- 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
- Boost Home Health (Brookline, MA)
- …development Vision insurance Flexible schedule Relocation bonus Signing bonus Are you an experienced Registered Nurse ( RN ) ready to lead in home healthcare? ... Boost Home Healthcare is seeking a Clinical Manager to oversee and coordinate high-quality care for homebound...OASIS documentation, PDGM coding, and patient care planning Monitor case compliance and participate in QAPI activities Support staff… 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
- 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
- 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
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, ... rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, ... rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including ... weekend rotation **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… 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 (Cambridge, MA)
- …**Qualifications:** 1. Bachelor's degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two years of recent acute ... acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge… 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
- 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
- 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
- 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
- BAYADA Home Health Care (Seekonk, MA)
- …them the opportunity to remain at home and receive the medical care required. ** Registered Nurse ( RN ) Benefits:** + **BAYADA offers a comprehensive benefits ... tracks. + **Be recognized and rewarded for your compassion, excellence, and reliability.** ** Registered Nurse ( RN ) Responsibilities:** + Follow a designated… more
- Beth Israel Lahey Health (Cambridge, MA)
- …acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge ... planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the...1. Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical… more
- Gentiva (Auburndale, MA)
- …$103,330 Related Job Titles per diem RN , Registered Nurse , hospice RN jobs, case manager nurse , end-of-life care RN , home health RN , ... You'll Do as a Hospice RN / RN Case Manager :** + Be...compassionate nursing jobs, hospice careers ReqID: 2025-129415 Category: Registered Nurse Position Type: Flex/Per Diem Company:… more
- AccentCare, Inc. (Norwood, MA)
- Overview After Hours Registered Nurse / RN , Hospice Location: Norwood, MA Position: After Hours Registered Nurse / RN , Hospice Position Type: ... Your Passion and Purpose as a Hospice After Hours Registered Nurse Salary: $90000 - $104000 /...building together. Be the Best Hospice After Hours Admission RN You Can Be If you meet these qualifications,… more