- Highmark Health (Boston, MA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Tufts Medicine (Melrose, MA)
- …reimagining healthcare. Ready to grow with us? If you are a Case Manager , that enjoys working with complex cases that require strong problem-solving skills, ... opportunity to work close to home with a community hospital. **Position Summary:** The Case Manager is responsible and accountable for the management of care for… more
- Sharecare (Boston, MA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Beth Israel Lahey Health (Boston, MA)
- …not just taking a job, you're making a difference in people's lives.** Registered Nurse Coordinator, 40 Hours, Days Department Specific Job Responsibilities: ... Qualifications:** Associate's degree required. Bachelor's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support… more
- Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
- Summary This Registered Nurse - PCU position is within the Nursing service at the West Roxbury location. This is a full-time position at 40 hours per week. ... Responsibilities Incumbent works under the direction of the Nurse Manager . Incumbent is accountable for the...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Sedgwick (Boston, MA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees ... at this time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +… more
- Children's Hospital Boston (Boston, MA)
- …Hours per Week:40 Job Posting Category:NursingJob Posting Description:The Emergency Department RN Case Manager will be responsible for: ... to obtain within the first two years of employment. + Experience as a nurse Case Manager (Discharge Planning) preferred. Boston Children's Hospital offers… more
- Tufts Medicine (Melrose, MA)
- …exceptional opportunity to work close to home with a community hospital. **Job Overview** The RN Case Manager manages a designated caseload to coordinate and ... with us? If you are a Case Manager , that enjoys working with complex cases...continuum of care. **Job Description** **Minimum Qualifications:** 1. Massachusetts RN Licensure. 2. 3 Years of RN … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity to make a ... indicated with patients. + Demonstrate knowledge and implementation of HIV nurse -on-call procedures, including functioning as the liaison to inpatient facilities,… more
- US Tech Solutions (Canton, MA)
- …license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in ... his role and is responsible for managing a clinically complex caseload of varied requests for services. The Clinical...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …- Friday, 8:00am-4:30pm Union: None Union Name: None Patient Facing: Yes The RN Manager of Admissions has overall administrative, management and clinical ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
- Beth Israel Lahey Health (Cambridge, MA)
- …a job, you're making a difference in people's lives.** Reporting to the unit's Nurse Manager , the Wound Care Specialist- RN works collaboratively with members ... well-being and as required for license renewal. **Minimum Qualifications:** + License Registered Nurse in the Commonwealth of Massachusetts required. +… more
- 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...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. This position is self-directed and works ... to promote optimal member outcomes. + Interpret and apply case management criteria, processes, policies, and regulatory standards to...plans. + Review medication list and educate members with complex pharmacy needs, and counsel on side effects and… more
- Highmark Health (Boston, MA)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Milford Regional Medical Center (Milford, MA)
- …+ Masters in Healthcare or MBA preferred Certification / License: + Massachusetts Registered Nurse ( RN ) licensure required OR + Massachusetts Licensed ... Independent Clinical Social Worker (LICSW) required + Certified Case Manager , preferred + Certified Professional in...2+ years of direct management experience including dealing with complex issues or equivalent + Excellent writing skills and… more
- Tufts Medicine (Burlington, MA)
- …minimizing cost, and ensuring optimum outcomes. **Job Description** **Minimum Qualifications:** 1. Registered Nurse (BSN or higher) or other licensed clinical ... year or less), problems faced are difficult to moderately complex , and influences others outside of own job area...Review departments and UM vendor management. The UM Operations Manager is responsible for compliance with CMS Conditions of… more
- Commonwealth Care Alliance (Boston, MA)
- 024020 Clin Alli-Care ManagementLeadership **Position Summary:** The Manager , Clinical Care Partnerships will play a vital role in the success of the entire Care ... organization at CCA. The main expectation of the Clinical Manager is to be accountable for the performance of...Accountable for quality and financial outcomes, service utilization, targeted case mix and productivity levels of Care Partners +… more
- Tufts Medicine (Burlington, MA)
- …technology. **Job Description** **Minimum Qualifications:** 1. BSN degree 2. Licensed as a Registered Nurse 3. Five (5) years relevant experience in the ... plan, organize, implement, and evaluate the CDI program. This includes management of case mix index (CMI), length of stay (LOS), Observed versus Expected mortality… more