- Commonwealth Care Alliance (Boston, MA)
- …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Commonwealth Care Alliance (Boston, MA)
- …overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical ... audits (eg CMS Program Audits, or EQRO reviews). - Hire, train and mentor UM staff , including nurse reviewers and support personnel. - Act as liaison with… more
- Commonwealth Care Alliance (Springfield, MA)
- …and meet his/her needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not have direct reports. ... with external providers, including but not limited to Primary Care staff , specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting… more
- Commonwealth Care Alliance (Springfield, MA)
- …across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports. ... with external providers, including but not limited to Primary Care staff , specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...as needed, in addition to MTF UM / CM staff , physicians and providers as necessary; organize, arrange and… more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the team opportunities for providing care in the most appropriate setting. 2. The Case Manager works with physicians, staff , patients, and families to ... teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and...preferred. 2. Current Massachusetts state license as a Registered Nurse (RN). 3. Two years of recent acute hospital… more
- Fallon Health (Foxborough, MA)
- …fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an ... o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric Support Service Coordinator,… more
- Beth Israel Lahey Health (Cambridge, MA)
- …acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge ... planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the...and outpatient care. 3. Communicates with attending and house staff when options to inpatient care are identified. 4.… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …schedule possible Union: No Union Name: Non-union Patient Facing: Yes We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to ... from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more...access the highest levels of health care and every staff member to reach their fullest potential. We continue… more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- … based in Milford. As part of a team-based approach to care, the HIV Nurse Case Manager provides, coordinates, and organizes evidence-based care to Health ... and embrace the richness of the diversity of our staff and community. You are a good fit for...AIDS to MDPH State Lab + Participate in regular case conferences with the HIV Team. Represent the HIV… more
