Nurse Case Manager I

6 days ago


Woburn, United States Elevance Health Full time

Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The Nurse Case Manager l is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How You Will Make an Impact Primary duties may include, but are not limited to: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Coordinates with providers, hospitals, and facilities Minimum Requirements: Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities and Experiences: Certification as a Case Manager is preferred. BS in a health or human services related field preferred. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $76,704 to $115,056. Location: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits 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. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.


  • Case Manager

    4 weeks ago


    Woburn, Massachusetts, United States HealthSouth Full time

    Unlock Your Potential as a Case ManagerAre you a compassionate and organized individual with a passion for delivering exceptional patient care? Do you thrive in a dynamic environment where no two days are the same? We're seeking a skilled Case Manager to join our team at Encompass Health, where you'll have the opportunity to make a meaningful impact on the...

  • Case Manager

    3 weeks ago


    Woburn, United States Encompass Health Full time

    Full time Case Manager available in Woburn- Monday-Friday 40 hours/week.Weekend position available with a schedule of Friday, Saturday, Sunday. Clinical License required- RN, LSW, PT, OT, SLP - You must have a clinical license to be considered for this role Compensation is salary for full time and hourly for weekend part time. The range is from $35 - $47 /...

  • Case Manager

    6 days ago


    Woburn, United States Encompass Health Full time

    Job DescriptionJob DescriptionFull time Case Manager available in Woburn- Monday-Friday 40 hours/week.Weekend position available with a schedule of Friday, Saturday, Sunday.Clinical License required- RN, LSW, PT, OT, SLP - You must have a clinical license to be considered for this roleCompensation is salary for full time and hourly for weekend part time. The...


  • Woburn, United States Elevance Health Full time

    Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The Nurse Case Manager Sr. is...


  • Woburn, United States Encompass Health Full time

    This position has a schedule of Friday, Saturday, Sunday. Clinical License required- RN, LSW, PT, OT, SLP - You must have a clinical license to be considered for this role Compensation is hourly and ranges from $35 - $47 / hr based on experience. Recognized for your abilities as a Case ManagerAre you ready for a Case Management role that brings your career...


  • Woburn, Massachusetts, United States Marquis Health Services Full time

    Job SummaryWe are seeking an experienced Regional Director of Case Management and Reimbursement to support our MDS reimbursement & Care Navigation teams in our Massachusetts market. The Regional Director of Case Management and Reimbursement will work under the direction of the VP of Case Management. The Regional Director of Case Management and Reimbursement...


  • Woburn, Massachusetts, United States Marquis Health Services Full time

    Regional Director of Case Management and ReimbursementWe are seeking a seasoned professional to lead our Case Management and Reimbursement teams in our Massachusetts market. The ideal candidate will work closely with our VP of Case Management to ensure the implementation of company policies and procedures related to Medicare and Managed Care reimbursement...


  • Woburn, Massachusetts, United States A Joyful Adult Health Care Center Full time

    Job Title: Social Worker Case ManagerWe are seeking a skilled Social Worker Case Manager to join our team at A Joyful Adult Health Care Center.Job SummaryThe Social Worker Case Manager will provide emotional and administrative support to clients in individual or group settings, ensuring their needs are met and they receive the best possible care.Key...


  • Woburn, Massachusetts, United States iHire Full time

    Job Title: Home Health RN Case ManagerBeth Israel Lahey Health at Home has partnered with iHire to find top talent for this exciting opportunity. Check out the details and apply via iHireNursing today.Job Summary:We are seeking a skilled RN Case Manager to join our Home Health team. As a key member of our team, you will be responsible for planning,...


  • Woburn, Massachusetts, United States Health Equity International Full time

    Program Overview:Health Equity International seeks a dedicated Shelter Case Manager to provide critical support to individuals and families facing housing crises. As a key member of our team, you will play a vital role in assessing client needs, developing personalized self-sufficiency plans, and connecting them with essential resources to achieve stable...

  • Case Manager

    2 weeks ago


    Woburn, Massachusetts, United States Communitas, Inc. Full time

    About CommunitasEmpowering individuals and supporting independence is at the heart of our mission at Communitas, Inc. We are dedicated to delivering individualized, family-centered services, programs, and support for people with intellectual and developmental disabilities throughout their lifespan and in their communities.Why Work for Us?As a valued member...


  • Woburn, Massachusetts, United States A Joyful Adult Health Care Center Full time

    Job Title: Social Worker Case ManagerWe are seeking a skilled Social Worker Case Manager to provide emotional and administrative support to clients in individual or group settings.Key Responsibilities:Conduct thorough assessments of clients' situations through interviews and review of personal historyDevelop and implement individualized care plans to address...


  • Woburn, Massachusetts, United States American Medical Staffing Full time

    About the JobAmerican Medical Staffing is seeking a skilled Travel Nurse RN to join our team as a Home Health Case Manager. As a key member of our team, you will be responsible for providing comprehensive nursing care to patients in their homes, fostering independence and promoting optimal health outcomes.ResponsibilitiesConducting comprehensive assessments...

  • Shelter Case Manager

    2 weeks ago


    Woburn, Massachusetts, United States Health Equity International Full time

    Job SummaryWe are seeking a highly skilled Shelter Case Manager to join our team at Health Equity International. As a Shelter Case Manager, you will play a vital role in providing intensive case management services to clients and their families residing at emergency shelters located in Lexington and Woburn.Key ResponsibilitiesConduct client service needs...


  • Woburn, United States A Joyful Adult Health Care Center Full time

    Job DescriptionJob DescriptionWe are seeking a Social Worker Case Manager to join our team! You will provide emotional and administrative support to clients in either individual or group settings.Responsibilities:Assess nature of clients' situations by interviewing and reviewing personal historyDevelop and execute individual care plansDetermine...


  • Woburn, United States A Joyful Adult Health Care Center Full time

    Job DescriptionJob DescriptionWe are seeking a Social Worker Case Manager to join our team! You will provide emotional and administrative support to clients in either individual or group settings.Making sure you fit the guidelines as an applicant for this role is essential, please read the below carefully.Responsibilities:Assess nature of clients'...


  • Woburn, United States A Joyful Adult Health Care Center Full time

    Job DescriptionJob DescriptionWe are seeking a Social Worker Case Manager to join our team! You will provide emotional and administrative support to clients in either individual or group settings.Making sure you fit the guidelines as an applicant for this role is essential, please read the below carefully.Responsibilities:Assess nature of clients'...


  • Woburn, United States Amedisys Full time

    OverviewFull Time DaysAre you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.Attractive pay95k - 104K Annually based on experienceWhat's in it for youA full benefits package with choice of affordable PPO or HSA medical plans.Paid...


  • Woburn, United States Amedisys Full time

    OverviewFull Time DaysCoverage area: Burlington, Lexington, Woburn and surrounding areaAre you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S.Attractive pay$95K - 103K Annually based on experienceWhat's in it for youA full benefits...


  • Woburn, United States IntelyCare Full time

    Get paid up to $35 an hour as a Certified Nursing Assistant (CNA) in the Bedford, MA area, and enjoy a flexible schedule you set for yourself from a W2 employer who gives you the support, stability, and benefits you deserve. With our user- and mobile-friendly app, you can pick what shifts you want at any of our partner facilities. Take time off whenever you...