• Monte Nido (Waltham, MA)
    …participating in treatment planning , individual and family sessions, and discharge planning under the supervision of licensed clinicians and with ... of group counseling skills and leadership of therapeutic groups. + Case management and program operations responsibilities as defined by each program and… more
    DirectEmployers Association (12/11/25)
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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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  • Analyst, Case Management

    CVS Health (Boston, MA)
    …Microsoft Office Applications (Word, Excel, Outlook). **Preferred Qualifications** - Case Management and discharge planning experience. - Managed Care ... Friday, 8:00a-5:00p in the assigned market time zone. The Case Management Coordinator (ie CC) utilizes critical... planning components with appropriate referral to clinical case management or crisis intervention as appropriate.… more
    CVS Health (12/17/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Boston, MA)
    …or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning , nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...address complex health and social indicators which impact care planning and resolution of member issues. + Assessments utilize… more
    CVS Health (12/16/25)
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  • RN Case Manager (40hr, Day)

    Beth Israel Lahey Health (Needham, MA)
    …or managed care setting with two years prior experience in case management . 4. Knowledge of discharge planning practices, understanding of utilization ... practice model. **Job Description:** **Essential Responsibilities:** 1. Performs utilization management , care coordination, and discharge planning more
    Beth Israel Lahey Health (10/30/25)
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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 (12/07/25)
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  • Medical Director - Medicaid N. Central

    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 (10/25/25)
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  • Prior Authorization RN

    Humana (Boston, MA)
    …Time **Preferred Qualifications** + Bachelor of Science in Nursing. + Experience with case management , discharge planning or prior authorization. ... per Humana/iCare's inpatient work processes and participates with facility discharge planners, Care Coordinators/Care Managers and the behavioral health personnel… more
    Humana (12/18/25)
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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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  • RN Care Manager

    Intermountain Health (Boston, MA)
    …Care Management Certification + Demonstrated experience in case management , utilization review, or discharge planning . + Bi-Lingual/Spanish Speaking ... self-care. + **Education and Advocacy** : Educates healthcare team members about case management processes, appropriate referrals, and advocate for patient… more
    Intermountain Health (12/18/25)
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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 (12/05/25)
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  • Complex Case Manager

    Beth Israel Lahey Health (Burlington, MA)
    …Code of Ethics, the Case Manager performs duties relative to utilization and discharge planning . The Complex Case Manager acts as an educational resource ... general direction of the Manager and Director of the Case Management , and within the Lahey Clinic...but not limited to:** 1) Performs utilization review and discharge planning to inpatient admissions. 2) Applies… 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 ... treatment planning process as part of interprofessional team; Participates in discharge planning with other professions and assists with ensuring … more
    Veterans Affairs, Veterans Health Administration (12/13/25)
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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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