meetings. Pro-active management and follow-up...in routine primary care team meetings. Pro-active management and follow-up (via home visits and by telephone)… more
- Molina Healthcare (Chelsea, MA)
- …Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management , disease management , managed care or medical or… more
- Highmark Health (Boston, MA)
- …inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- Sunrise Senior Living (Peabody, MA)
- …NAME** Sunrise at Gardner Park **Job ID** 2025-228510 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality ... to supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care...the Individualized Service Plans (ISP). + Transcribe orders. **Risk Management and General Safety** + Partner with community team… 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 ... care and hospice experience a plus. 3. Case Management certification and experience. 4. Bilingual. 5.Valid driver's license...patient specific and identified as part of the patient's self- management goals. 8. Communicates with health care … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …of the Project SHINE clinical care management team the Registered Nurse (RN) Care Manager (CM) will have the opportunity to make a profound impact on the ... communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or...living with HIV on topics related to chronic disease management , adherence, STI screening and safe sex. + Demonstrate… more
- BAYADA Home Health Care (Beverly, MA)
- BAYADA Home Health Care is currently seeking a **Client Services Manager ** in our **Assistive Care State Programs Home Care office in Beverly, MA.** If ... career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. We want… more