- 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)
- …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
- Commonwealth Care Alliance (Boston, MA)
- …require intensive care management and care delivery. Within the CIC Program, the Manager , Clinical APC is responsible for the oversight of clinical care delivery and ... complex care management within the CIC interdisciplinary team. The Manager , Clinical APC is specifically accountable for assigned Advanced Practice Clinicians and… more
- Commonwealth Care Alliance (Boston, MA)
- …in ADA administration **Required Licensing:** + Unencumbered license to practice as a Registered Nurse in Massachusetts **Required Experience:** + 5+ years of ... transmission of illness to members + In collaboration with manager , oversee CCA's Respiratory Protection Program + Train employees...Occupational Health Nurse (COHN) or Occupational Health Nurse Specialist (COHN-S) + Certification in Case … 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
- 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
- CVS Health (Providence, RI)
- …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)
- **Behavioral Health - Case Manager II** **Location** : _Virtual:_ However the candidate must be able to go into the facility twice per week. Locations are either ... 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
- Beth Israel Lahey Health (Plymouth, MA)
- …the job that may reasonably be required._ **Education/Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5 years acute care nursing + ... weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable for patient trajectory by… more
- Brockton Hospital (Brockton, MA)
- …Uses accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison between ... preferred. Must have current license from Commonwealth of Massachusetts to practice as a Registered Nurse . Minimum of five years clinical experience in an acute… 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
- Athena Health Care Systems (Lakeville, MA)
- …your skills and talents are nurtured to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care. The ... We are hiring full-time RN Hospice Case Managers to join...toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor… 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
- 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
- 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
- Sedgwick (Providence, RI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order to be ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- Sevita (Brockton, MA)
- …day. Join us today, and experience a career well lived. **Nursing Case Manager - IDD Services - LPN/ RN ** **Office Location: Brockton** **Coverage area: Fall ... a strong desire to learn and grow as a nurse . A general understanding of computers such as email,...career development and advancement opportunities. **Nursing Case Manager - IDD Services - LPN/ RN ** **Office… more
- Tufts Medicine (Boston, MA)
- …you've got. Our patients deserve the best. Our nurses give it to them. Position/Job Title: RN - Case Manager , Per Diem Day Shift **Job Profile Summary** ... and family centered model of care. **Minimum Qualifications:** 1. Registered Nurse ( RN ) license or...Life Support (BLS) certification. 3. Three (3) years of Case Management experience. **Preferred Qualifications:** 1. Bachelor of Science… more
- Prime Healthcare (Woonsocket, RI)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/227343/ case - manager - rn… more
