We foster belonging in the workplace by identifying and removing barriers that may prevent individuals of all backgrounds from reaching their full potential, advancing into leadership roles, and fully engaging at all levels of the organization. Eliot is seeking a strong, experienced, licensed RN, Nurse Case Manager, to join our Program for Assertive Community Treatment (PACT) team. li>Working closely with Director of Health Care Services and Administrator to do OASIS admissions, Recerts, Resumptions, DCs, case management and Coordinate with a team of LPNs, CNAs, aides and to ensure patient goals are met. Pioneers in our industry, Interim HealthCare, have been a trusted provider of home care and personal care and support services to patients and clients since 1966. Westborough, Massachusetts11 days ago At 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. You'll provide skilled, compassionate care in a variety of settings, including private homes, nursing homes, and assisted living facilities. As an RN Case Manager, you will play a vital role in supporting patients and their families through the end-of-life journey. Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Tewksbury, MA30+ days ago p>Our Client is currently seeking RN - Case Manager positions in Danvers, MA for a 5x8 Evenings shift. At THP Healthcare Staffing, we take care of you - work with us, not for us! The ideal candidate will possess strong leadership skills, extensive acute care case management experience, and a proven ability to mentor staff, improve workflows, and collaborate effectively with interdisciplinary healthcare teams. About Navitas Healthcare, LLC: It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. Attleboro, MA30+ days ago p>Required 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. Physical Demands: • Ability to sit (may be for long periods of time) • Ability to stand, reach and lift up to 15 pounds • Ability to readily travel to units/departments across the system • Ability to communicate effectively with all stakeholders, in person as well as via telephone and electronically • Ability to interact directly with patients, with potential for direct exposure to patient care activities • Ability to document and use trackers, analyze charts and coordinate services within the electronic health record • Ability to advocate for patients both internally and external to the system • Ability to attend and participate professionally in meetings with Hospital leaders, physicians, patients and families. Worcester, Massachusetts16 days ago ul>Coordinate and manage the care of HIV patients in accordance with Ryan White Program guidelines ensuring that patients receive optimal care including acute illness and chronic disease management, education about lifestyle and behavior modifications, and preventive care across multiple health settings with multiple providers . Within the nursing scope of practice, provide a wide spectrum of services as part of a primary care team, linking patients to appropriate services that promote positive health outcomes, treatment adherence, and self-sufficiency. li>Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. Employer contribution to retirement plan after 2 years of employmentGenerous paid time offCollaborative work environment that values new insight and personal contributionsOpportunities for professional development and growth Why Should You Apply: As a member of our team, you will be surrounded by an exceptional group of talented staff that is transforming the lives of the people we serve every day. At 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. p>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. At 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. TRS give nurses the best of both worlds - the adventure of experiencing new locations with the comfort security of a company founded by nurses. TRS Healthcare is seeking a Registered Nurse who is licensed to work in MA, and has Case Management experience. Attleboro, MA30+ days ago p>Required 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. p>Profession: Nurse (RN) - Case Management (Case Manager). By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes. p>Opt In: By providing your phone number and engaging with Lynn Care, LLC (also known as Zack Group), its affiliates, and contracted partners—including via text message, phone call, AI-generated call, AI-generated text, or email—you consent to receive communications regarding job opportunities. Zack Group is currently seeking Case Manager RN’s for positions in Attleboro, Massachusetts. VNA Care focuses on promoting the health and wellbeing of patients and families by providing high-quality, cost-effective health care to vulnerable individuals in their homes, assisted living facilities, and other settings. Your primary responsibility will be to assess patients' needs, develop and implement care plans, and ensure the highest level of comfort and quality of life for patients in their end-of-life journey. At 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. Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 hours (08:00 - 16:30) Experience: Minimum 3 years required License: Active RN license required Certifications: BLS, Case Management Certification, Bachelor's Degree Must-Have: - Case management experience in an acute care setting - Proficient in utilization review and denials management Description: Seeking a Registered Nurse for the Case Management specialty. The expected daily census is 117 patients with a focus on quality improvement. Atlas Medstaff is currently seeking candidates in the RN (Case Manager) profession for a 13 week contract in the Attleboro, Massachusetts area. *Estimated compensation package based on a usual week of work, inclusive of taxable hourly wage and expected weekly travel expenses. Duties: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. Responsibility to coordinate clinically complex patient’s care across a continuum; ensuring and facilitating the achievement of quality clinical and cost outcomes, negotiating, procuring and coordinating appropriate services and resources needed by the patients, and at key points, intervening to address and resolve issues/concerns in assigned facility. Participating employers must display the E-Verify Participation and Department of Justice, Immigrant and Employee Rights Section (IER) Right to Work posters to inform their current and prospective employees of their legal rights and protections. Auburndale, MA16 days ago Performs needs assessments of patients/families for services including but not limited to primary care, specialty care visits, skilled homecare, palliative care, hospice care (including hospice residence), and/or skilled nursing facility, to ensure appropriateness of services and expedite transitions of care. Performs all job functions in compliance with applicable federal, state, local and company policies and procedures Accesses only the minimum necessary protected health information (PHI) for the performance of job duties Actively protects the confidentiality and privacy of all protected health information they access in all its forms (written, verbal, and electronic, etc) taking reasonable precautions to prohibit unauthorized access Complies with all Atrius Health and departmental privacy policies, procedures and protocols Follows HIPAA privacy guidelines without deviation when handling protected health information. Job Title: Emergency Department Case Manager RN Profession: Registered Nurse Specialty: Case Manager Duration: 8 weeks Shift: Day Hours per Shift: 8 hours (10:00 - 18:00) Experience: 1 year in Emergency Department setting required License: Must have MA license Certifications: BLS required Must-Have: Experience in Emergency Department setting Description: We are seeking an Emergency Department Case Manager RN for a day shift. This role is suitable for those who are motivated to support patient care and enhance operational efficiency in an Emergency Department setting. p>AHS Staffing is looking for a Case Management Registered Nurse in Lowell, MA for a Long Term (Travel) position. Apply today to speak with a recruiter about the position! Today, 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. Pay Range Disclosure: In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is $95,000 - $100,000 per year, which reflects what we reasonably and in good faith expect to pay at the time of posting. Southbridge, MA3 days ago Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Case Management/Utilization Review:- Admission Criteria - Care coordination - Discharge Planning Utilization Review:- Admission Criteria Regulatory:- CMS: Centers for Medicare and Medicaid Services 40 hours of orientation: 1 week orientation to system processes/ED Modified 7:00:00 AM Account Manager: Anson Frederick Account Manager Email: COVID-19 Vaccine: Required - No Exemptions Flu Vaccine: Required - Medical Exemptions Only Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : Patient Ratio Experience : Charting System Experience : Preferred Charting System Name : Cerner Community Hospital Experience : Preferred LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLSSkills : Acute Hospital, Admission Criteria, Admission Criteria, Care coordination, CMS: Centers for Medicare and Medicaid Services, Discharge Planning, Emergency Department Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : every other weekend with float Pre-Approved Time Off : - Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : - Daily Census : - Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : Physical Therapy, Interpretation Services, Social Services Patient Diagnoses : - Special Procedures/Unit Details : - Special Equipment : - #Tier2 Travel Compliance Clinician should log into their MA online portal to itemize all items being received by the board and send snip to recruiter. ID: 63802314 Shift: Day 5x8-Hour (10:00 - 18:00) Description: EMERGENCY DEPARTMENT CASE MANAGER RN 5X8 DAYS 1ST TIMERS APPROVED 1YR EXPERIENCE REQUIRED WEEKEND COVERAGE: EVERY OTHER #WEEKEND SHIFTS: EVERY OTHER WITH FLOAT DOCUMENTATION SYSTEM: MUST HAVE EXPERIENCE IN ED SETTING! The Case Manager is responsible to coordinate clinically complex patient's care across a continuum; ensuring and facilitating the achievement of quality clinical and cost outcomes, negotiating, procuring and coordinating appropriate services and resources needed by the patients, and at key points, intervening to address and resolve issues/concerns. Often our patients require additional critical care services for medically complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation and ventilator weaning. p>Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. GetMed Staffing is searching for a strong Case Manager RN to assist our traveler-friendly client. Worcester, MA30+ days ago ul>Coordinate and manage the care of HIV patients in accordance with Ryan White Program guidelines ensuring that patients receive optimal care including acute illness and chronic disease management, education about lifestyle and behavior modifications, and preventive care across multiple health settings with multiple providers . Within the nursing scope of practice, provide a wide spectrum of services as part of a primary care team, linking patients to appropriate services that promote positive health outcomes, treatment adherence, and self-sufficiency. |