- Monte Nido (Dedham, MA)
- …hybrid position provides inpatient and residential group treatment and individual clinical case management to support individuals experiencing ... maximum of 4 cases at a time as a clinical case manager for both adolescent and...process-oriented, and educational + Participate in clinician and group leader weekend tasks, at a maximum of one weekend… more
- Commonwealth Care Alliance (Boston, MA)
- …promote the development of a high quality team.collaboration with the broader clinical organization. - Ensures that utilization management processes are ... with responsibility for managing the effective utilization of healthcare services, case / disease management , program development/ management /evaluation and… more
- Commonwealth Care Alliance (Boston, MA)
- …and support personnel. - Act as liaison with medical director, provider relations, case management and quality teams to support care coordination and integrated ... Management reports to the Director of Utilization Management - Oversees clinical decision review for...compliance with CMS, NCQA and state Medicaid requirements. - Lead preparation for internal and external audits (eg CMS… more
- Parexel (Boston, MA)
- …and propose /execute remediation plan in coordination with line manager and Project Leader in case of client dissatisfaction Business Development Support - ... your Rheumatology experience and Lupus expertise to an Industry Leader , Parexel!** In anticipation of future needs, we are...task contracted) and according to the assigned role (Global Lead Physician GLP or Regional Lead Physician… more
- Tufts Medicine (Lowell, MA)
- …understood and followed by direct reports, customers and stakeholders. **Job Profile Summary** The Clinical Leader - RN Case Manager assesses the needs of ... and care transitions across the continuum of care. Under the supervision of the Clinical Manager/Director, this position supports the RN Case Managers in the… more
- Riverside Community Care (Norwood, MA)
- …therapy, case management , and peer support. The CTM directly supervises the clinical , case management and peer support staff in addition to ... team meetings); clinical documentation (intakes, treatment plans, discharge summaries); case management and discharge planning; clinical guidance and… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Provide clinical case management and support to high-risk patients in a large ... continuity of care. 2. Provides consultation to the team around patient management , risk management and ethical issues.. Documents assessments and care… more
- Cambridge Health Alliance (Everett, MA)
- Clinical Social Worker II (LICSW) - Inpatient Case Management Everett **Requisition Number:** 10253 **Location:** CHA Everett Hospital **Work Days:** Mon - ... Friday and Rotating Weekends/Holiday **Category:** Social Work **Department:** Inpatient Case Management Everett **Job Type:** Full time **Work Shift:** Day… more
- Genesis Healthcare (Beverly, MA)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization, and patient ... Overview Program Lead : Coverage area includes Beverly, Danvers, Peabody, Salem,...rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization,… more
- Sanofi Group (Cambridge, MA)
- **Job Title** : Clinical Digital acceleration and innovation Lead **Location:** Cambridge, MA or Morristown, NJ **About the Job** Are you ready to shape the ... professional to join us as Digital acceleration & Innovation Lead . The Clinical Digital Acceleration & Innovation...role requires deep expertise in digital and AI within clinical development, strong program management skills, and… more
- Fallon Health (Beverly, MA)
- …license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management strongly desired **Other** : Satisfactory Criminal Offender ... also be Non-English speaking, required * Home Health Care experience preferred * Effective case management and care coordination skills and the ability to assess… more
- Lawrence General Hospital (Methuen, MA)
- …staff. Responsibilities: + Collaborates with healthcare team, including but not limited to Case Management to ensure optimal disposition plans for all patients. ... + Provides clinical consultation to nursing staff or directs them to other resources. + Monitors and adjusts staffing based upon patient census and acuity. + Manages… more
- Beth Israel Lahey Health (Needham, MA)
- …presenting symptoms, clinical status and treatment. 3. Utilizes the case management process of assessment, planning, implementation and evaluation to ... nursing practice guidelines and the Standards of Practice for Case Management . And functions within a multidisciplinary...in complex varied situations. 4. **Team Work:** Ability to lead collaborative teams for larger projects or groups both… more
- Elevance Health (Boston, MA)
- …The **Behavioral Health - Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of licensure ... substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED)...of the United States required. + Previous experience in case management and telephonic and/or in person… more
- Devereux Advanced Behavioral Health (Woburn, MA)
- …care, respite, Foster Care, Licensing, bilingual, child welfare, social services, specialist, case manager, case management , compliance, human services, ... Devereux (TFC in Woburn, MA) has an immediate opening for a Bi-Lingual Case Coordinator._** **$1,000 Sign on Bonus** Base pay starting at $20.46/hour with additional… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …appropriate goals to promote optimal member outcomes. + Interpret and apply case management criteria, processes, policies, and regulatory standards to create, ... your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members...to facilitate care based on the principles of care management . Facilitation is focused on assessing needs, identifying health… more
- Elevance Health (Woburn, MA)
- …2 years' experience in acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management...health related field and minimum of 5 years of clinical experience; or any combination of education and experience,… more
- Elevance Health (Woburn, MA)
- …care hospital setting, ie ER, ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification ... Case Manager II** is responsible for performing care management within the scope of licensure for members with...a BA/BS in a health-related field; 5 years of clinical experience; or any combination of education and experience,… more
- Tribute Home Care (Framingham, MA)
- …our Massachusetts team. This role is ideal for someone with experience in client management , customer success, case management , or account management ... | 75000 per year | Full Time Become a Case Manager with Tribute Home Care and play an...elder care. Make a difference - Find meaning - Lead - Collaborate - Grow - Have a voice… more
- Elevance Health (Woburn, MA)
- …2 years' experience in acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed ... different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within the… more
