• 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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  • 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 (03/19/25)
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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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  • Adult Family Care Case Manager

    Advocates (Framingham, MA)
    **Overview** Rate: $22.25/hour The Case Manager will coordinate, provide and supervise high quality supports to the individuals, families and providers served by ... Adult Family Care (AFC). The Case Manager provides assistance with other agencies...served in the program. + Work with the AFC Registered Nurse as part of the multidisciplinary… more
    Advocates (03/04/25)
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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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  • Utilization Management Nurse

    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....care payer preferred. + One year experience as a case manager in a payer or facility… more
    Fallon Health (02/25/25)
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  • Prior Authorization Nurse

    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....care payer preferred. * One year experience as a case manager in a payer or facility… more
    Fallon 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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