- CVS Health (Boston, MA)
- …or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning , nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...address complex health and social indicators which impact care planning and resolution of member issues. + Assessments utilize… more
- Brockton Hospital (Brockton, MA)
- …years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... lives and health of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for… more
- Humana (Boston, MA)
- …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
- Humana (Boston, MA)
- …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
- Humana (Boston, MA)
- …Time **Preferred Qualifications** + Bachelor of Science in Nursing. + Experience with case management , discharge planning or prior authorization. ... per Humana/iCare's inpatient work processes and participates with facility discharge planners, Care Coordinators/Care Managers and the behavioral health personnel… more
- Riverside Community Care (Upton, MA)
- …discharge summaries) + complete concurrent reviews with insurance companies, case management and discharge planning + provide clinical guidance and ... for suicide risk, brief crisis counseling, individualized risk management /safety planning , psychoeducation, discharge planning , and care coordination. In… more
- Humana (Boston, MA)
- …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other… more
- Massachusetts Institute of Technology (Cambridge, MA)
- …families, providers, and community agencies. PREFERRED: two years of case management , utilization review, and discharge planning experience. 11/18/2025 ... clinic or private practice setting; strong knowledge of care coordination, discharge planning , and community health resources; excellent communication,… more
- Brockton Hospital (Brockton, MA)
- PURPOSE OF POSITION: The Director of Case Management is responsible for planning , directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning , directing, and… more
- Beth Israel Lahey Health (Boston, MA)
- …admissions/observation patients to identify barriers that impact the length of stay and discharge planning . The assessment should also identify the needs of the ... (if not captured by another Care Transitions Team member), case management assessments, and care plans in...trends, as well as regulatory requirements for clinical care, discharge planning , and authorization for post-acute services.… more
- Atrius Health (Newton, MA)
- …address any issues or concerns. . Documentation: Maintains accurate records of the discharge planning process in the patient's medical record for legal, ... heart failure program when appropriate . Collaborates with hospital-based case manager to facilitate advance care planning ...Bachelor's degree in a related field required. Certification in Case Management (CCM) or CCM eligible preferred.… more
- Tufts Medicine (Boston, MA)
- **RN Case Manager - Case Management , Per Diem** **Tufts Medical Center** is recognized by the **ANCC Magnet Recognition Program(R)** for excellence in ... eligible. 2. Basic Life Support (BLS) certification. 3. Three (3) years of Case Management experience. **Preferred Qualifications:** 1. Bachelor of Science in… more
- Beth Israel Lahey Health (Cambridge, MA)
- …The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH inpatient admissions. Inpatient Case Manager ... Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor. **Job Description:** **Essential Duties & Responsibilities… more
- Beth Israel Lahey Health (Danvers, MA)
- …include individual and group counseling, risk assessment for TB & STDs, HIV education, case management , and after-care follow up services. The Case Manager ... Are:** * Participates in assessments, aids in formulating effective treatment plans, discharge planning and assists in conducting substance use counseling and… more
- Vitra Health (New Bedford, MA)
- …services. + Participate in multidisciplinary care plan creation and review and discharge planning . + Address concerns regarding environment and any changes ... direct care of elders or adults with disabilities required. + Case management , behavioral health, social services and/or community health worker experience… more
- Vitra Health (Boston, MA)
- …services. + Participate in multidisciplinary care plan creation and review and discharge planning . + Address concerns regarding environment and any changes ... direct care of elders or adults with disabilities required. + Case management , behavioral health, social services and/or community health worker experience… more
- Cape Abilities, Inc. (Hyannis, MA)
- …and placement services to participants. ESSENTIAL JOB FUNCTIONS* + Provides case management services within established departmental policies and procedures. ... matching process with potential participants and host families. + Provides casework/ case management services to ongoing caseload including routine follow-up… more
- Advocates (MA)
- …+ Attend and actively participate in DDS quarterly review meetings and other care planning meetings (eg, hospital discharge planning , school meetings) as ... **$27.75/hour if bilingual Spanish or Portuguese speaking** The Home First Case Manager provides intensive, family-centered support to medically complex children and… more
- Veterans Inc. (Shrewsbury, MA)
- …goals. WHAT YOU'LL BE RESPONSIBLE FOR DAY TO DAY: + Provides supportive case management necessary for individuals to access medical, social, vocational, ... needed services. + Conducts referrals and follow-up monitoring, and participates in discharge planning process. Communicates with other service providers and… more
- Amergis (Hyannis, MA)
- …+ Active, unrestricted MA nursing license + EPIC experience + 3 years of acute care case management experience in the last 5 years + Experience in discharge ... Amergis Healthcare has an exciting contract opportunity for an RN Case Manager in Hyannis, MA. Local Pay: $69/hour, paid weekly Travel Pay: $3,041/week… more