- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 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)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… 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. ... specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next of kin.… 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. ... specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next of kin.… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10379 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, ... rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… more
- Cambridge Health Alliance (Somerville, MA)
- RN Case Manager - Inpatient Case Management SH **Requisition Number:** 10421 **Location:** CHA Somerville Campus **Work Days:** Mon-Fri; 8:00-4:30, ... rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… more
- Cambridge Health Alliance (Everett, MA)
- RN Case Manager - Inpatient Case Management Everett **Requisition Number:** 8001 **Location:** CHA Everett Hospital **Work Days:** 8-4:30pm including ... weekend rotation **Category:** Registered Nurse **Department:** Inpatient Case ...general supervision of the Director of Care Management, the RN Case Manager provides clinically-based… 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...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- Tufts Medicine (Malden, MA)
- …of lower level professionals, resolving difficult and sometimes complex problems. **Job Overview** The Hospice RN Case Manager serves as case manager ... this role focuses on performing the following Home Care Nurse duties: Assesses, plans, implements, and evaluates the care...Pursues standards of excellence in performance as a hospice case manager . 27. Works with Clinical … more
