• FML Claims Case Manager II

    Guardian Life (Providence, RI)
    …Identifies potentially fraudulent cases. + Follows the designated escalation process to the Nurse Case Manager as applicable. **Communication (Verbal and ... what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively...interacts and consults with key partners including: Clients, Claimants, Nurse and Disability Case Managers, Risk Management.… more
    Guardian Life (12/06/24)
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  • Behavioral Health Case Manager

    Fallon Health (Worcester, MA)
    …the medications at initial and follow-up assessments with members and forward results to the Nurse Case Manager or PCP as indicated. Documents all activity ... and service and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral and… more
    Fallon Health (12/18/24)
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  • Case Manager , RN

    CAI (Providence, RI)
    …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! If you ... apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care...role. **What You'll Do** + Travel to members' homes, nursing facilities, and other community-based settings to complete face… more
    CAI (12/31/24)
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  • Behavioral Health RN Case Manager

    Elara Caring (Worcester, MA)
    …in the Right Place. **Job Description:** **Join Our Team as a Behavioral Health RN Case Manager !** **Full-Time | Salaried | Monday-Friday, 8:00 AM - 5:00 PM** At ... and make a difference as a **Behavioral Health RN Case Manager ** . Every day, you'll have...region. + **Educational Background:** Associate's or Bachelor's Degree in Nursing (preferred). **Ready to Join Us?** If you're passionate… more
    Elara Caring (10/16/24)
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  • Behavioral Health RN Case Manager

    Elara Caring (Shrewsbury, MA)
    …60,000 patients daily in the comfort of their homes. As a **Behavioral Health RN Case Manager ** , you'll have the opportunity to transform lives while growing ... your expertise. **Your Role as a Behavioral Health RN Case Manager ** + **Patient Care Management** :...time. + **Education** : Associate's or Bachelor's Degree in Nursing (preferred). **Join Us Today** If you're ready to… more
    Elara Caring (12/27/24)
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  • Telephonic Case Manager

    Sedgwick (Providence, RI)
    …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 ... accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is… more
    Sedgwick (12/10/24)
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  • Case Manager RN - Per Diem

    Prime Healthcare (Woonsocket, RI)
    …Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one ... 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license2. Grandfathered prior to… more
    Prime Healthcare (12/13/24)
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  • Case Manager RN

    Prime Healthcare (Woonsocket, RI)
    …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At least ... 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license + Grandfathered prior to… more
    Prime Healthcare (11/08/24)
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  • Point of Entry/Emergency Department Case

    Milford Regional Medical Center (Milford, MA)
    …with other members of the healthcare team, the Point of Entry/Emergency Department Case Manager (POE/ED CM) is accountable for coordination and facilitation of ... using Interqual criteria. Qualifications: Education: Bachelor of Science in Nursing required. Certification/License: Current Massachusetts licensure required. CCM preferred.… more
    Milford Regional Medical Center (12/03/24)
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  • Intake Case Manager - Per Diem

    Prime Healthcare (Woonsocket, RI)
    …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Intake Case Manager (ICM) has ... in discharge planning. #LI-DQ1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/187415/intake- case - manager per-diem/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark Medical Center… more
    Prime Healthcare (12/20/24)
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  • Nursing Case Manager

    Sevita (Worcester, MA)
    …us all every day. Join us today, and experience a career well lived. ** Nursing Case Manager - IDD Services** **_(_** **_Leominster, Fitchburg, Westminster, ... ideal candidate must possess a strong understanding of basic nursing concepts including pharmacology. They must thrive in a...a strong desire to learn and grow as a nurse . A general understanding of computers such as email,… more
    Sevita (12/04/24)
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  • Complex Case Manager RN Pediatric…

    Highmark Health (Providence, RI)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel ... to identifying the appropriate clinical interventions and referrals, the incumbent manages an active case load of members in their panel that are enrolled in case more
    Highmark Health (10/25/24)
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  • Clinical Care Manager , Behavioral Health

    Evolent (Providence, RI)
    …health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the patients and their ... enjoy working in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience teaching self-management. +… more
    Evolent (11/05/24)
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  • Registered Nurse Preceptor - Home Health…

    BAYADA Home Health Care (Providence, RI)
    …to ensure ongoing staff competencies + Perform assigned duties of the RN Case Manager , including administration of medication, wound care, treatments, and ... **Great Growth Opportunity ** **Full-Time Registered Nurse (RN) Preceptor - Home Health** **Comprehensive Benefits...clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document… more
    BAYADA Home Health Care (12/11/24)
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  • LPN - Novice Nurse - Homecare

    Maxim Healthcare Services (Worcester, MA)
    …patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician ... and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required +...+ Supports professional practice by observing the following; o Nurse Practice Act o Standards of Nursing more
    Maxim Healthcare Services (11/14/24)
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  • Registered Nurse

    AccentCare, Inc. (Taunton, MA)
    Overview Find Your Passion and Purpose as an RN Case Manager Salary: $86000 - $100000 / year Coverage Area: Taunton, Bridgewater, MA and surrounding areas Shift: ... scrubs for patient-facing employees Qualifications Be the Best RN Case Manager You Can Be If you...meet you! Graduate from an approved school of professional nursing and currently licensed to practice as a registered… more
    AccentCare, Inc. (12/26/24)
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  • Registered Nurse (RN)

    Athena Health Care Systems (Warwick, RI)
    …the patient's efforts toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility ... You plan, organize, and direct hospice care. The professional nurse builds from the resources of the community to...& Education: + Graduate of an accredited school of nursing . + One (1) to two (2) years of… more
    Athena Health Care Systems (12/13/24)
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  • Care Manager , Telephonic Nurse 2

    Humana (Providence, RI)
    …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...disciplinary action. + Minimum of an Associate's degree in nursing . + Seasoned professional nurse with a… more
    Humana (12/24/24)
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  • Registered Nurse Care Manager

    US Tech Solutions (Canton, MA)
    …+ **Obstetrics/OB** + **Gynecology/Women's Health** + **Maternity/Delivery** **Job Summary** The Care Manager - Nursing (RN CM) will ensure that all members ... wellness interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical… more
    US Tech Solutions (11/23/24)
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  • Associate Director, Postmarketing PV Case

    United Therapeutics (Providence, RI)
    …diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight of ... end-to-end case safety management activities spanning across our global commercial...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
    United Therapeutics (12/14/24)
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