- 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
- Home Care Evolution (Woburn, MA)
- Benefits: 401(k) Competitive salary Paid time off Training & development Title: RN Care Manager - Home Care Industry Office Location: Woburn, MA Company ... our clients and their families. Position Overview: As an RN Care Manager , you will play a...be prepared to step in and assist caregivers in case of emergencies. You will work closely with the… more
- HealthCare Support (Boston, MA)
- …Uses clinical judgment to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately following the visit. Utilize ... RN Assessments (MDS) HealthCare Support is actively seeking...1+ year of clinical nursing experience 1+ year of case management experience Ability to function independently Eexcellent organizational… more
- Boost Home Health (Brookline, MA)
- …development Vision insurance Flexible schedule Relocation bonus Signing bonus Are you an experienced Registered Nurse ( RN ) ready to lead in home healthcare? ... Boost Home Healthcare is seeking a Clinical Manager to oversee and coordinate high-quality care for homebound...OASIS documentation, PDGM coding, and patient care planning Monitor case compliance and participate in QAPI activities Support staff… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- Beth Israel Lahey Health (Cambridge, MA)
- …**Minimum Qualifications:** 1. Bachelor's degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two years of recent acute ... acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge… more
- Humana (Boston, MA)
- **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
- 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 ... ongoing education to the physicians and nurses about levels of care. The RN Case manager , performs, consults, and collaborates in activities related to the… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Pay Range:** $41.58 - $93.96 per hour **Location:** CHA Somerville Campus ... **Work Days:** Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Pay Range:** $41.58 - $93.96 per hour **Location:** CHA Somerville Campus ... **Work Days:** Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… more
- 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 ... NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric...: Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case… more
- Molina Healthcare (Worcester, MA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- 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
- Beth Israel Lahey Health (Cambridge, MA)
- …acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge ... planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the...1. Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical… more
- Tufts Medicine (Boston, MA)
- …Nursing. 2. Basic Life Support (BLS) Certification. 3. Registered Nurse ( RN ) License. 4. Three (3) years of Case Management experience. 5. Certifications ... addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care...population by unit, across the continuum of care. The Case Manager works to achieve daily clinical,… more
- Health Plans, Inc. (Westborough, MA)
- …funding sources as appropriate What you bring + An active professional licensure as a Registered Nurse ( RN ) + 3+ years of clinical experience (required) + ... access resources, and navigate care confidence. What you'll do: As an HPI Case Manager , you'll be dedicated to helping members achieve the best possible health… more
- CVS Health (Boston, MA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Elevance Health (Woburn, 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...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… more
- 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
