- Sedgwick (Boston, MA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- CVS Health (Boston, MA)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Humana (Providence, RI)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a ...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… 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...of the United States required. + Previous experience in case management and telephonic and/or in person… 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...of the United States required. + Previous experience in case management and telephonic and/or in person… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …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 work on a ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
- Sharecare (Boston, MA)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Molina Healthcare (Norfolk, MA)
- …Office suite/applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health ... with a Massachusetts LICSW or LADC1 licensure. Candidates with case management and home health are highly preferred. Bilingual...network to address member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs… more
- Humana (Boston, MA)
- …personalization, and enabling smarter member engagement. As Senior Associate/Product Manager - AI Capabilities, you'll lead strategy, experimentation, and pilot ... Experimentation** + Lead pilot programs to test new AI features, including use case validation, success metrics, and stakeholder feedback + Partner with internal AI… more
- Sharecare (Boston, MA)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Fallon Health (Norwood, MA)
- …community resources, interact with members with the goal to enhance the Behavioral Health Case Manager 's and Social Care Manager 's ability to manage a ... systems and works in partnership with the Clinical Integration Behavioral Health Case Managers and Social Care Managers to facilitate member appointments, research… more
- Sharecare (Boston, MA)
- …days of training. PTO needs during the training period will be evaluated on a case by case basis and must be approved in advance._ **Compensation:** $18.00/hour ... (non-negotiable) Under the general supervision of the Operations Manager , the Outreach Specialist has the primary responsibility of scheduling members for enrollment… more