• 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...adherence concerns, vital signs, and acute and chronic disease education . Complete additional tools or screeners as needed, including… more
    Upward (08/08/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager (40hr, Day)

    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 ... including but not limited to the Emergency Department , PACU and Preadmission testing. The case ...the physicians and nurses about levels of care. The RN Case manager , performs, consults,… more
    Beth Israel Lahey Health (07/27/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager field travel…

    Molina Healthcare (Norfolk, MA)
    …concerns. + 25- 40% local travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (09/26/25)
    - Save Job - Related Jobs - Block Source
  • ED RN Case Manager

    Beth Israel Lahey Health (Plymouth, MA)
    …6:30p. Every third weekend. One summer and one winter holiday. **Job Description:** The Emergency Department Case Manager is responsible and accountable ... most appropriate level of care while facilitating throughput. The ED Case Manager will assist...** Education /Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5… more
    Beth Israel Lahey Health (08/10/25)
    - Save Job - Related Jobs - Block Source
  • Behavioral Health - Case Manager II

    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...targeted clinical areas of expertise such as Eating Disorders ( ED ) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD)… more
    Elevance Health (10/14/25)
    - Save Job - Related Jobs - Block Source
  • RN Case Manager field travel…

    Molina Healthcare (Norfolk, MA)
    …health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... 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
    Molina Healthcare (10/01/25)
    - Save Job - Related Jobs - Block Source
  • Hospice RN Case Manager

    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
    Athena Health Care Systems (10/11/25)
    - Save Job - Related Jobs - Block Source
  • Field Case Manager

    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...value for both the client and the reimbursement source ** EDUCATION AND LICENSING** RN licensure preferred; or… more
    Sedgwick (09/24/25)
    - Save Job - Related Jobs - Block Source
  • Field Case Manager -Sign-On Bonus…

    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...value for both the client and the reimbursement source ** EDUCATION AND LICENSING** RN licensure preferred; or… more
    Sedgwick (07/24/25)
    - Save Job - Related Jobs - Block Source
  • Nurse Case Manager

    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
    Boston Health Care for the Homeless Program (10/04/25)
    - Save Job - Related Jobs - Block Source
  • Telephonic Case Manager

    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 ... and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. ** EDUCATION AND LICENSING** Current unrestricted RN license(s) in a state… more
    Sedgwick (10/03/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager RN

    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
    Prime Healthcare (09/26/25)
    - Save Job - Related Jobs - Block Source
  • RN , Case Manager /Continuing…

    Beth Israel Lahey Health (Plymouth, MA)
    …not just taking a job, you're making a difference in people's lives.** REGISTERED NURSE - PER DIEM **Job Description:** **Duties/Responsibilities:** + Identifies ... of care determination/LOS. + Coordinates continuing care for SDC, ED and other outpatient areas on request. _It is...detail of the job that may reasonably be required._ ** Education /Experience Required:** + Current MA RN License… more
    Beth Israel Lahey Health (10/12/25)
    - Save Job - Related Jobs - Block Source
  • Hospice RN Case Manager

    Beth Israel Lahey Health (Plymouth, MA)
    …Algorithms for end-of-life symptom management. + Participate in in-service training and education with a goal of achieving RN certification in Hospice ... include every detail of the job that may reasonably be required._ ** Education /Experience Required** + Current Massachusetts professional RN license +… more
    Beth Israel Lahey Health (09/04/25)
    - Save Job - Related Jobs - Block Source
  • Case Management Discharge Planning…

    Beth Israel Lahey Health (Boston, MA)
    …vendors in order to secure post-acute transition services + Provides direct support to the RN Case Manager in the clinical units + Verifies patient ... providers, for example, VNA, DME vendors, rehabilitation facilities, etc. + Collaborates with the RN Case Manager to facilitate timely discharge to the next… more
    Beth Israel Lahey Health (10/08/25)
    - Save Job - Related Jobs - Block Source
  • Care Manager , Telephonic Compact…

    Humana (Providence, RI)
    …optimal health. **Use your skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in state of residency, with ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
    Humana (09/26/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Manager Registered

    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
    Commonwealth Care Alliance (10/02/25)
    - Save Job - Related Jobs - Block Source
  • RN Care Manager LTSS Field Care in

    Molina Healthcare (Brockton, MA)
    …concerns. + 25- 40% local travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (10/09/25)
    - Save Job - Related Jobs - Block Source
  • RN Care Manager LTSS Field Care in

    Molina Healthcare (New Bedford, MA)
    …concerns. + 25- 40% local travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (09/27/25)
    - Save Job - Related Jobs - Block Source
  • RN Care Manager , LTSS Remote…

    Molina Healthcare (West Roxbury, MA)
    …prevention plans to assure member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (09/16/25)
    - Save Job - Related Jobs - Block Source