- Highmark Health (Boston, MA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- US Tech Solutions (Canton, MA)
- …across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and ... + **Gynecology/Women's Health** + **Maternity/Delivery** **Job Summary** The Care Manager - Nursing ( RN CM) will ensure...Information :** **Job Requirements** + Current and valid Massachusetts Registered Nurse licensure in good standing +… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- Summary This VISN 1 Tele-Emergency Care Registered Nurse Manager position is located in the Clinical Call Center Service at the with in the Visn 1 New ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) Preferred Experience 5 years of Emergency… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …(Barbara McInnis House) + Screens admission referrals Monday through Friday. Gives report to the RN Manager at the end of the day + Works collaboratively with ... from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more... and Provider + Problem solves with the Admissions RN manager regarding alternatives for those patients… more
- CAI (Boston, MA)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested. **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- Children's Hospital Boston (Boston, MA)
- 74825BRJob Posting Title: RN Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- Summary This RN - Nurse Manager (Endoscopy)...level degree in Nursing may have opportunity to become registered as a nurse with a state licensing ... territory VA offers a comprehensive total rewards package: VA Nurse Total Rewards Requirements Conditions of Employment US Citizenship;...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Sedgwick (Boston, MA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer 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
- Elevance Health (Woburn, MA)
- …a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The ** Nurse Case Manager ll** is responsible for care management within the ... scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,...**Preferred Skills, Capabilities and Experiences:** + Certification as a Case Manager is preferred. + BS in… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …week. Included but are not limited to: Incumbent works under the direction of the Nurse Manager . Incumbent is accountable for the delivery of care to patients in ... application. Former EDRP participants ineligible to apply. Responsibilities This RN - MICU position is located in Nursing Service...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Humana (Boston, MA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
- Evolent (Boston, MA)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- Sharecare (Boston, MA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Commonwealth Care Alliance (Boston, MA)
- …Haitian Creole. CCA and our partners provide linguistically and culturally appropriate case management and nurse triage support, connecting families with ... aid, as well as pathways to work and housing navigation. The Site Manager , Family Emergency Shelters, oversees a shelter operating at a hotel location, providing… more
- Highmark Health (Boston, MA)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- J&J Family of Companies (Boston, MA)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
- Gilead Sciences, Inc. (Boston, MA)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- Cambridge Health Alliance (Somerville, MA)
- …Days:** various start and end times, holidays and weekends as assigned **Category:** Registered Nurse **Department:** Primary Care and Family Health Admin **Job ... Master's degree in nursing required Licensure: Current Massachusetts license as a Registered Nurse Certifications: AHA BLS Certification required and AMB-BC… 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
- Dana-Farber Cancer Institute (Brookline, MA)
- …experience is preferred. + **Certification/Licensure/Registration:** + Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred. ... when medical necessity coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior… more