• 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 (09/12/25)
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  • Nursing Director Case

    Tufts Medicine (Lowell, MA)
    …this position has oversight of all clinical and administrative functions of the case management and social work departments in a four-time designated ANCC ... entities and providers in support of system and organization care management goals. . **Job Description** **Minimum Qualifications:** 1. Massachusetts RN Licensure.… more
    Tufts Medicine (10/06/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …staff, including nurse reviewers and support personnel. * Act as liaison with medical director , provider relations, case management and quality teams to ... and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of Utilization Management more
    Commonwealth Care Alliance (10/02/25)
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  • RN Case Manager - Inpatient Case

    Cambridge Health Alliance (Somerville, MA)
    …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating… more
    Cambridge Health Alliance (09/25/25)
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  • RN Case Manager - Inpatient Case

    Cambridge Health Alliance (Somerville, MA)
    …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating… more
    Cambridge Health Alliance (10/04/25)
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  • RN Case Manager - Inpatient Case

    Cambridge Health Alliance (Everett, MA)
    …the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based case management to support the delivery of ... RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including weekend… more
    Cambridge Health Alliance (09/03/25)
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  • Adult Case Management Supervisor

    State of Massachusetts (Fitchburg, MA)
    …a qualified professional for the position of Human Services Coordinator II (Adult Case Management Supervisor) in Fitchburg to provide direct supervision to staff ... with problematic inter-intra agency coordination and referrals. * Aids case management staff in assessment, referral, and...for program billing as required. * Assists the Site Director in screening and hiring of new Human Service… more
    State of Massachusetts (10/02/25)
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  • DMH Child Youth and Family Case

    State of Massachusetts (Brockton, MA)
    …Specialist and liaison to the Community Service Agencies. The CYF Supervisor will oversee case management and administrative supervision to assigned CYF Case ... Services Coordinator I(s) to ensure compliance with established standards of care for Case Management . . Maintains caseload oversight for assigned Human Services… more
    State of Massachusetts (09/20/25)
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  • National Accounts Medical Director

    Elevance Health (Woburn, MA)
    …clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews ... ** is responsible for serving as the Operational Medical Director for our care management models for...clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
    Elevance Health (09/23/25)
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  • Utilization Management Medical…

    Elevance Health (Woburn, MA)
    …considered. The **Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for ... **Utilization Management Medical Director - NC Medicaid** Location:...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
    Elevance Health (09/26/25)
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