• Monte Nido (Waltham, MA)
    …participating in treatment planning , individual and family sessions, and discharge planning under the supervision of licensed clinicians and with ... of group counseling skills and leadership of therapeutic groups. + Case management and program operations responsibilities as defined by each program and… more
    DirectEmployers Association (12/11/25)
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  • Case Management Discharge

    Beth Israel Lahey Health (Boston, MA)
    …active member of the care transitions team, working collaboratively with the Inpatient RN Case Managers. The Discharge Planning Assistant is responsible for ... the Care Transitions Department. Reporting to Care Transitions leadership, the Discharge Planning Assistant will provide direct administrative support to… more
    Beth Israel Lahey Health (12/17/25)
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  • Case Manager Registered Nurse (Remote)

    CVS Health (Boston, MA)
    …Spanish. + 3-5 years of clinical practice experience. + 2-3 years of experience in case management , discharge planning , or home health care coordination. ... In this role, you will assess, plan, implement, and coordinate comprehensive case management activities. Your focus will be to evaluate members' medical needs… more
    CVS Health (12/20/25)
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  • Analyst, Case Management

    CVS Health (Boston, MA)
    …Microsoft Office Applications (Word, Excel, Outlook). **Preferred Qualifications** - Case Management and discharge planning experience. - Managed Care ... Friday, 8:00a-5:00p in the assigned market time zone. The Case Management Coordinator (ie CC) utilizes critical... planning components with appropriate referral to clinical case management or crisis intervention as appropriate.… more
    CVS Health (12/20/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Boston, MA)
    …or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning , nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...address complex health and social indicators which impact care planning and resolution of member issues. + Assessments utilize… more
    CVS Health (12/20/25)
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  • Medical Director - IP Claims Management

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (12/11/25)
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  • Medical Director - Medicaid (remote)

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (12/07/25)
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  • Medical Director - Medicaid N. Central

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
    Humana (10/25/25)
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  • Prior Authorization RN

    Humana (Boston, MA)
    …Time **Preferred Qualifications** + Bachelor of Science in Nursing. + Experience with case management , discharge planning or prior authorization. ... per Humana/iCare's inpatient work processes and participates with facility discharge planners, Care Coordinators/Care Managers and the behavioral health personnel… more
    Humana (12/18/25)
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  • Medical Director-Payment Integrity

    Humana (Boston, MA)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other… more
    Humana (12/11/25)
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