- 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...of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
- Commonwealth Care Alliance (Boston, MA)
- …active nursing license in good standing required. + CCM (Certified Case Manager ) preferred + 1 to 2 years Utilization Management experience required. + ... facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
- Commonwealth Care Alliance (Boston, MA)
- …have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **MA Health Enrollment (required if licensed in Massachusetts):** + Yes, ... procedures, and facilities under the provisions of CCA's benefits plan. The Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and… more
- Beth Israel Lahey Health (Beverly, MA)
- …growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Case Manager RN **Job Description:** ** Case Manager ... school of nursing 2. BSN preferred **Certification/License:** 1. Current Massachusetts RN licensure 2. Certification in Case Management preferred **Patient… more
- Milford Regional Medical Center (Milford, MA)
- …required Masters in Healthcare preferred Certification/License: Massachusetts Registered Nurse licensure required Certified Case Manager , preferred ... care experience Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization... Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working… more
- Point32Health (Canton, MA)
- …- what you need to perform the job** **Education, Certification and Licensure** + Registered Nurse with current unrestricted license in state of residence + May ... who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Care Manager - Nursing ( RN CM) will ensure that all members receive… more
- Beth Israel Lahey Health (Milton, MA)
- …health care with dignity, compassion and respect. **Beth Israel Deaconess Milton** is seeking a full-time ** Case Manager ** . The Case Manager works as a ... promoting and monitoring the effective use of resources. The Case Manager demonstrates clinical expertise in the...or a related field + Current licensure as a registered nurse in the State of Massachusetts… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity to make a ... indicated with patients. + Demonstrate knowledge and implementation of HIV nurse -on-call procedures, including functioning as the liaison to inpatient facilities,… more
- Tufts Medicine (Malden, MA)
- …**Job Description** **Minimum Qualifications** **:** 1. Current licensure as a Registered Nurse or Physical Therapist. **Preferred Qualifications** **:** 1. ... Bachelor's prepared level preferred- Registered Nurse BSN preferred, or Physical Therapist...as interviewing, hiring, and disciplinary action. + Promotes efficient utilization of resources to achieve desired clinical outcomes and… more
- Prime Therapeutics (Boston, MA)
- …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...- Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State… more
- Brockton Hospital (Brockton, MA)
- …data analysis and/or chart review preferred. III. Certification/Licensure: Current LPN or RN license in the Commonwealth of Massachusetts. Case Management ... continuous, comprehensive, familya€centered, coordinated, compassionate, and culturally effective. The Care Manager position is an integral member of the PCMH team… more
- Takeda Pharmaceuticals (Lexington, MA)
- …best of my knowledge. **Job Description** The Nursing Services Operations Manager has direct responsibility ensuring operational and tactical effectiveness of the ... and interprets program and vendor data for purposes of assessing trends, program utilization and performance against defined KPIs. + Manage processes and SOPs to… more
- WTW (Boston, MA)
- …Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company + US Registered Nurse or LCSW with active licensed preferred + Health ... analytics experience preferred + Understanding of health plan utilization / case management processes, network management, credentialing, quality management,… more
- Beth Israel Lahey Health (Burlington, MA)
- …the age of the patient D. Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. E. Contributes information provided by ... issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit-based QI activities and...Serves as a liaison with patients, families to physicians, case managers, 3rd party payers, et al. o Reviews,… more