• 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 - 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 (01/20/26)
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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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  • Medical Director Medicaid

    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 (01/18/26)
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  • Pre-Authorization Nurse 2

    Humana (Boston, MA)
    …of three years varied nursing experience + Previous experience in utilization management , case management , discharge planning and/or home health or ... on case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent clinical information in various medical … more
    Humana (01/18/26)
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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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  • 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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  • Care Transitions RN Case Manager

    Beth Israel Lahey Health (Boston, MA)
    …admissions/observation patients to identify barriers that impact the length of stay and discharge planning . The assessment should also identify the needs of the ... (if not captured by another Care Transitions Team member), case management assessments, and care plans in...trends, as well as regulatory requirements for clinical care, discharge planning , and authorization for post-acute services.… more
    Beth Israel Lahey Health (01/17/26)
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  • CMRN-Ambulatory Nurse Case Manager (MNA)

    Atrius Health (Newton, MA)
    …address any issues or concerns. . Documentation: Maintains accurate records of the discharge planning process in the patient's medical record for legal, ... heart failure program when appropriate . Collaborates with hospital-based case manager to facilitate advance care planning ...Bachelor's degree in a related field required. Certification in Case Management (CCM) or CCM eligible preferred.… more
    Atrius Health (12/20/25)
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