- Beth Israel Lahey Health (Burlington, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Complex Case Manager coordinates difficult and complex discharges. ... Manager performs duties relative to utilization and discharge planning. The Complex Case Manager acts as an educational resource for patients, families,… more
- Guardian Life (Boston, MA)
- …broaden and enhance their knowledge of complex claim handling. The LTD Claims Case Manager administers claims within a variety of group sizes ranging from ... The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management… more
- Boston University (Boston, MA)
- ** CASE MANAGER , Dean of Students, Student Services** **Job Description** ** CASE MANAGER , Dean of Students, Student Services** **Category** Charles River ... in the Office of the Dean of Students, the Case Manager plays a pivotal role in...pivotal role in providing direct support to students navigating complex personal, financial, or academic challenges that impact their… more
- Beth Israel Lahey Health (Needham, MA)
- …40 hr (every third weekend & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care for those patients admitted ... but not limited to the Emergency Department, PACU and Preadmission testing. The case manager consults and collaborates in activities related to the establishment… more
- Adecco US, Inc. (Cumberland, RI)
- Adecco is currently assisting a National Pharmaceutical client, recruiting for a Case Manager II with a unrestrictive RN License. Must have an RN - unrestricted ... may depend upon experience, education, geographic location and other factors. The Case Manager utilizes a collaborative process of assessment, planning,… more
- Molina Healthcare (Boston, MA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. Bilingual...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… 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, ... to work close to home with a community hospital. **Position Summary:** The Case Manager is responsible and accountable for the management of care for an assigned… more
- Elevance Health (Woburn, MA)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Advocates (Waltham, MA)
- …if bilingual Spanish or Portuguese speaking** The Home First Case Manager provides intensive, family-centered support to medically complex children and young ... systems. Through referral, advocacy, and flexible funding allocations, as appropriate, the Case Manager helps build family capacity to safely support the… more
- Tufts Medicine (Malden, MA)
- …professionals, resolving difficult and sometimes complex problems. **Job Overview** The Hospice RN Case Manager serves as case manager for the ... evening coverage. 26. Pursues standards of excellence in performance as a hospice case manager . 27. Works with Clinical Manager to identify opportunities for… 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… 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 ... nurses give it to them. Position/Job Title: RN - Case Manager , Per Diem Day Shift **Job...work of lower level professionals, resolving difficult and sometimes complex problems. **Job Overview** The professional registered nurse possesses… 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...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… 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)
- …help us transform healthcare? Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members and families of ... members who may have rising health risks or complex healthcare needs, to promote optimal health. This position...and any barriers to care. The Team The RN Case Manager is part of a highly… more
- Tufts Medicine (Boston, MA)
- …care for an assigned patient population by unit, across the continuum of care. The Case Manager works to achieve daily clinical, quality and cost outcomes by ... the work of lower level professionals, resolving difficult and sometimes complex problems. **Job Overview** This position is responsible and accountable for… more
- Travelers Insurance Company (Boston, MA)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide ... HANDLING: + Directly handle the Company's most severe and complex claims when Travelers has coverage of $2 million...of policy information to facts or allegations of each case . + Directly investigate each claim through prompt and… more
- Beth Israel Lahey Health (Wakefield, MA)
- …to the social and emotional impact of illness and disability. The Care Manager upholds the current standards of professional case management practice, and ... services are provided to the BILHPN provider's risk populations. The Care Manager provides care management services to the BILHPN primary care physicians focusing… more
- Datavant (Boston, MA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional,… 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 ... and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in… more