• Hospice RN Case Manager

    Beth Israel Lahey Health (Plymouth, MA)
    …degree in nursing from an NLN accredited program preferred + Recent Hospice Case Management or related Home Health Experience required + Expertise in EMR ... and support. + Provides skilled service that ensures the nursing needs of the patient are met as identified...period. + Assumes primary responsibility for the coordination and management of all aspects of the patient's plan of… more
    Beth Israel Lahey Health (12/21/25)
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  • RN - Case Manager

    Amergis (Hyannis, MA)
    …unrestricted MA nursing license + EPIC experience + 3 years of acute care case management experience in the last 5 years + Experience in discharge planning & ... Amergis Healthcare has an exciting contract opportunity for an RN Case Manager in Hyannis, MA. Local Pay: $69/hour, paid weekly Travel Pay: $3,041/week… more
    Amergis (12/03/25)
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  • Full Time Case Manager LPN | Saugus

    Amergis (Somerville, MA)
    …This program provides personalized care plans, strong clinical oversight, and ongoing case management to enhance the lives of participants and caregivers.As ... Active Massachusetts LPN license in good standing.* 2+ years of nursing experience preferred (new grads welcome).* Experience in clinical assessments required.*… more
    Amergis (01/02/26)
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  • Director, Utilization Management & Prior…

    Fallon Health (Worcester, MA)
    …member care within Care Services as well as other departments by involving inpatient case management with out-patient case management and utilization ... With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer will provide strategic leadership and oversight… more
    Fallon Health (12/14/25)
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  • Manager - Utilization Review & Denials…

    Beth Israel Lahey Health (Plymouth, MA)
    …, health care administration or related field preferred or commensurate experience and Case Management Certification required + Minimum of 3 years of progressive ... lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At...**In your role as a Utilization Review & Denials Management Manager, you will:** + Directs staff performance regarding… more
    Beth Israel Lahey Health (12/14/25)
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  • Care Manager, Registered Nurse (Remote)

    Sharecare (Boston, MA)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration ... via self-directed learning. **Specific Skills/ Attributes:** + Strong motivational interviewing and case management skills. + Ability to be self-directed, highly… more
    Sharecare (10/08/25)
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  • Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    …license. Certification in Case Management (CCM) preferred. Experience: 1. Case management and nursing experience preferred. 2. Experience working in ... patient needs. This role works closely with the skilled nursing facility team, the primary care provider and patient...The Care Manager upholds the current standards of professional case management practice, and reports to the… more
    Beth Israel Lahey Health (12/03/25)
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  • Utilization Review Analyst - Registered…

    Beth Israel Lahey Health (Burlington, MA)
    …Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management team to validate the medical necessity of the hospital ... Utilization Analyst works with physicians, the payers and inpatient case management team to validate the medical...with the correct level of care.. 5. Collaborates with case managers, nursing staff , coding team… more
    Beth Israel Lahey Health (10/30/25)
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  • Care Manager - Nursing (Field)

    Point32Health (MA)
    …continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, and ... disease/chronic condition management per department guidelines. The nurse care...Practice Act(s) where Point32Health operates + National certification in Case Management desirable Education + Required (minimum):… more
    Point32Health (11/26/25)
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  • Registered Nurse , RN - Complex Medical…

    Tufts Medicine (Boston, MA)
    … colleagues and other disciplines to implement plan of care by participation in nursing , physician, and case management reporting rounds. 16. Delegates ... professional registered nurse is responsible for the planning, delivery and management of patient/family centered care utilizing the nursing process and… more
    Tufts Medicine (12/24/25)
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