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RN Case Manager
Found in: Talent US 2A C2 - 4 days ago
NVNA and Hospice Hingham, United StatesWe are looking for an experienced, talented, and compassionate RN Case Manager for a full-time position located in the Hingham area. · What will you be doing: · The RN Case Manager is responsible for providing direct patient care in the patient's home. Must have a strong clinica ...
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RN Case Manager
Found in: Zoho Direct Apply - 1 day ago
Home Health Care, Inc. Plymouth, United StatesJob description · Registered Nurse / RN Case Manager · Home Health Care, Inc. · Full-Time | $80,000 - $115,000 · $6000 in Bonuses During First Year of Employment · Nurses looking for autonomy and variety should consider practicing in home health care, the fastest growing seg ...
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RN Case Manager
Found in: beBee S2 US - 2 weeks ago
Blue Cross Blue Shield of Massachusetts Hingham, United States Full timeThe Role The Clinical Care Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. · This position is self-directed and works independently and collaboratively to fac ...
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RN Case Manager
Found in: Appcast US C2 - 4 days ago
South Shore Health Weymouth, United StatesJob Description Summary · Under the general supervision of the Case Management Manager acts as a patient advocate/Case Manager to SSH&EC clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to faci ...
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RN Case Manager
Found in: One Red Cent US C2 - 4 hours ago
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RN Case Manager
Found in: Appcast US C2 - 5 days ago
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Case Manager
Found in: ZipRecruiter Test10S US C2 - 4 weeks ago
Boston Health Care for the Homeless Program Boston, United States Full timeWho We Are: · Since 1985, BHCHP's mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston H ...
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Case Manager
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Delta-T Group, Inc. Boston, United States Full timeDelta-T Group connects professionals with client opportunities within the special education, social service, behavioral health, and disability sectors. With over 30 years in business, we have built a reputation for referring highly qualified professionals for rewarding short and ...
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Case Manager
Found in: Betterteam US S2 T2 - 2 weeks ago
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Case Manager
Found in: Betterteam US S2 T2 - 1 week ago
Resources for Human Development Watertown, United States Full timeRHD South Dakota is HIRING · We are looking for a Case Manager to work with our Case Management team in South Dakota This position is a hybrid community/home office position. You will be reimbursed mileage from your home office to work sites, and back to your home office · This p ...
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Medical Case Manager
Found in: One Red Cent US C2 - 1 day ago
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RN Case Manager
Found in: One Red Cent US C2 - 4 hours ago
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RN Case Manager
Found in: One Red Cent US C2 - 1 day ago
Sigma Inc Boston, United StatesMGB RN Case Manager - Boston, MA - 13 Weeks Contract · Sigma Healthcare team is currently looking for an Registered Nurse Case Manager to work onsite at our client's facility. · Shift: 07:30 AM- 05:00,PM · Responsibilities: Responsible for the quality and resource management ...
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Case Management Nurse
Found in: Talent US 2A C2 - 4 days ago
TalentBurst, an Inc 5000 company Plymouth, United StatesRegistered Nurse - Case Management · Plymouth, MA · 13 Weeks · 40 Hours/week · 8H Day · 08:00 AM - 04:30 PM · Position Description: · HOSPICE CASE MANAGEMENT POSITION - · MUST HAVE RECENT HOSPICE EXPERIENCE - · MA LICENSE REQUIRED AT TIME OF SUBMISSION - · COVID vaccine ...
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Director of Case Management
Found in: Appcast Linkedin GBL C2 - 5 days ago
Sturdy Health Attleboro, United StatesProvides administrative leadership to the Department of Case Management with responsibility for Utilization Review, Integrated Clinical Service, Discharge Planning and Care Transitions in accordance with Federal/State legal and regulatory requirements, as well as private payer gu ...
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RN Case Manager
Found in: One Red Cent US C2 - 6 days ago
Sigma Inc Salem, United StatesMGB RN Case Manager - Salem, MA - 13 Weeks Contract · Sigma Healthcare team is currently looking for an Registered Nurse Case Manager to work onsite at our client's facility. · Shift: 08:00 - 16:30 · Responsibilities: Facilitate the coordination of care, from admission through ...
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Nurse Case Manager
Found in: Talent US C2 - 1 day ago
Sevita Dedham, United States Full timeMENTOR, a member of the Sevita family, is a community-based, behavioral health care organization offering a continuum of services including adult behavioral health, substance abuse counseling, children's behavioral health, autism services, and early childhood services. · Nurse Ca ...
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RN Case Manager
Found in: One Red Cent US C2 - 3 days ago
Serenity Hospice Care Essex County, United StatesSerenity Hospice Care - Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends ...
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Director Case Management
Found in: beBee S2 US - 1 day ago
Insmed Incorporated Bridgewater, United States Full time· Company Description · Insmed is a global biopharmaceutical company on a mission to transform the lives of patients living with serious and rare diseases. Our most valuable resource is our employees, and everything we do is motivated by a patients-first mentality. We are dedica ...
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RN Case Manager
Found in: Talent US C2 - 6 days ago
KAREN ANN QUINLAN MEMORIAL FOUNDATION Newton, United States· Title RN Case Manager | NJ, Newton · EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or ...
Case Manager - Hingham, United States - Blue Cross Blue Shield of Massachusetts
Description
The Role
The Clinical Care Manger is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health.
This position is self-directed and works independently and collaboratively to facilitate care based on the principles of care management. Facilitation is focused on assessing needs, identifying health care disparities, social determinants of health, and any barriers to care.
The Team
The Clinical Care Manger is part of a highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical directors and more, who collaborate to facilitate care.
Key Responsibilities:
Engage members in appropriate plans of care, coordinate care and services as appropriate, communicate effectively and provide members with education and resources as needed.
Promote member compliance with treatment plan, encourage shared decision-making, and set appropriate goals to promote optimal member outcomes.
Interpret and apply case management criteria, processes, policies, and regulatory standards to create, follow and appropriately document comprehensive care management plans.
Review medication list and educate members with complex pharmacy needs, and counsel on side effects and mitigation strategies for specific treatment protocols.
Successfully connect, engage, and maintain member engagement to support seamless care transitions and optimized health outcomes.
Interact with treatment providers, PCPs, physicians, therapists, and facilities as needed to gather clinical information to support the plan of care.
Monitor clinical quality concerns, make referrals appropriately, identify and escalate quality of care issues.
Understand member insurance products and benefits, as well as regulatory and NCQA requirements.
Key Qualifications:
Ability to identify and document member-driven, specific, measurable activities that address actionable behaviors and goals
Self-directed, independent, adaptive, flexible to change, and able to collaborate as a member of a team.
Proficient with multiple IT systems.
Demonstration of awareness, attitude, knowledge, and skills needed to work effectively with a culturally and demographically diverse population.
Education and Experience:
3-5 years relevant experience in a variety of appropriate clinical health care settings (Inpatient, outpatient, or differing levels of care).
Case Management experience preferred
Certifications such as Case Management (CCM), certified diabetic educator, and Wellcoach certification a plus.
Active licensure in Massachusetts is required, appropriate to position (LMHC, LICSW, LCSW)
o Licensure in additional states a plus.
o Note: Any restrictions against a license must be disclosed and reviewed.
Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.
Location
HinghamTime Type
Full timeWeekly Hours
37.5Grade of Position
CRHourly Range: $ $44.90Number of Openings Available
1The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join our Talent Community to stay "in the know" on all things Blue.
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.