- Prime Healthcare (Woonsocket, RI)
- …Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management ... 20hrs/week 8:00am - 4:30pm Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
- 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
- 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
- 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
- Datavant (Boston, MA)
- …experiences to realize our bold vision for healthcare. The Director of Workforce Management , Forecast Planning & Capacity will provide strategic leadership and ... vision, strategy, and operating model for forecasting, staffing, capacity planning , scheduling, and intraday management across all...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Molina Healthcare (Boston, MA)
- …experience in health care, with at least 1 year of experience in hospital discharge planning , care management or behavioral health setting, or equivalent ... prior work history with a managed care plan or case management experience, preferably transition of care....and/or Certified Case Manager (CCM). * Hospital discharge planning or home health experience. To… more
- Fallon Health (Quincy, MA)
- …all members of the care team during member care transitions including any discharge planning updates depending upon the product process + Works collaboratively ... on an interdisciplinary team focused on care coordination, care management and improving access to and quality of care...Facilities during a Care Transition to participate in the discharge planning process (depending upon the product… more
- Celestica (Boston, MA)
- …communicate effectively what is needed in order to make the project successful. Risk management , Change management , Negotiation, Business case generation ) + ... US **General Overview** **Job Title:** Staff Engineer, Program / Project Management **Functional Area:** Engineering (ENG) **Career Stream:** Program / Project … more