- Datavant (Boston, MA)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well...table:** + Two (2) years managed care experience in UM/ CM /CDI Department preferred + Knowledge of CMS, State Regulations,… more
- WellSense (MA)
- …completion of pre-employment background check + Licensed to practice professional nursing as a Registered Nurse or Nurse Practitioner in the Commonwealth of ... necessary. + Maintain open and frequent contact with team members including facilitation of CM team meetings. + Assist in identifying and hiring of new staff as… more
- Baystate Health (Springfield, MA)
- …Charge Nurse of changes. Checks CIS for discharge orders, follows up with MD, CM RN to assure discharge documents are complete. Enters discharges in OA Gold ... be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the...in BMD. Rounds 3 times daily with RNs and CM regarding discharges, discharge times and special instructions, appropriateness… more
- Beth Israel Lahey Health (Cambridge, MA)
- …**Minimum Qualifications:** 1. Bachelor's degree preferred. 2. Current Massachusetts state license as a Registered Nurse ( RN ). 3. Two years of recent acute ... hospital affiliated with Harvard Medical School. The Inpatient Case Manager ( CM ) performs utilization reviews and coordinates discharge planning for MAH inpatient… more
- CVS Health (Boston, MA)
- …in medical management, including Utilization Management (UM) and Case Management ( CM ). + Strong understanding of healthcare quality, accreditation processes, and ... NCQA standards. + Licensed clinical professional ( RN preferred). + Excellent analytical, organizational, and communication skills. + Proficiency in audit… more
- Highmark Health (Boston, MA)
- …experience + 1 year in a clinical setting **Preferred** + 5 years in UM/ CM /QA/Managed Care + 1 year in advanced training and experience in cognitive behavioral ... in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or...or WV or DE or NY is required. Other RN license(s), if applicable, must be obtained within the… more
- Family Service Association - Fall River (Attleboro, MA)
- …a week * Weekends/holidays have a differential pay * Team approach working with an RN and CM . Duties Include: * Assistance with personal care * Light ... housekeeping * Laundry, shopping * May include meal prep, if needed Must Have: * Reliable transportation * A sincere desire to assist members with their ADLs * Good communication skills * Experience in providing homecare and/or working with adults with a… more