• 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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  • Case Manager Registered Nurse (Remote)

    CVS Health (Boston, MA)
    …Spanish. + 3-5 years of clinical practice experience. + 2-3 years of experience in case management , discharge planning , or home health care coordination. ... In this role, you will assess, plan, implement, and coordinate comprehensive case management activities. Your focus will be to evaluate members' medical needs… more
    CVS Health (12/20/25)
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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 (12/20/25)
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  • Case Manager Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management ... 20hrs/week 8:00am - 4:30pm Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the… more
    Prime Healthcare (12/04/25)
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  • Case Manager Registered Nurse

    Prime Healthcare (Woonsocket, RI)
    …+ Five years acute care nursing experience preferred. At least one year experience in case management , discharge planning or nursing management , ... Learn more atwww.landmarkmedical.org. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from… more
    Prime Healthcare (11/20/25)
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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 (12/20/25)
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  • Case Manager

    Brockton Hospital (Brockton, MA)
    …years clinical experience in an acute care facility required. Prior experience in case management , utilization review or discharge planning required. ... lives and health of our patients. Provides medical-surgical pediatric and obstetrical case management services to Brockton Hospital patients. Responsible for… more
    Brockton Hospital (10/31/25)
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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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  • Care Manager, Telephonic RN

    Humana (Providence, RI)
    …that holds your compact license.** + 3+ years of clinical acute care experience with case management , discharge planning , and patient education for adult ... remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the… more
    Humana (12/20/25)
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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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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    PURPOSE OF POSITION: The Director of Case Management is responsible for planning , directing, and managing of the activities of the Case Management ... Actively solves problems, referring exceptional issues to Vice President. The Director of Case Management is responsible for planning , directing, and… more
    Brockton Hospital (12/12/25)
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