RN Case Manager (ED) Sturdy Memorial HospitalRN Case Manager (ED)Attleboro, MA$70,328.67–$108,645.66 / yearRequired Skills/Qualifications/Training/Experience: • Minimum 3-5 years acute care case management experience, with demonstrated skills in utilization review • Demonstrated ability to use critical thinking and problem solving skills in facilitating safe and timely patient transitions of care • Excellent communication skills and positive interpersonal dynamic in working with a variety of stakeholders across the care continuum • Solid knowledge of all insurance plan regulations including CMS/Medicaid to ensure compliance with all required processes and documentation • Ability to garner and utilize information effectively to develop and modify patient plan of care • Strong analytical ability to interpret patient-related information, evaluate appropriateness of continued stay and/or need for ancillary services, and to reassess discharge planning needs based on daily assessment • Ability to successfully utilize industry accepted utilization and or medical management criteria in patient status decision making • Self-starter able to function independently within the scope of position and licensure, as well as department policies and established goals • Excellent computer skills to accurately document requisite information to support patient status and medical necessity. Job Responsibilities: • Use ED tracking system, medical record, and on-going communication with ED providers and team to identify potential admissions or alternative disposition as appropriate • Screen all ED patients for potential for admission to ascertain payer source and appropriate level of care designation • Collaborate with providers to determine, assign, and order appropriate level of care (LOC) designation and ensure medical record documentation • Determination of appropriate admission status (observation vs.
NewACT II - Case Manager (Full Time) Community Care AllianceACT II - Case Manager (Full Time)Woonsocket, RIAssertive Community Treatment) ACT II Team Case Managers are an integral part of our Community Support and Nursing Department connecting individuals and families to various providers and resources so that individuals can live as independently and as fully integrated within the community as possible. To apply for this opening please visit our website http://www.communitycareri.org and select "Careers" and then "Current Openings" to fill out an application and upload your cover letter and resume.
NewACT II Case Manager (Full Time) Community Care AllianceACT II Case Manager (Full Time)Woonsocket, RIICTT (Intensive Community Treatment Team) Case Managers are an integral part of our Community Support and Nursing Department connecting individuals and families to various providers and resources so that individuals can live as independently and as fully integrated within the community as possible. To apply for this opening please visit our website http://www.communitycareri.org and select "Careers" and then "Current Openings" to fill out an application and upload your cover letter and resume.
Nurse Case Manager II LancesoftNurse Case Manager IIPlease note: Actual location may vary., RIRemote$34.35Duties:Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
RN Case Manager Homecare ComForcare Senior ServicesRN Case Manager HomecareLowell, MA$45–$50 / hourBe a Master Planner: Youll use your clinical expertise to create personalized care plans that arent just about treatment-theyre about helping people live their best lives. Make a Real Impact: Youll see the direct results of your work as you help clients achieve their goals, whether thats safely managing their medications or simply staying independent at home.
RN Case Manager (PRN) ComForcare Senior ServicesRN Case Manager (PRN)Lowell, MA$45–$50 / hourBe a Master Planner: Youll use your clinical expertise to create personalized care plans that arent just about treatment-theyre about helping people live their best lives. Make a Real Impact: Youll see the direct results of your work as you help clients achieve their goals, whether thats safely managing their medications or simply staying independent at home.
Registered Nurse Case Manager Brightstar Care of Concord, Lexington and WoburnRegistered Nurse Case ManagerWaltham, MA$50–$60 / hourFull timeCome join the dedicated team at BrightStar Care of Concord, Lexington & Woburn a recognized leader in home health services, and help us provide exceptional care that makes a meaningful difference in the lives of our patients and their families. This Registered Nurse (RN) Case Manager/leader will own the overall responsibility for quality, adequacy and reliability of our home care services program – Plan of Care management, staff supervision and clinical compliance.
Lead Youth Family Foundations Housing Case Manager Community TeamworkLead Youth Family Foundations Housing Case ManagerLowell, MA$27–$29 / hourThis includes providing advanced level case management, advocacy, referral information and supporting participants in overcoming barriers towards long-term, independent housing. We leverage our programs, our partnerships, and our collective voice to foster equity, compassion, and community engagement by creating housing, education, and economic opportunities.
Emergency Diversion Mobile Respite Case Manager Riverside Community Care IncEmergency Diversion Mobile Respite Case ManagerMilford, MAIn this vital role, the EDMR Case Manager will collaborate with the MCI team, the Department of Mental Health (DMH), and local community partners to support individuals at risk of emergency department visits, inpatient psychiatric hospitalization, and continued involvement with law enforcement and Mobile Crisis Intervention. Two years'' experience (including internship) working with adults in behavioral health and/or substance use settings, with experience in case management and knowledge of the adult system of care strongly preferred.
SCO Assessment Nurse Case Manager - Lunenburg/Westford Fallon HealthSCO Assessment Nurse Case Manager - Lunenburg/WestfordLunenburg, Massachusetts$95,000–$100,000 / yearToday, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality.
NewAssessment Nurse Case Manager - Fitchburg/Gardner Fallon HealthAssessment Nurse Case Manager - Fitchburg/GardnerLeominster, Massachusetts$95,000–$100,000 / yearToday, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality.
RN Case Manager - $15k Sign-On Bonus! Brookhaven HospiceRN Case Manager - $15k Sign-On Bonus!Westborough, Massachusetts$98,000–$108,000 / yearFull timeAt Brookhaven Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch. Nurturing Direct Care: As an RN Case Manager, you're not just coordinating care – you're a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount.
Case Manager Pyramid HealthcareCase ManagerConcord, MA$25–$30 / hourThis role is essential to client success and includes coordinating services, communicating with referral sources and external providers, assisting with admissions processes, and supporting aftercare planning to ensure smooth transitions following treatment. Pyramid Healthcare is a nationally recognized provider of behavioral health services, offering compassionate, evidence-based care to individuals with substance use and co-occurring disorders.
NewHospice RN Case Manager Faith & Family HospiceHospice RN Case ManagerMarlboro, MAFull timeCollaborate closely with our interdisciplinary team, including:Social WorkersHome Health AidesChaplainsMusic TherapistsHospice PhysiciansBusiness Office StaffClinical DirectorsParticipate actively in interdisciplinary team meetings and care planning. Hospice RN Case ManagerLocation: Marlborough, MAEmployment Type: Full-Time (Flexible scheduling may be available)On-Call: Shared after-hours on-call rotation as appropriate*We are seeking a self-lead, highly organized and accountable RN who can manager a fluctuating caseload.
NewCase Manager - Rhode Island Works (Full Time) Community Care AllianceCase Manager - Rhode Island Works (Full Time)Woonsocket, RIThis position provides case management and care coordination services to individuals and families within the RI Works Program, ensuring their compliance for specific component areas and assisting with resolving barriers for progress. 1) Case Management: Conduct comprehensive assessments (including assessing risk such as but not limited to basic human needs, vocational/employment factors, mental health/substance use and other related risk) with assigned clients.
NewResidential Case Manager (Full Time; 37.5 hours) Community Care AllianceResidential Case Manager (Full Time; 37.5 hours)Woonsocket, RIAs part of a multidisciplinary team, this role assists in delivering psychiatric rehabilitation and supportive services that help residents achieve their goals for independent living, learning, and community participation. The Residential Case Manager will support one of our residential programs in Cumberland, RI, providing direct services to adults living in a group home setting.
Case Manager - Housing Support Community TeamworkCase Manager - Housing SupportLowell, MA$24–$27 / hourThe Housing Support Case Manager will be responsible for case management for at risk and homeless youth between the ages of 14-25 and will provide advocacy, support, and community connection to assist clients and families to overcome barriers to self-sufficiency, working towards stable housing and well-being. We are seeking a Housing Support Case Manager as part of CTIs Youth Services team located at the Youth Opportunity Center in downtown Lowell.
NewCase Manager RN CVS HealthCase Manager RNMassachusettsCommunity Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. • Minimum 3-5 years clinical practical experience preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members.
Emergency Diversion Mobile Respite Case Manager Riverside Community CareEmergency Diversion Mobile Respite Case ManagerMilford, MAIn this vital role, the EDMR Case Manager will collaborate with the MCI team, the Department of Mental Health (DMH), and local community partners to support individuals at risk of emergency department visits, inpatient psychiatric hospitalization, and continued involvement with law enforcement and Mobile Crisis Intervention. Two years' experience (including internship) working with adults in behavioral health and/or substance use settings, with experience in case management and knowledge of the adult system of care strongly preferred.
Nurse Case Manager - Adult Program GUILD FOR HUMAN SERVICES, THENurse Case Manager - Adult ProgramConcord, MAAt The Guild, you can join a workforce of creative, dedicated, and passionate employees working every day to enhance the lives of youth and adults with intellectual disabilities and other challenges. Mission: The mission of The Guild for Human Services is to educate, encourage and empower individuals with intellectual disabilities so they may achieve their full potential to lead high-quality lives and participate meaningfully in the community.