- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …Name: n/a Patient Facing: Yes We are looking to hire a dedicated and passionate Nurse Care Manager for our Behavioral Health Community Partners program. The ... to provide both preventative and reactionary services. As a Nurse Care Manager , you will...Clinical Program Manager . Qualifications: + Licensed as Registered Nurse in the Commonwealth of Massachusetts.… more
- Sharecare (Boston, MA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- AccentCare, Inc. (Norwood, MA)
- …Location: Norwood, MA Position: After Hours Registered Nurse / RN , Hospice Position Type: Full-Time Remote /Virtual Position: No Coverage Area: Greater ... Overview After Hours Registered Nurse / RN , Hospice... transitions as directed. + If serving as a Care Manager , coordinates all aspects of patient … more
- BD (Becton, Dickinson and Company) (Boston, MA)
- …all other documented quality processes and procedures. **Required experience:** + Licensed Registered Nurse + Previous Urology experience + Comfortable educating ... **Job Description Summary** The Clinical Manager (CM) is responsible for working with the... (CM) is responsible for working with the Home Care sales management team to provide clinical support and… more
- AccentCare, Inc. (Norwood, MA)
- Overview RN / Registered Nurse ,...MA - Office Location Position: RN Case Manager , Home Health Position Type: Full-Time Remote /Virtual ... areas #AC-RNMA Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager... care we're building together. Be the Best RN Case Manager You Can Be If… more
- Beth Israel Lahey Health (Burlington, MA)
- …New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist Registered Nurse ( RN ) assists with the appropriate ... that are representative of the patient's hospital stay and care provided including Severity of Illness (SOI), Risk of...the body of the medical record. The CDI Specialist RN works under the direction of the Manager… more
- Bear Mountain Health Care (Boston, MA)
- Bear Mountain Healthcare has immediate openings for a Registered Nurse unit manager looking to work in our Long Term Care Facility in the West Roxbury, ... patient-centered care , promoting healing, recovery, and comfort. The unit manager will oversee only one unit, responsible for 40 residents, ensuring personalized… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** **This position is remote . Candidates must be local to New England States for consideration** The Clinical ... that are representative of the patient's hospital stay and care provided including Severity of Illness (SOI), Risk of...CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical… more
- CenterWell (Boston, MA)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Sharecare (Boston, MA)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- Bear Mountain Health Care (Lowell, MA)
- …transfer and discharge of residents and provides the information to the Nurse Manager . Completes clinical admission paperwork. Assists with clinical discharge ... Licensed Registered * New Grads Welcome COVID-19 Precaution(s): * Remote interview process available * Personal protective equipment provided * Temperature… more
- Humana (Boston, MA)
- … care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience in: ... community and help us put health first** The Telephonic Care Manager (Autism Care Navigator)...Extensive analytical skills + Bilingual a plus **Work at Home/ Remote Requirements** : To ensure Home or Hybrid Home/Office… more
- Fallon Health (Worcester, MA)
- …degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of ... three to five years clinical experience as a Registered Nurse in a clinical setting required....* 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred.… more
- US Tech Solutions (Malden, MA)
- …the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects ... **JOB SUMMARY:** Note: Candidate will be fully remote however needs to travel to members homes...required)** . Bachelors of Science in Nursing (BSN) and Registered Nurse with current, unrestricted Massachusetts license… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …organizational provider networks ensuring our members receive the highest quality of care possible. The Team:As an integral part of the Credentialing & Peer ... CPR's Director and Clinical Lead, Operations Lead, Senior Credentialing Manager / Compliance Consultant, Risk Specialist, Exception Review Specialists and Project… more
- Commonwealth Care Alliance (Boston, MA)
- …supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and ... a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more