• RN Care Manager

    Boston Health Care for the Homeless Program (Boston, MA)
    …of a population health lens to provide both preventative and reactionary services. As a Nurse Care Manager , you will use clinical expertise to collaborate ... Team Coordinator and Clinical Program Manager . Qualifications: + Licensed as Registered Nurse in the Commonwealth of Massachusetts. + Nursing experience with… more
    Boston Health Care for the Homeless Program (09/12/24)
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  • Registered Nurse Case Manager

    CAI (Boston, MA)
    …apply now. **Job Description** We are looking for a RN Case Manager to provide community-based care coordination/management for our client's members in the ... Remote **Job Summary** We are looking for a motivated RN Case Manager ready to take us...duties as assigned/requested. **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (09/25/24)
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  • Clinical service Leader RN -Trauma/General…

    Tufts Medicine (Boston, MA)
    …**:** 1. Bachelors Degree in Nursing. 2. Basic Life Support (BLS) certification. 3. Registered Nurse ( RN ) license. 4. Two (2) years of nursing ... Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or...patient care issues in addition to perioperative registered nursing ( RN ) duties. This role encompasses… more
    Tufts Medicine (09/28/24)
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  • Associate Director, Clinical Coding Education…

    CenterWell (Boston, MA)
    …the primary care network. The Associate Director, Clinical Coding Education ( RN ) will develop, design, and deploy the overall clinical coding curriculum to ... department(s). The Clinical Education team exists to support all the Primary Care Organization's providers, nurses, social workers, and other staff members through… more
    CenterWell (08/27/24)
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  • RN Hospital Bill Audit/Appeal Lead

    Elevance Health (Woburn, MA)
    ** RN Hospital Bill Audit/Appeal Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead** is responsible for leading a team of… more
    Elevance Health (09/26/24)
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  • Community Health Worker II (CHW II)…

    Commonwealth Care Alliance (Boston, MA)
    …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... **Why This Role is Important to Us:** Commonwealth Care Alliance's Community Health Services (CHS) Department is...The CHW II reports to the Community Health Services Manager . **Supervision Exercised:** No, this position does not have… more
    Commonwealth Care Alliance (09/10/24)
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  • Scheduling Coordinator ( Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …health needs assessment. The Scheduling Coordinator also provides administrative support to Care Planning Operations and works closely with nurse assessors to ... appointment for an office or in-home meeting with a nurse who will assess member needs and create a...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    Commonwealth Care Alliance (09/18/24)
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  • Nurse Case Manager II

    Elevance Health (Boston, MA)
    …1-2 late nights per month required 11:30am - 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 assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize… more
    Elevance Health (09/28/24)
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  • Risk Manager

    Dana-Farber Cancer Institute (Brookline, MA)
    …DFCI-Longwood and satellites, the DFCI inpatient hospital, and Dana-Farber Community Cancer Care (DFCCC). The Risk Manager provides leadership in risk management ... The Risk Manager is a member of the Patient Safety...by promoting the highest level of quality care to the patients, ensuring regulatory compliance and mitigating… more
    Dana-Farber Cancer Institute (09/13/24)
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  • Clinical Program Manager , Content…

    HealthEdge Software Inc (Boston, MA)
    …improve both clinical outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required** ; ideally ... implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and… more
    HealthEdge Software Inc (09/14/24)
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  • Manager Behavioral Health Clinical Services

    Elevance Health (Boston, MA)
    The ** Manager Behavioral Clinical Services** is responsible for managing the clinical operations department. Manages the delivery of quality care management, ... behavioral healthcare experience and minimum of 3 years managed care experience; or any combination of education and experience,...unrestricted license in a mental health field as an RN , PhD, LCSW (as applicable by state law and… more
    Elevance Health (09/11/24)
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