1238 Case Manager Full Time jobs in Boston,MA

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Registered Nurse (RN) - Home Health Case Management - $88K-115K per year

Elara Caring

Belmont, MA 02478

$88,000-$115,000/yr

Flexible Schedule

Easy Apply

Case Manager

Adecco

Woburn, MA 01801

$53/hr

~ 22 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Active RN, Social Work, PT, OT, ST, Rehabilitation Counseling, or other qualifying healthcare license
Associate Degree in Nursing required for RNs
BSN preferred
Bachelor's degree required for other eligible disciplines
Rehabilitation experience preferred
Eligible to obtain CCM or ACM certification within two years of hire
Full-Time | Monday–Friday | Rotating Weekends
Pay Details: $45.00 to $53.00 per hour

SmartExplore AI is experimental.

New, Posted 3 hours ago

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Amazon Customer Service - Work From Home $16-$24/hr

Amazon

Revere, MA 02151

$16-$24/hr

RemoteNo Experience

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Virtual Benefits Specialist - Flexible Schedule, Weekly Pay

Globe Life Virtual Sales

Boston, MA

RemoteFlexible Schedule

Reliable internet and a quiet workspace

SmartExplore AI is experimental.

New, Posted 1 day ago

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Call Center Supervisor

Renewal by Andersen | Esler Companies

Framingham, MA 01704

$80,000-$100,000/yr

~ 31 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Previous Inside Sales or Call Center Supervisor experience.
A drive to meet metrics and lead a team.
Ability to give and accept constructive feedback.
A proven track record of closing sales.
Excellent oral and written communication skills.
Ability to work in a fast-paced environment while multitasking.
Strong interpersonal skills, including empathetic listening and warm communication style.
This is an in-person position.
Please note that we participate in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

SmartExplore AI is experimental.

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Stockroom Manager - UniFirst

UniFirst

Dorchester, MA 02122

$75,000-$94,000/yr

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IT JOB Training Program

Year Up United

Boston, MA 02298

$525/wk

Onsite

A high school graduate or GED recipient
Eligible to work in the U. S.
Available Monday-Friday throughout the duration of the program
Have not obtained a Bachelor's degree
You may be required to answer additional screening questions when applying

SmartExplore AI is experimental.

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Sr Utilization Management Nurse RN - Remote

UnitedHealth Group

Boston, MA 02112

$72,800-$130,000/yr

RemoteRetirement Benefit

Registered Nurse (RN) with a current, active, unrestricted RN License in Massachusetts
Currently have OR be able to obtain an RAC/CT MDS certification (must have completed certification prior to start date)
4+ years of nursing experience, specifically in long-term care and/or medical record review with knowledge of Medicare and Medicaid
Recent long-term care MMQ, MDS, staff development or management experience (in long-term care)
Experience working within medical insurance and/or healthcare industries
Experience analyzing inventory, researching, identifying, and resolving issues
Experience with defining and managing processes within a team
Experience trouble shooting issues for users within teams, IT, and/or business partners
Proven knowledge of healthcare insurance industry (Medicaid, Medicare, CMS)
Demonstrated knowledge of process flow of UM, including prior authorization, concurrent authorization, and/or clinical appeal and guidance reviews
Must live in the Boston MA Regional Area to conduct daily travel requirements
Ability to travel within geographic territory (state of Massachusetts) at least 90% of the time (some weeks will require 100% travel as business needs dictate) and assist when needed throughout the state of Massachusetts for audits. (Audits will be conducted onsite)
Must have reliable transportation and be able to provide proof of a valid, unrestricted Driver's License and current Auto Insurance

SmartExplore AI is experimental.

New, Posted 1 day ago

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SIU Major Case Manager (Medical Provider)

USAA

Boston, MA 02112

RemoteHealth InsurancePaid Time OffRetirement Benefit

Bachelor's degree; OR 4 years of relevant education and/or experience.
2 years of demonstrated leadership experience, supervisory or management experience in major case medical provider.
6 years' experience in medical provider fraud and P&C; industry functional work OR 4 years of medical provider P&C; experience plus military service experience.
Experience supporting and developing affirmative litigation referrals and collaborating with counsel on fraud-related legal actions.
Demonstrated ability to manage multiple high-priority investigations and case assignments simultaneously while meeting critical deadlines.
Experience handling large-scale, complex, and high-exposure fraud investigations from initial referral through resolution.
Extensive knowledge and experience in all levels of claims investigation or fraud investigation and regulatory reporting requirements.
Knowledge of anti-fraud analytics programs relates to fraud prevention and identification.
Thorough understanding investigative tools and techniques to guide and coach special investigators.
Demonstrated ability to build and maintain collaborative relationships with internal and external partners and business areas.
Demonstrated management skills and the ability to demonstrate monthly productivity and cycle time outcomes from investigations assigned to the SIU team.
Ability to prepare and present training sessions and case outcomes.
Demonstrated experience facilitating and managing projects and teams

SmartExplore AI is experimental.

New, Posted 2 hours ago