Job Postings

CMSNE has a job posting policy. Please review it prior to submitting your request.

Please note: CMSNE provides a clear, concise format for job postings. Not all sources include key information (examples: full or part time status, worksite location). Please follow-up directly with the advertiser if the information is not included in the posting.

August 2010

Occupational Health Advocate    Full time    Boston, MA
The Best Doctors Occupational Health Institute (BDOHI) is a select community of physicians, nurses and allied health professionals committed to improving the quality of care to the injured workers of Massachusetts.  Our focus is to work with physicians and claims persons in order to allow injured employees access to the best medical care professionals enabling them to return to independent and productive lives. BDOHI is part of Best Doctors, Inc., an international health care improvement organization serving individuals, employers and organizations around the globe. We are looking for a RN, BSN with a MA license, with extensive knowledge and experience of workers compensation and/or occupational health for a telephonic case management position for the Boston area.  Must possess the ability to communicate with clinical peers and conduct comprehensive patient assessments.  Must be flexible and possess strong organizational skills, multitasking skills, and feel comfortable to address clinical challenges without supervision.  The candidate must also possess good telephone and interpersonal skills with strong computer skills.  This position is a full time position with excellent benefits. Please apply to website below.  http://tbe.taleo.net/NA5/ats/careers/requisition.jsp?org=BESTDOCTORS&cws=1&rid=49   (posted 8.27.10)

Home LINKS Program Manager – Full time – Waltham, MA
Responsibilities: Directly manage the chapter’s Care Management program, including assessments of client needs, and development of a client-centered care plan. Manage, supervise, train, and evaluate performance of all contracted care managers.  Market program effectively throughout Chapter area, which includes Maine, Massachusetts, New Hampshire and Vermont. Work with Direct Services staff to provide information and referral, and financial assistance to people with MS. Additional responsibilities: budget management, facilitate Advisory Committee, manage database, develop trend analysis, and create reports. Qualifications: Prefer Master’s Degree in Counseling or Social Work, two years work experience in human services, special interest in working with people with disabilities. Skillset should include effective communication and organization skills, ability to handle multiple projects, analytical problem-solving skills, strong interpersonal skills, ability to work flexible hours and valid driver’s license with reliable transportation. Salary commensurate with experience. For more information, visit Home LINKS Program Manager.   (posted 8.24.10)

Coordinator of Clinical Documentation - 40 hours/wk - Gardner, MA
Responsibilities: Oversee, review and evaluate concurrent physician documentation and appropriate levels of service delivered to patients. Through extensive interaction with physicians and multidisciplinary team members, the coordinator will be responsible for facilitating quality and completeness of provider medical record documentation. Support the appropriate clinical assessment/level of severity of the patient, providing accurate and complete information which will then be utilized to determine proper coding, profiling and outcomes reporting for both the hospital and physicians. Qualifications: Minimum of five years of acute care clinical experience in the areas of coding, process improvement or case management, utilization review. Demonstrated organizational skills with leadership ability. Strong communication skills adaptable to a wide variety of interpersonal encounters with the entire healthcare team. Demonstrated ability to maintain supportive, collaborative relationships with physicians. Highly developed critical thinking and problem solving skills. Self-directed motivated self-starter. Please contact Candy Ginns, RN,CCM Director of CM/UR at 978-630-5000 or email at ginn.c@heywood.org. (posted 8.11.10)

July 2010

Case Manager - Full-time
The Case Manager works with the physician to oversee the process of planning, organizing, coordinating and monitoring the services and resources needed by the patient/family during hospitalization. This position is responsible for facilitating productive communication and planning among the patient/family, caregivers, insurers, and referral sources in order to progress toward a common patient centered goal while maintaining quality of care and effective, efficient utilization of resources.  Current Massachusetts Licensure to practice Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, Social Work, or Rehabilitation Counselor required. Ideal candidate must have at least 3-5 years of related Rehabilitation, Case Management Utilization Review, or Discharge Planning experience.  Founded in 1971 as the Massachusetts Rehabilitation Hospital, Spaulding Rehabilitation Hospital is one of the largest rehabilitation facilities in the U.S., providing comprehensive rehabilitation treatment. Our network includes: 196-bed main hospital, over 60 physicians on staff, 6 specialized inpatient programs in rehabilitation, 4,000 inpatient admissions annually, 9 outpatient centers throughout Massachusetts, more than 200 physical, occupational, speech-language and recreational therapists and 140,000 annual outpatient visits. Spaulding Rehabilitation Hospital is the only rehabilitation hospital in New England continuously ranked since 1995 by U.S. News and World Report in its Best Hospitals survey. Interested applicants are encouraged to visit us online for more information and to apply to Job ID# 2203355 at: www.spauldingrehab.org/careers   Spaulding Rehab is an equal opportunity employer embracing the strength diversity brings to the workplace. (posted 7.27.10)

Occupational Health Advocate - Per Diem – Boston, MA
The Best Doctors Occupational Health Institute (BDOHI) is a select community of physicians, nurses and allied health professionals committed to improving the quality of care to the injured workers of Massachusetts.  Our focus is to work with physicians and claims persons in order to allow injured employees access to the best medical care professionals enabling them to return to independent and productive lives. BDOHI is part of Best Doctors, Inc., an international health care improvement organization serving individuals, employers and organizations around the globe.  We are looking for a RN, BSN with a MA license, with knowledge and experience of workers compensation and/or occupational health for a telephonic case management position for Boston and/ or Burlington sites.  Must possess the ability to communicate with clinical peers and conduct comprehensive patient assessments.  Must be flexible and possess strong organizational skills, multitasking skills, and feel comfortable to address clinical challenges without supervision.  The candidate must also possess good telephone and interpersonal skills with strong computer skills.  This position is a per diem position. Please apply to website below.  http://tbe.taleo.net/NA5/ats/careers/requisition.jsp?org=BESTDOCTORS&cws=1&rid=39
(posted 7.26.10)

Nurse Case Manager (Adult) - Lakeview NeuroRehabilitation Center - Effingham, NH
The Nurse Case Manager acts as an advocate for the client and family by collaborating with the multidisciplinary treatment team to develop and implement individual treatment plans that ensure quality outcomes and customer satisfaction. Currently licensed RN with case management experience highly preferred. Email:   Careers@lakeview.ws  (posted 7.21.10)

Case Manager (Youth)  - Lakeview NeuroRehabilitation Center - Effingham, NH
The Case Manager acts as an advocate for the client and family by collaborating with the multidisciplinary treatment team to develop and implement individual treatment plans that ensure quality outcomes and customer satisfaction in our residential rehabilitation facility. Bachelor’s Degree Required; Previous case management experience and NH license is preferred. Email:   Careers@lakeview.ws  (posted 7.21.10)

Manager, Case Management – 37.5 hours/wk – Blue Cross Blue Shield of MA - Quincy, MA
Responsibilities: Lead and supervise the Case Management Unit and its Associates; Review workflow analysis, CQI, operational outcomes and measures.  Develop and implement cost-effective and creative solutions for improvements.  Identify areas of opportunity to streamline workflows for accuracy, quality, productivity and attainment of production standards.  Work with the Senior Manager to update the business plan and ensure deliverables are met.  Act as a clinical and case management interface with other departments as needed regarding workflow development, system enhancement, measurement review, and process improvement.  Oversee special account arrangements, ensuring high quality customer service.  Requirements:  RN with an active professional Massachusetts license.  3-5 years of clinical experience required; oncology experience required.  Bachelor's degree in a health-related field or relevant experience required; Master's Degree preferred.  Strong PC skills.  Management/supervisory experience required.  5 years case management experience required.  CCM preferred.  Managed care experience required.  Action plan monitoring and auditing procedures desirable.  Interested and qualified candidates may view the position listing and submit a resume directly via the Careers Page at www.bcbsma.com/careers  (posted 7.16.10)

Clinical Supervisor Case Management – 37.5 hours/wk –Blue Cross Blue Shield of MA - Quincy, MA
Responsibilities: Supervise the day-to-day technical functions of the unit. Orient associates and continue support of case management processes and procedures from both a process and technical (health management) perspective.  Act as the primary point of contact.   Improve operating efficiencies while maximizing provider, member and associate satisfaction.  Facilitate quality improvement initiatives in collaboration with Manager(s).  Maintain an active caseload.  Meet/exceed annual performance goal of 90% cumulatively for case audits and recorded call audits.  Perform quality reviews, on a regularly scheduled basis, of cases and recorded calls, where applicable. Strong verbal and written communications skills essential as well as having a practical working knowledge of Windows and Microsoft Word.   Experience and Education:  RN with an active professional Massachusetts license, 3-5 years of clinical experience in an acute care setting, 3 years case management experience required, 1-3 years supervisory experience desired.  BSN or a health-related field preferred, CCM preferred. Interested and qualified candidates may view the position listing and submit a resume directly via the Careers Page at www.bcbsma.com/careers  (posted 7.16.10)

Complex Case Manager – 37.5 Hours/wk –Blue Cross Blue Shield of MA - Quincy, MA
Responsibilities:  Collaborate with members/families, providers, medical staff in order to coordinate and support health action plans developed by providers that include treatment goals, interventions, and expected clinical outcomes and that support quality and medical management goals and objectives.  Advocate for members to obtain the most appropriate health care services available in the least restrictive setting through education and in collaboration with members of the health care team.  Educate members, families and health care providers regarding benefits, availability of services, community resources, alternative funding, and health care alternatives.  Provide condition-specific education to members; evaluate understanding of disease processes to prevent further complications of the disease and support self-management strategies.  Identify and facilitate access to social service agencies, community organizations, patient support groups, and other adjunct services.  Collaborate with disease management vendor.  Requirements:  RN with an active professional Massachusetts license, 3-5 years of clinical experience in medical/surgical care, BS in Nursing preferred.  Case management experience and CCM preferred.  Home care experience a plus.  Ability to work evening and/or weekend hours as needed.  Interested and qualified candidates may view the position listing and submit a resume directly via the Careers Page at www.bcbsma.com/careers  (posted 7.16.10)

Manager of Case Management - Fatima Hospital, Providence, RI
This full-time position is responsible and accountable for facilitating the progress of assigned patients safely across the continuum of care, which may be from pre-admission to post-discharge. The Case Manager ensures the timely and seamless clinical transition of patients through medically appropriate levels of care; promotes and monitors effective utilization of health care resources and provides a leadership role within the interdisciplinary team to pace care toward the goal of achieving optimum clinical outcomes thought appropriate use of resources. A BSN preferred. 2 years’ experience utilization review/discharge planning required as is demonstrated knowledge of reimbursement systems; case management principles/processes and community resources. CCM preferred. Emergency Department Focus with demonstrated knowledge of/and experience in application of medical decision criteria and levels of care. Must possess demonstrated knowledge of case management principles/processes; alternate care settings. Emergency Department experience is helpful. Must exhibit sound problem skills and excellent interpersonal communication skills. We offer competitive compensation and an excellent benefits package, including medical, dental, and life insurance, a flexible spending account, a 403(b) with company match, three weeks’ vacation and twelve sick days. APPLY ONLINE AT: www.saintjosephri.com or fax resume to: (401) 456-3824.  EOE (posted 7.16.10)

RN Health Coach - Williston, VT
At APS Healthcare, our mission is to improve the health of those we serve. Our Williston office manages the disease management portion of the VT Chronic Care Initiative program which provides health outreach services to approximately 40,000 Vermont Medicaid recipients with chronic health conditions. We are looking for experienced RN Health Coach to join our team to provide telephonic outreach, disease management and education enrollees to support healthy lifestyle choices & to reduce long term effects of chronic illnesses.  Requires a valid, unrestricted VT RN license and at least 3 years of nursing experience. Previous care management (disease management, case management, discharge planning) is strongly preferred. Apply via website site at https://careers.apshealthcare.com/external.htm, referencing req #2178 (posted 7-16-10)

RN Clinical Manager - Williston, VT
At APS Healthcare, our mission is to improve the health of those we serve. Our Williston office manages the disease management portion of the VT Chronic Care Initiative program which provides health outreach services to approximately 40,000 Vermont Medicaid recipients with chronic health conditions. We are looking for an experienced Clinical Manager to provide leadership of the Disease Management team, delegating duties to Health Coaches and responding to clinical operational issues while promoting quality and productivity in the administration of health services.  Requires a valid, unrestricted VT RN license and previous supervisory experience in a clinical setting. Apply via website site at https://careers.apshealthcare.com/external.htm, referencing req #2122 (posted 7-16-10)

Program Director - Williston, VT
At APS Healthcare, our mission is to improve the health of those we serve. Our Williston office manages the disease management portion of the VT Chronic Care Initiative program which provides health outreach services to approximately 40,000 Vermont Medicaid recipients with chronic health conditions. The Program Director ensures that the program contract functions are performed to the highest standards and requirements. We are looking for a Program Director to maintain and expand strong relationships with the client while providing leadership to the APS team. Requires previous program and team leadership experience and valid, unrestricted LSW, LCSW or RN licensure preferred.  Apply via website site at https://careers.apshealthcare.com/external.htm, referencing req #2134 (posted 7-16-10)

Social Worker - Dedham, MA
The Social Worker at NewBridge on the Charles is responsible for providing a wide variety of social work services to residents and families and for handling the counseling needs of the residents. The position requires strong interpersonal skills to handle residents, colleagues and other guests of NewBridge. Primary Responsibilities- Assists the resident and family with the transition to a CCRC as well as future moves to Assisted Living or Long Term Care. - Provides individual counseling and support to residents regarding illness, loss, coping, etc. - Prepares psychosocial assessments as necessary - Provides family education and support regarding aging, illness, grief, etc. - Arranges for ancillary services, such as transportation, clothing or supportive aids - Completes any regulatory documentation as necessary. - Provides education on residents rights and abuse. - Offers consultation and interventions as needed. - Establishes and maintains support groups. - Provides expertise for training of other staff - Participates in the Care Planning Meetings - Provides advocacy for residents and acts as a liaison for their families. - Graciously receives complaints and concerns. Acts to correct issues by making requests of others. Please apply to: jobs@hrca.harvard.edu (posted 7.14.10)

Complex Care Case Manager – Tufts Health Plan
Overview: Currently the Medicare Care Management division of Clinical Services is planning for additional support to meet the needs of senior members and providers. As a result, there is a need for new positions that will function as Complex Care Case Managers. The Complex Care Case Manager will manage all aspects of member centered care for a panel of frail elderly members, working with a health care team.  The nurse directly interfaces with physicians, health care teams, patients and their unpaid care givers in managing member care. Qualifications: Registered Nurse with current unrestricted Massachusetts state license Advanced Practice Nurse preferred.  CCM: Desirable. Certification in geriatric nursing or geriatric care management preferred. Minimum of 5 years of nursing experience, preferably with geriatric populations. Proficient in computer use, internet use, and health information technology. Ability to travel frequently to hospitals, skilled nursing facilities, physician practice offices, etc.  If interested, please apply to: http://jobs-tuftshp.icims.com/jobs/2204/job   (posted 7.2.10)



Specialty Case Manager Team Leader – Tufts Health Plan
Overview: Under the general direction of the Manager, Specialty Case Management, the Team Leader, Specialty Case Management is responsible for daily operations of the Specialty Case Management department. This includes assisting with the development, implementation and monitoring of Specialty Case Management programs, interventions and staff. The Team Leader, Specialty Case Management works collaboratively with Clinical Services and other appropriate Tufts HP staff to identify and address opportunities to reduce cost and improve functional outcomes for select members with catastrophic disease, chronic illness or high cost care. The Team Leader is also accountable for recruitment, evaluation, management and ongoing development of Specialty Case Managers.  Qualifications:  Education: Registered Nurse with current unrestricted Massachusetts license required. Bachelor’s Degree preferred. National Certification in Case Management is expected within 3 years filling position. Experience: Demonstrate practical application of case management standards of practice including sound understanding of utilization management. Experience in a managed care environment is also highly desirable.  If interested, please apply to: http://jobs-tuftshp.icims.com/jobs/2229/job   (posted 7.2.10)

June 2010

Director, Case Management – Health Alliance Hospital
Navin Group, Inc., working on behalf of Health Alliance Hospital in Leominster, Massachusetts, is seeking qualified candidates for the Director, Case Management.  Health Alliance Hospital, a 150-bed facility, is a member of the UMass Memorial Health System. Reporting to the Corporate VP/CNO, the Director will develop, implement and evaluate the strategic plan for the organization-wide Case Management Program.  He she will be responsible for establishing the tools, processes and systems to support the program and ensure optimal outcomes. A current MA RN license, BSN, Masters Degree (or enrolled), a minimum of 2-5 years’ director level experience, case management expertise and progressive, outside-of-the box thinking skills are required. For confidential consideration, please contact: Doug MacLean, c/o Navin Group, Inc., Norwell, MA at dmaclean@navingroup.com or 888-837-1300.

Case Manager - Lakeview NeuroRehabilitation Center - Effingham, NH
Lakeview NeuroRehabilitation Center is looking for a highly qualified individual for its licensed Case Manager position. Priority will be given to experienced healthcare professionals with rehabilitation experience. Candidates should be albe to demonstrate leadership, maturity, organizationals skills, clinical discretion, critical thinking and result orientation. Qualifications: possess a minimum of a bachelor's degree in rehabilitation or related field; RN license or LCSW preferred; at least two years of experience in a complex case management, preferably in a rehabilitation setting. The appointed Case Manager will be entitled to: an attractive compensation and benefits package; opportunity to work in a proactive, holistic and multi-disciplinary environment and extensive training in clinical, regulatory and administrative topics on paid time. Contact Joshua Campbell, HR Specialist at phone: 603-539-8776 or email: careers@lakeview.ws (posted 6.9.10)

For more information, please visit the CMSA Career Center.

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