• RN Care Manager , LTSS…

    Molina Healthcare (West Roxbury, MA)
    …government funded health plans for members who reside in Massachusetts. We are looking for Care Managers with a RN licensure and a back ground in care ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… more
    Molina Healthcare (07/25/25)
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  • CIC Registered Nurse

    Commonwealth Care Alliance (Boston, MA)
    …intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an interdisciplinary ... fluctuating needs of the defined panel of members, the Registered Nurse will engage in regular assessments,...LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts,… more
    Commonwealth Care Alliance (07/03/25)
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  • CIC Advanced Practice Clinician

    Commonwealth Care Alliance (Springfield, MA)
    …or PA in primary care or care management AND 3+ years' experience as Registered Nurse or EMT-P in a high touch clinical environment or home care ; OR ... LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts,...or PA graduate, must have 5+ years' experience as Registered Nurse or EMT-P in a high… more
    Commonwealth Care Alliance (07/09/25)
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  • Manager , Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
    Commonwealth Care Alliance (05/21/25)
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  • Nurse Utilization Management Reviewer

    Commonwealth Care Alliance (Boston, MA)
    013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... Care experience + 2 or more years of LTSS experience + 2 or more years working in...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    Commonwealth Care Alliance (05/23/25)
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  • Utilization Management Reviewer

    Commonwealth Care Alliance (Boston, MA)
    …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the… more
    Commonwealth Care Alliance (07/31/25)
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