- 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
- 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
- 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
- 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
- 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 (Norfolk, 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
- 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 (Boston, 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
- State of Massachusetts (Boston, MA)
- Lemuel Shattuck Hospital is seeking a dedicated and experienced Case Manager to coordinate key functions within our Case Management Program. The ideal ... have at least (A) two years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B)… more
- Charter Care Health Partners (North Providence, RI)
- …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... residency if that state is a member of the Nurse Licensure Compact. Five (5) years of clinical experience...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- Charter Care Health Partners (North Providence, RI)
- …Graduate of a School of Nursing (BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode Island or in the nurse 's ... residency if that state is a member of the Nurse Licensure Compact. Five (5) years of clinical experience...Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly… more
- Molina Healthcare (Norfolk, MA)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… 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...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or graduate degree in health or… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …schedule possible Union: No Union Name: Non-union Patient Facing: Yes We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to ... team members, agencies, and healthcare facilities. Qualifications: + Licensed as a Registered Nurse in the Commonwealth of Massachusetts. + Bachelor's degree… more
