- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Commonwealth Care Alliance (Boston, MA)
- …accepted medical guidelines, and appropriate scope of practice. + Provide regularly scheduled telephonic calls to support the management of chronic disease or ... on product + RN: 2+ years meaningful clinical experience in primary care or care management including telephonic based setting, home health or acute care case … more
- Fenway Health (Boston, MA)
- …objective scientific principles, and the patient's subjective experiences. + Conducts virtual, telephonic , or in-person nurse assessment and triage to assess the ... Registered Nurse , Part-Time Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+02215) * Nursing Job...to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care… more
- Elevance Health (Boston, MA)
- …- 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Point32Health (Canton, MA)
- …with the interdisciplinary care team, to improve member outcomes (ie, Utilization Management , Medical Director, pharmacy, community health workers, dementia ... , population health and wellness interventions, and disease/chronic condition management per department guidelines. The nurse care...actively involved in the member's care. + Perform both telephonic and face to face outreach to assess barriers… more
- Tufts Medicine (Boston, MA)
- …position supports and facilitate transitions across the care continuum through telephonic patient outreach, coordination of care, referrals to providers and ... (2) years of experience in a clinical setting (nursing unit, care management , physician's office) **Preferred Qualifications** **:** 1. College Degree. 2. Medical… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …East Boston Position Summary: As an integral member of the Project SHINE clinical care management team the Registered Nurse (RN) Care Manager (CM) will have the ... on the needs of the organization and may include telephonic or in person in a variety of potential...living with HIV on topics related to chronic disease management , adherence, STI screening and safe sex. + Demonstrate… more