• RN System Director…

    Tufts Medicine (Burlington, MA)
    …Description** **Minimum Qualifications:** 1. Bachelor of Science in Nursing (BSN). 2. RN Licensure. 3. Current certification in case/ utilization management (ACM, ... MA. **About Tufts Medicine:** Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver… more
    Tufts Medicine (10/26/25)
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  • Clinical Registered Nurse…

    Cognizant (Boston, MA)
    …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in… more
    Cognizant (10/07/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Lowell, MA)
    …+ Develops action plans for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison for patient care as per ... management company. Maintains current knowledge of disease management software and systems as pertinent. **STAFF:** + Responsible for implementation of FMS staffing,… more
    Fresenius Medical Center (09/18/25)
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  • Registered Nurse Medical Unit Per…

    Baystate Health (Springfield, MA)
    …(BMC), a Magnet Hospital for Nursing Excellence is looking for a medical inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, ... all positions at a given grade across the health system . Typically, a new hire can expect a starting...Basic Life Support - American Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of… more
    Baystate Health (10/17/25)
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  • Registered Nurse Medical Surgical…

    Baystate Health (Springfield, MA)
    …a Magnet Hospital for Nursing Excellence is looking for a medical telemetry inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, ... all positions at a given grade across the health system . Typically, a new hire can expect a starting...Basic Life Support - American Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of… more
    Baystate Health (10/10/25)
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  • Quality & Patient Safety Specialist…

    Beth Israel Lahey Health (Cambridge, MA)
    …just taking a job, you're making a difference in people's lives.** Reporting to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse ... on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
    Beth Israel Lahey Health (08/08/25)
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  • Director Case Management

    Brockton Hospital (Brockton, MA)
    …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... PURPOSE OF POSITION: The Director of Case Management is responsible for planning,...monitoring mechanisms to identify areas for improvement of resource utilization . Plans and develops systems and processes… more
    Brockton Hospital (09/12/25)
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  • RN Clinical Manager

    CenterWell (Pittsfield, MA)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... analysis to determine efficiency, the efficacy of case management system as well as any other systems ...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (08/16/25)
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  • Director , Provider Relations

    Commonwealth Care Alliance (Boston, MA)
    011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
    Commonwealth Care Alliance (10/18/25)
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  • Director , Behavioral Health Care Delivery

    Commonwealth Care Alliance (Boston, MA)
    021350 Clin Alli-Care Delivery Administration Position Summary: The Director , Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's ... in all CCA Care Delivery programs with BH components.The Director will collaborate closely with the Care Delivery Leadership...populations * Knowledge of BH & SUD care delivery systems and levels of care across the state. *… more
    Commonwealth Care Alliance (10/21/25)
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