- Highmark Health (Providence, RI)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Children's Hospital Boston (Boston, MA)
- 74825BRJob Posting Title: Registered Nurse 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...care coordination and transitions to address the comprehensive and complex health needs of the patient and family. +… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …(Barbara McInnis House) + Screens admission referrals Monday through Friday. Gives report to the RN Manager at the end of the day + Works collaboratively with ... from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more... and Provider + Problem solves with the Admissions RN manager regarding alternatives for those patients… more
- CAI (Providence, RI)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- Sedgwick (Providence, RI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Point32Health (Canton, MA)
- …across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and ... trends in the communities we serve. **Education, Certification and Licensure** + Registered Nurse with current unrestricted license in state of residence… more
- Sharecare (Providence, RI)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Tufts Medicine (Boston, MA)
- …outcomes. **Job Description** **Minimum Qualifications** **:** 1. Associate's degree in Nursing. 2. Registered Nurse ( RN ) license. 3. Basic Life Support ... **:** 1. Bachelor's degree in Nursing. 2. Advanced Practice Registered Nurse (APRN) 3. Eligible for state...active hospital holds working collaboratively with respective liaison and case manager to ensure best transition of… more
- Highmark Health (Boston, MA)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Gilead Sciences, Inc. (Providence, RI)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- Commonwealth Care Alliance (Boston, MA)
- …in ADA administration **Required Licensing:** + Unencumbered license to practice as a Registered Nurse in Massachusetts **Required Experience:** + 5+ years of ... transmission of illness to members + In collaboration with manager , oversee CCA's Respiratory Protection Program + Train employees...Occupational Health Nurse (COHN) or Occupational Health Nurse Specialist (COHN-S) + Certification in Case … more
- Dana-Farber Cancer Institute (Brookline, MA)
- …experience is preferred. + **Certification/Licensure/Registration:** + Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred. ... when medical necessity coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior… more
- Beth Israel Lahey Health (Boston, MA)
- …degree in Nursing required. Bachelor's degree in Nursing preferred. 2. License Registered Nurse required., and Certificate 1 Basic Life Support required. ... making a difference in people's lives.** The ECMO Program Nurse Coordinator works closely with the ECMO Program Clinical... Coordinator works closely with the ECMO Program Clinical Manager to provide the highest level of cardiovascular and… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …of staff performance through contribution to individual staff performance reviews. The Charge RN reports to the ADON/ RN Manager . Hours: Full-time; 40 ... implementation of BHCHP and Respite policies and procedures. + Collaborates with the DON/ADON/ RN Manager in planning staff meeting agendas. + Facilitates staff… more