- Children's Hospital Boston (Boston, MA)
- 76071BRJob Posting Title: RN Case Manager , Utilization Review, Case Management UM/UR (24 hrs)Department:Patient Services-Patient Care ... OperationsAutoReqId:76071BRStatus:Part-TimeStandard Hours per Week:24 Job Posting Category:NursingJob Posting Description:The Utilization Review Nurse will be responsible for:… more
- Beth Israel Lahey Health (Burlington, MA)
- …Days 8:00am-4:30pm weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home ... States of America) Joint role of Case Manager and Utilization Review Nurse ...a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- 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
- 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
- Beth Israel Lahey Health (Charlestown, MA)
- …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... healthy behavior. Working with the healthcare team, the Care Manager , RN monitors appropriate utilization ...of illness and disability. The Care Manager , RN upholds the current standards of professional case… more
- Covenant Health (Nashua, NH)
- …fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care ... Summary RN Case Managers provide a systematic...duties as consistent with this role. Job Requirements + Registered Nurse licensed in New Hampshire required… more
- Beth Israel Lahey Health (Boston, MA)
- …team, you're not just taking a job, you're making a difference in people's lives.** The RN Case Manager working in the Triad Model of Care Transitions ... the hospitalized patient. Together with the medical provider, the RN Case Manager collaborates with...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
- Beth Israel Lahey Health (Cambridge, MA)
- …not just taking a job, you're making a difference in people's lives.** Case Management: Case Manager **Job Description:** **Primary Responsibilities** 1. ... 1. Bachelor's degree preferred. Current state license as a Registered Nurse 2. Three years of medical/surgical...years of medical/surgical nursing care experience. Two years of case management or utilization management experience required.… 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
- Highmark Health (Boston, MA)
- …week position that includes weekend coverage. This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …acute care hospital level nursing experience (eg, medical-surgical, ICU) or equivalent case management, quality, or utilization review in a hospital setting ... the body of the medical record. The CDS works under direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors… more
- WellSense (Boston, MA)
- …function of this position + Other duties as assigned **Qualifications:** **Education:** + Registered Nurse + Bachelor's degree or an equivalent combination of ... Care Manager SCO WellSense Health Plan is a nonprofit...clinical interventions result in improved clinical outcomes and appropriate utilization of services at the right time, right place,… more
- Marriott (Boston, MA)
- …a licensed registered nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required + Jurisdictional ... **Additional Information** Nurse CARE Manager **Job Number** 24111133...Managers. **Claims Services** + Collaborate with Claims department regarding case management. + Collaborate with UNM on utilization… more
- Humana (Boston, MA)
- …environment + Proficiency in MS Office applications **Preferred Qualifications** + Registered Nurse - Licensed as Individual state or multi-state licensure ... (5) plus years of experience in clinical areas such as: Utilization / Case Management, Claims Resolution, Contract/Market Management, and/or Healthcare… 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)
- …Neurosurgery/Interventional Pain Management 7 Central 24 Hours, schedule to be discussed with manager Lahey Hospital and Medical Center is now offering up to a ... patient Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence....issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit-based QI activities and… more
- Beth Israel Lahey Health (Burlington, MA)
- …the age of the patient. Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. Contributes information provided by the ... 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. + Reviews,… 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
- 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
- Beth Israel Lahey Health (Winchester, 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...Serves as a liaison with patients, families to physicians, case managers, 3rd party payers, et al. o Reviews,… more