- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (Dorchester, 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
- Highmark Health (Boston, MA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Boston, MA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… more
- AccentCare, Inc. (Norwood, MA)
- …Location: Norwood, MA Position: After Hours Registered Nurse / RN , Hospice Position Type: Full-Time Remote /Virtual Position: No Coverage Area: Greater ... Overview After Hours Registered Nurse / RN , Hospice... transitions as directed. + If serving as a Care Manager , coordinates all aspects of patient … more
- 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 ... 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… more
- CVS Health (Boston, MA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Tufts Medicine (Lowell, MA)
- …manager and director, as needed. **Hours** : 36 Hours No weekends or holidays- remote possibility **Qualifications:** + MA RN license required + Valid BLS + ... healthcare. Ready to grow with us? The Quality Charge RN Specialist is an important member of the Emergency...procedural ED charges. Facilitate charge capture for services and care provided for each patient in Emergency Department. +… more
- BD (Becton, Dickinson and Company) (Boston, MA)
- …all other documented quality processes and procedures. **Required experience:** + Licensed Registered Nurse + Previous Urology experience + Comfortable educating ... **Job Description Summary** The Clinical Manager (CM) is responsible for working with the... (CM) is responsible for working with the Home Care sales management team to provide clinical support and… more