• Case Management Discharge

    Beth Israel Lahey Health (Boston, MA)
    …active member of the care transitions team, working collaboratively with the Inpatient RN Case Managers. The Discharge Planning Assistant is responsible for ... the Care Transitions Department. Reporting to Care Transitions leadership, the Discharge Planning Assistant will provide direct administrative support to… more
    Beth Israel Lahey Health (12/17/25)
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  • Case Manager Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management ... 20hrs/week 8:00am - 4:30pm Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
    Prime Healthcare (12/04/25)
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  • Case Manager Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …+ Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , ... Learn more atwww.landmarkmedical.org. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from… more
    Prime Healthcare (11/20/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Woonsocket, RI)
    …or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning , nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...address complex health and social indicators which impact care planning and resolution of member issues. + Assessments utilize… more
    CVS Health (01/03/26)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …recent experience with case management , patient navigation, case management , utilization review or discharge planning is strongly preferred. Must ... Utilization Review; Resource Management ; Continuum of Care Management ( Discharge planning ) and Clinical...calendar and basic keyboard skills are also required. Center Case Management (CCM) (R) board certification or… more
    Charter Care Health Partners (10/18/25)
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  • Case Manager (NE)

    Charter Care Health Partners (North Providence, RI)
    …recent experience with case management , patient navigation, case management , utilization review or discharge planning is strongly preferred. Must ... Utilization Review; Resource Management ; Continuum of Care Management ( Discharge planning ) and Clinical...calendar and basic keyboard skills are also required. Center Case Management (CCM) (R) board certification or… more
    Charter Care Health Partners (10/18/25)
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  • Case Manager

    Brockton Hospital (Brockton, MA)
    …years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... lives and health of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for… more
    Brockton Hospital (10/31/25)
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  • Medical Director - IP Claims Management

    Humana (Providence, RI)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (12/11/25)
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  • Medical Director - Medicaid (remote)

    Humana (Providence, RI)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (01/01/26)
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  • Respite Clinician

    Riverside Community Care (Upton, MA)
    discharge summaries) + complete concurrent reviews with insurance companies, case management and discharge planning + provide clinical guidance and ... for suicide risk, brief crisis counseling, individualized risk management /safety planning , psychoeducation, discharge planning , and care coordination.… more
    Riverside Community Care (12/14/25)
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  • Community Crisis Stabilization Clinician…

    Riverside Community Care (Upton, MA)
    discharge summaries) + complete concurrent reviews with insurance companies, case management and discharge planning + provide clinical guidance and ... for suicide risk, brief crisis counseling, individualized risk management /safety planning , psychoeducation, discharge planning , and care coordination. In… more
    Riverside Community Care (12/14/25)
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  • Medical Director-Payment Integrity

    Humana (Providence, RI)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other… more
    Humana (12/11/25)
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  • Care Manager, Telephonic Nurse

    Humana (Providence, RI)
    …OneNote and Excel **Preferred Qualifications** + Bachelor's degree - BSN + Experience with case management , discharge planning , and patient education for ... adult acute care + Managed care experience + Previous Medicare/Medicaid experience + Bilingual English/Spanish **Additional Information** + Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once… more
    Humana (12/17/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    PURPOSE OF POSITION: The Director of Case Management is responsible for planning , directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning , directing, and… more
    Brockton Hospital (12/12/25)
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  • Registered Nurse Case Manager-Care…

    Beth Israel Lahey Health (Boston, MA)
    …admissions/observation patients to identify barriers that impact the length of stay and discharge planning . The assessment should also identify the needs of the ... (if not captured by another Care Transitions Team member), case management assessments, and care plans in...trends, as well as regulatory requirements for clinical care, discharge planning , and authorization for post-acute services.… more
    Beth Israel Lahey Health (11/21/25)
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  • RN Case Manager - Case

    Tufts Medicine (Boston, MA)
    **RN Case Manager - Case Management , Per Diem** **Tufts Medical Center** is recognized by the **ANCC Magnet Recognition Program(R)** for excellence in ... eligible. 2. Basic Life Support (BLS) certification. 3. Three (3) years of Case Management experience. **Preferred Qualifications:** 1. Bachelor of Science in… more
    Tufts Medicine (01/04/26)
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  • CMRN-Ambulatory Nurse Case Manager (MNA)

    Atrius Health (Newton, MA)
    …address any issues or concerns. . Documentation: Maintains accurate records of the discharge planning process in the patient's medical record for legal, ... heart failure program when appropriate . Collaborates with hospital-based case manager to facilitate advance care planning ...Bachelor's degree in a related field required. Certification in Case Management (CCM) or CCM eligible preferred.… more
    Atrius Health (12/20/25)
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  • Behavioral Health - Case Manager II

    Elevance Health (Boston, MA)
    …or North Attleboro, MA to meet with Social Work teams and patients to discuss discharge planning . Must live in Massachusetts. The **Behavioral Health - Case ... Manager II** is responsible for performing case management telephonically and/or by home visits within the scope...of the United States required. + Previous experience in case management and telephonic and/or in person… more
    Elevance Health (12/24/25)
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  • Director, Utilization Management & Prior…

    Fallon Health (Worcester, MA)
    … operations, including but not limited to prior authorization, concurrent review and discharge planning . + Ensures that members get the appropriate care that ... care within Care Services as well as other departments by involving inpatient case management with out-patient case management and utilization … more
    Fallon Health (12/14/25)
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  • Navigator, Senior Care Options - Worcester/Milford…

    Fallon Health (Milford, MA)
    …all members of the care team during member care transitions including any discharge planning updates depending upon the product process + Works collaboratively ... on an interdisciplinary team focused on care coordination, care management and improving access to and quality of care...Facilities during a Care Transition to participate in the discharge planning process (depending upon the product… more
    Fallon Health (12/19/25)
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