• Complex Case Manager

    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
    Highmark Health (03/13/25)
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  • Registered Nurse Case

    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
    Children's Hospital Boston (01/15/25)
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  • Manager , Utilization Management…

    Humana (Providence, RI)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Care Manager , Registered

    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 ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (02/17/25)
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  • Registered Nurse - Nurse

    Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
    Summary This Registered Nurse - Nurse Manager - Operating Room position is within the Nursing service at the West Roxbury location. This is a full-time ... position at 40 hours per week. Responsibilities The Nurse Manager (NM) with supervisory duties and...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (03/18/25)
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  • Admissions Registered Nurse

    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
    Boston Health Care for the Homeless Program (03/04/25)
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  • Case Manager , RN

    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
    CAI (02/01/25)
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  • RN Field Case Manager

    Sedgwick (Boston, MA)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp ... RN Field Case Manager Nurses across multiple cities in...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (03/12/25)
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  • RN Manager , Case Management

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …outcomes. + This a unique manager role, acting both as a leader and case manager . + Interpret and apply case management criteria, processes, policies, ... Bring your true colors to blue. The RoleThe Clinical Manager leads a team of dedicated Care Managers who...plans. + Review medication list and educate members with complex pharmacy needs, and counsel on side effects and… more
    Blue Cross Blue Shield of Massachusetts (03/18/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Providence, RI)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Nurse Navigator

    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
    Tufts Medicine (03/15/25)
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  • Clinical Reviewer Utilization Management…

    US Tech Solutions (Canton, MA)
    …license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in ... his role and is responsible for managing a clinically complex caseload of varied requests for services. The Clinical...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… more
    US Tech Solutions (03/06/25)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (02/24/25)
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  • Sr. Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Boston, MA)
    …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 enhancing… more
    Gilead Sciences, Inc. (03/08/25)
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  • Occupational Health Nurse II

    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
    Commonwealth Care Alliance (03/05/25)
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  • Transitional Care Nurse

    Beth Israel Lahey Health (Stoughton, MA)
    …accredited Nursing Program required. Bachelor's degree in Nursing preferred. + License Registered Nurse preferred., and American Heart Association - Basic Life ... trained, a remote schedule will be discussed with the Manager . The Transitional Care Nurse (TCN) ensures...practice guidelines and provide post discharge outreach for medically complex patients. The TCN will work collaboratively with BIDHC… more
    Beth Israel Lahey Health (02/20/25)
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  • Nurse Coordinator Specialty

    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. ... of patient/family educational materials. Participates in patient rounds and case conferences. 5. Updates clinical knowledge and skills through consultation,… more
    Beth Israel Lahey Health (03/04/25)
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  • Nurse Coordinator, Urology (Needham)

    Beth Israel Lahey Health (Needham, MA)
    …degree in Nursing required. Bachelor's degree in Nursing preferred. + License Registered Nurse required., and Certificate 1 Basic Life Support required. ... taking a job, you're making a difference in people's lives.** The Nurse Coordinator will be supporting Needham Urology. **Job Description:** Coordinates care for… more
    Beth Israel Lahey Health (03/07/25)
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  • 5th Quarter Summer Learning Academy - Nurse

    Boston Public Schools (Boston, MA)
    …- REQUIRED: + Bachelor of Science in Nursing. + Massachusetts licensure as a Registered Nurse . + Massachusetts State Department of Education School Nurse ... Supports the Site Coordinator or on site Summer Program Manager . When you are hired to work at the...health care provider for an evaluation. For students with complex medical needs, the summer site nurse more
    Boston Public Schools (03/04/25)
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  • Summer Program or ESY - Nurse (Summer 2025)

    Boston Public Schools (Boston, MA)
    …Schools Nurse . + Bachelor of Science in Nursing. + Massachusetts licensure as a Registered Nurse . + Experience working with students in one or more of the ... primary healthcare provider for an evaluation. For students with complex medical needs, the summer site nurse ...requested by the Site Coordinator or Summer Program Manager . QUALIFICATIONS - REQUIRED: + Current Boston Public… more
    Boston Public Schools (03/05/25)
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