-
Case Manager
2 weeks ago
South Shore Health Weymouth, United States Full timeJob 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 fac ...
-
Case Manager
2 weeks ago
flexup DIRECT Weymouth, United States TravelWe are looking for a Travel Case Manager - RN RN for a great Travel nursing job in South Weymouth, MA. · This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. · Below are the details of this Travel Nursing Job including the Travel nurse salary: · Speci ...
-
Case Manager
5 days ago
flexup DIRECT Weymouth, United States TravelWe are looking for a Travel Case Manager - RN RN for a great Travel nursing job in South Weymouth, MA. · This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. · Below are the details of this Travel Nursing Job including the Travel nurse salary: · Speci ...
-
RN Case Manager
4 weeks 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 ...
-
Case Management Nurse
5 days ago
Millennium Travel Nursing Weymouth, United StatesTitle: Case Manager RN · Location: Quincy/Weymouth · Specialty: Home Health · Estimated Weekly Net Income: Up to $2,300 after taxes · Hours per Week: 40 hours per week, No weekends, No Holidays · Shift: Monday-Friday, 8:00am-5:00pm · Assignment Length: 13-26 weeks · Position Requ ...
-
Case Manager
3 weeks ago
Blue Cross Blue Shield of Massachusetts Hingham, United StatesReady to help us transform healthcare? Bring your true colors to blue. · The RoleThe 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 posit ...
-
Case Manager
3 weeks ago
Blue Cross Blue Shield of Massachusetts Hingham, United StatesReady to help us transform healthcare? Bring your true colors to blue. · The RoleThe 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 pos ...
-
Case Management Nurse
3 weeks ago
Millennium Travel Nursing Weymouth, United StatesTitle: Case Manager RN · Location: Quincy/Weymouth · Specialty: Homecare · Estimated Weekly Net Income: Up to $2,300 after taxes · Hours per Week: 40 hours per week, No weekends, No Holidays · Shift: Monday-Friday, 8:00am-5:00pm · Assignment Length: 13-26 weeks · Position Require ...
-
Case Manager
3 weeks ago
The Commonwealth of Massachusetts Quincy, United StatesJob Description · The Child Youth and Family Services operated by the Department of Mental Health (DMH) at the Quincy Site Office is seeking a dynamic candidate who will provide Case Management services for eligible youth under age 22, with majority of caseload below age 18. The ...
-
Case Manager in Brookline, MA
1 week ago
New England Medical Group Partners, LLC Hingham, United StatesJob Description · Job DescriptionCase Manager · New England Medical Group, LLC · Job Description · Case Manager · New England Medical Group provides integrative health care and wellness services for Mental Health and Addiction disorders. Our holistic approach seeks to bridge t ...
-
Case Manager
1 week ago
eTeam Inc Boston, United StatesJob Title:Case Manager - Pediatrics · Location:Boston, MA · Duration:13 weeks · Payrate: $63/hr · 8 hour days 7:30-5pm Monday - Friday; hire can move to 4x10s after the first week of orientation Travel experience required Department will interview all qualified candidates · ...
-
RN Case Manager
3 weeks ago
South Shore Health Weymouth, United StatesIf you are an existing employee of South Shore Health then please apply through the internal career site. · Requisition Number: · R-14341 · Facility: · LOC Fogg Road55 Fogg RoadWeymouth, MA 02190 · Department Name: · SSH Care Progression · Status: · Part time · Budgeted ...
-
RN Case Manager
3 weeks ago
South Shore Health Weymouth, MA, United StatesJob Description Summary · The Case Manager provides clinically based case management, discharge planning and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the cont ...
-
Housing Case Manager
2 weeks ago
Beacon Hill Braintree, United StatesTo Apply for this Job Click Here · Housing Case Managers work with individuals and/or families who have experienced homelessness, utilizing a housing first approach. This fulltime position provides on-going case management support and expertise through comprehensive assessment, ...
-
Housing Case Manager
10 hours ago
Father Bill's & MainSpring Braintree, United StatesCase Manager · Housing Department · Position Summary: · Housing Case Managers provide community-based support to individuals and/or families who have experienced homelessness. Case Managers work with people in their homes, utilizing a housing first approach, understanding peop ...
-
Case Manager Contract
3 weeks ago
Amergis South Weymouth, United StatesLocation: Weymouth, MA · Duration: 13 weeks · Start Date: 2-3 weeks from job offer · Hours: 40 hours/week · Shifts: Day Shift, Monday-Friday · Requirements: · + 2+ years Case Management experience · + Discharge planning, VNA, and home equipment set up experience · + Inpat ...
-
Case Manager
6 days ago
The Hollister Group LLC Malden, United StatesCase Manager · Our client, a prominent nonprofit servicing the Greater Boston area, is looking to add a Case Manager to its team in Malden, MA. The individual in this role must be detail-oriented, client-focused, and able to thrive in a fast-paced environment in service of a gre ...
-
Case Manager
2 weeks ago
RWJ New Brunswick Somerville, United States Full timeJob Overview: · The RN Case manager will be responsible for all aspects of Case Management for Inpatients to determine appropriateness of continued stay, care planning, utilization management and discharge planning. · Required: · 3-5 Years of Nursing experience · Computer literat ...
-
Case Manager Contract
3 weeks ago
Amergis South Weymouth, United StatesLocation: Weymouth, MA · Duration: 13 weeks · Start Date: 2-3 weeks from job offer · Hours: 40 hours/week · Shifts: Day Shift, Monday-Friday · Requirements: · 2+ years Case Management experience · Discharge planning, VNA, and home equipment set up experience · Inpatient hospita ...
-
Case Manager
3 weeks ago
The Salvation Army USA Central Territory Grand Rapids, United StatesThe Salvation Army Mission · The Salvation Army, an international movement, is an evangelical part of the Universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet h ...
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.