• Saint Vincent Hospital (Worcester, MA)
    …, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management ... completed to support post-acute needs, j) timely complete and concise documentation in Case Management system, k ) maintenance of accurate patient demographic… more
    job goal (12/31/25)
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  • 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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  • Medical Director - IP Claims Management

    Humana (Boston, MA)
    …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 (Boston, MA)
    …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 (Boston, MA)
    …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 (Boston, MA)
    …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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  • Registered Nurse, Care Coordinator

    Massachusetts Institute of Technology (Cambridge, MA)
    …families, providers, and community agencies. PREFERRED: two years of case management , utilization review, and discharge planning experience. 11/18/2025 ... clinic or private practice setting; strong knowledge of care coordination, discharge planning , and community health resources; excellent communication,… more
    Massachusetts Institute of Technology (11/19/25)
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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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  • Social Worker

    Veterans Affairs, Veterans Health Administration (Bedford, MA)
    …Social Work practice which includes case work, individual, family and group counseling, discharge planning , case management and other services as ... planning process with other disciplines. 3. Participates in discharge planning with other disciplines and will...include marketing and public relation duties as needed. 9.Provides case management to Veterans and families, as… more
    Veterans Affairs, Veterans Health Administration (12/24/25)
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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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  • 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 (01/02/26)
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  • Nurse Case Manager- Per Diem

    Beth Israel Lahey Health (Cambridge, MA)
    …The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for MAH inpatient admissions. Inpatient Case Manager ... Case Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor. **Job Description:** **Essential Duties & Responsibilities… more
    Beth Israel Lahey Health (10/30/25)
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  • Behavioral Health - Case Manager II

    Elevance Health (Woburn, 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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  • Complex Care Nurse Manager - Per-Diem

    Lawrence General Hospital (Lawrence, MA)
    …team to ensure that patient and family are included in timely and efficient discharge planning . + Provides outreach, case finding/screening for high risk ... Nursing license + Bachelor's degree required. + 5 years case management experience in an acute care...management experience in an acute care setting with discharge planning , continuing care, care management more
    Lawrence General Hospital (12/04/25)
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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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  • Inpatient Social Worker, Care Transitions

    Beth Israel Lahey Health (Burlington, MA)
    …care team, identifies high-risk psychosocial factors of patients/families that impact status and discharge planning . + Educates the care team on the impact of ... drivers of health (SDOH) on medical treatment and care planning . + Develops a psychosocial assessment, and intervention plan...as an LCSW Preferred -Two years of healthcare social work/ case management experience -CCM or ACM (Commission… more
    Beth Israel Lahey Health (10/30/25)
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  • Medical Respite Social Worker

    Boston Health Care for the Homeless Program (Boston, MA)
    …Name: None Patient Facing: Yes The Medical Respite Social Worker delivers comprehensive case management and behavioral health assistance to patients at the ... of admission to identify patient needs and appropriate referrals. + Coordinate discharge planning with the medical providers, treatment program specialists, and… more
    Boston Health Care for the Homeless Program (11/09/25)
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