• Case Manager RN

    Prime Healthcare (Woonsocket, RI)
    …+ Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , ... 40hr/wk 8am-430pm Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility… more
    Prime Healthcare (01/10/25)
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  • Case Manager RN - Per Diem

    Prime Healthcare (Woonsocket, RI)
    …Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
    Prime Healthcare (12/13/24)
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  • Medical Director--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 (10/29/24)
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  • Mercy Care Management Coordinator

    CVS Health (Boston, MA)
    …a Bachelor's degree **Preferred Qualifications** + Maricopa County residency + Case management and discharge planning experience preferred + Managed Care ... critical thinking and judgment to collaborate and inform the case management process, in order to facilitate...service needs that may impact member outcomes and care planning components with appropriate referrals. + Coordinates and implements… more
    CVS Health (01/17/25)
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  • Medical Director - Florida

    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 (12/14/24)
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  • Medical Director - Mid West Region

    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 (10/29/24)
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  • Community Crisis Stabilization Clinician - Relief

    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 (11/23/24)
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  • RN Case Manager, Inpatient & Ambulatory…

    Children's Hospital Boston (Boston, MA)
    …two years of employment. + Experience as a Case Manager ( Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, ... 74825BRJob Posting Title:RN Case Manager, Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care… more
    Children's Hospital Boston (01/15/25)
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  • Case Manager- Per Diem- Barbara McInnis…

    Boston Health Care for the Homeless Program (Boston, MA)
    …is to provide leadership and follow through for the team in discharge planning and social service needs. The case manager will provide expertise to the ... appropriate documentation in the medical record so that the case management plan (including appropriate discharge...planning to the clinical team and Supervisor of Case Management to ensure clear communication regarding… more
    Boston Health Care for the Homeless Program (12/14/24)
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  • Social Work Case Manager, LICSW - Inpatient…

    Cambridge Health Alliance (Cambridge, MA)
    Social Work Case Manager, LICSW - Inpatient Case Management CH **Date Posted:** 01/16/2025 **Requisition Number:** 9234 **Location:** CHA Cambridge Hospital ... Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category:** Social Work **Department:** Inpatient Case Management CH **Job Type:** Full time **Work Shift:**… more
    Cambridge Health Alliance (01/18/25)
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  • Care Transitions RN Case Manager

    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 (12/10/24)
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  • Case Manager with Utilization Review…

    Beth Israel Lahey Health (Burlington, MA)
    … Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey Clinic inpatient ... ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and med/surg experience are encouraged to apply.… more
    Beth Israel Lahey Health (01/15/25)
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  • Clinical Nurse Leader Case

    Tufts Medicine (Melrose, MA)
    …collaborates with health team members to coordinate and complete timely assessment, planning , implementation and evaluation of discharge plans and care ... team! **Job Profile Summary** The Clinical Leader - RN Case Manager assesses the needs of the department and...of the Clinical Manager/Director, this position supports the RN Case Managers in the department according to policies and… more
    Tufts Medicine (01/19/25)
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  • Case Manager - Behavioral Health LICSW,…

    Molina Healthcare (Norfolk, MA)
    …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. * Develops and implements a case management plan in collaboration with the...use disorder and foster care + 2+ years with discharge planning coordination from different care settings… more
    Molina Healthcare (01/10/25)
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  • Obot RN Case Manager

    Cambridge Health Alliance (Cambridge, MA)
    …hours of admission utilizing specific criteria to identify needs related to utilization management and/or discharge planning . Refers appropriate cases to ... a business card. * Integrates the discharge planning /coordination and utilization review functions in the case... planning /coordination and utilization review functions in the case management role. * Refers appropriate cases… more
    Cambridge Health Alliance (01/18/25)
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  • Behavioral Health Case Manager

    Fallon Health (Worcester, MA)
    …accounted for by a medical change) to assign a rating category which determines BH case management level of involvement + May complete home visits and follow up ... with the member from time of psychiatric admission through discharge and ensures all Care Team members and healthcare...LICSW and/or LMHC ; reliable transportation + Certification in Case Management a plus + Satisfactory Criminal… more
    Fallon Health (12/18/24)
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  • Case Manager

    Vitra Health (Brookline, MA)
    …community services Participate in multidisciplinary care plan creation and review and discharge planning . + Address concerns regarding environment and any ... required. + Fluency in both English and second language strongly preferred. + Case management , behavioral health, social services and/or community health worker… more
    Vitra Health (12/22/24)
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  • Case Manager - Care Transitions

    Beth Israel Lahey Health (Cambridge, MA)
    …: Case Manager **Job Description:** **Primary Responsibilities** 1. Performs discharge planning to inpatient admissions to MAH. 2. Communicates with ... and social work staff to coordinate and facilitate patient discharge . 5. Identifies days not meeting acute hospital level...years of medical/surgical nursing care experience. Two years of case management or utilization management more
    Beth Israel Lahey Health (12/10/24)
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  • Clinical Social Worker - Case

    Beth Israel Lahey Health (Milton, 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 ... social drivers of health (SDOH) on medical treatment and care planning . . Develops a psychosocial assessment, and intervention plan regarding identified patient and… more
    Beth Israel Lahey Health (12/25/24)
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  • Nurse Care Manager Senior - LGBTIA+/ Transgender…

    Elevance Health (Woburn, MA)
    …acute care clinical experience, condition-specific clinical experience, home health/ discharge planning experience, case management experience, disease ... knowledge base of disease processes strongly preferred. + Prior managed care and case management experience preferred. Knowledge of medical management more
    Elevance Health (01/03/25)
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