• Registered Nurse Case

    Molina Healthcare (Bronx, NY)
    …( LTSS ) is highly preferred. Strong organizational and time management skills. The Case Manager must have the ability to work in a high-volume environment ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (09/05/24)
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  • Field Case Manager , Ltss

    Molina Healthcare (Dallas, TX)
    …DESCRIPTION** **Opportunity for TX licensed RN residing in Dallas County to join our LTSS Team as a Case Manager working with our Medicaid members. Part ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (09/27/24)
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  • Field Case Manager , Ltss

    Molina Healthcare (Houston, TX)
    **JOB DESCRIPTION** **Opportunity for a TX licensed RN to work as a Case Manager with our Medicaid members in a service delivery area that will cover central ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (09/28/24)
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  • Case Manager , Ltss

    Molina Healthcare (Virginia Beach, VA)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case ... remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically...+ Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing… more
    Molina Healthcare (09/13/24)
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  • Case Manager , LTSS : Ogle,…

    Molina Healthcare (Belvidere, IL)
    ** CASE MANAGER REMOTE / FIELD** **We are...state of ILLINOIS for consideration.** **We can consider a RN ( Registered Nurse ), or Social Worker ... seeking a CASE MANAGER , Long Term Supports and Services for ILLINOIS....+ Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing… more
    Molina Healthcare (09/26/24)
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  • Case Manager , LTSS - non-…

    Molina Healthcare (Hidalgo, TX)
    **JOB DESCRIPTION** **Opportunity for a an experienced Case Manager to work with our IDD members. Previous experience with this population is highly preferred. ... services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
    Molina Healthcare (10/03/24)
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  • Case Manager RN - Waiver…

    Molina Healthcare (Columbus, OH)
    …health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (09/12/24)
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  • Manager I Case Management,…

    Elevance Health (Goshen, IN)
    ** Manager I, GBD Special Programs LTSS ( RN /LCSW)** **Location: This position is an Indiana field-based position.** This role requires face to face ... the field - mileage reimbursed. (hospitals, clinics, members' homes.) ** Manager I, GBD Special Programs LTSS is**...in a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management… more
    Elevance Health (09/17/24)
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  • Manager II Case Management,…

    Elevance Health (Greensburg, IN)
    ** Manager II GBD Special Programs, LTSS ** **Location:** **This position is an Indiana field-based position.** This role requires face to face interactions in the ... field - mileage reimbursed. (hospitals, clinics, members' homes.) The ** Manager II GBD Special Programs, LTSS ** is...behavioral health experience in a managed care setting preferred. RN license in Indiana is strongly preferred. Please be… more
    Elevance Health (09/11/24)
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  • RN Case Manager (North…

    Elevance Health (Morrisville, NC)
    …per week in-person with patients, members or providers in the state of North Carolina. The ** RN Case Manager ** **( LTSS Service Coordinator- RN )** is ... the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/17/24)
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  • Senior LTSS Service Care Manager

    Centene Corporation (Austin, TX)
    …TX, Carrizo Springs, TX, Eagle Pass, TX, Del Rio, TX, Laredo, TX, or Uvalde, TX** **Senior LTSS RN Case Manager - position provides flexibly to work from ... of related experience Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State… more
    Centene Corporation (09/29/24)
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  • Registered Nurse ( Ltss )

    ACI Federal (Chesapeake, VA)
    Registered Nurse ( LTSS ) EOE Statement We...and referrals to at-risk clients and serves as a limited case manager for screening follow up needs. The ... guidelines is a plus; English/Spanish bilingualism desired. Full-Time/Part-Time Full-Time Position Registered Nurse Position Requirements 1. Be licensed and/or… more
    ACI Federal (07/17/24)
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  • Registered Nurse ( RN

    Commonwealth Care Alliance (Boston, MA)
    …member's services, active nursing license in good standing required. + CCM (Certified Case Manager ) preferred + 1 to 2 years Utilization Management experience ... procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical… more
    Commonwealth Care Alliance (10/03/24)
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  • LTSS Service Coordinator- RN

    Elevance Health (Memphis, TN)
    …Coordinator - Clinician** this role will be working under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... ** LTSS Service Coordinator - Clinician** **Location: Shelby, Tipton...you will make an impact:** + Assisting the responsible RN with telephonic or face-to-face assessments for the identification,… more
    Elevance Health (10/02/24)
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  • LTSS Service Coordinator - RN

    Elevance Health (Metuchen, NJ)
    ** LTSS Service Coordinator - RN ** _Location:_ This is a field based position. Based on candidate's location, will require travel to Passaic, Bergen, Essex, ... counties to meet face to face with patients. The ** LTSS Service Coordinator- RN ** is responsible for overall...RN ** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
    Elevance Health (10/03/24)
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  • LTSS Service Coordinator- RN

    Elevance Health (Norfolk, VA)
    …** LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example,… more
    Elevance Health (09/28/24)
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  • Manager , Care Management ( Ltss

    Humana (Washington, DC)
    …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead...Three (3) or more years of professional experience in Case Management, in Medicaid and/or Medicare, specifically in the… more
    Humana (09/21/24)
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  • Manager II GBD Special Programs…

    Elevance Health (KS)
    ** Manager II GBD Special Programs - LTSS ...experience in a managed care setting is preferred. + RN , LSW, or LPN/LVN license in the State of Kansas ... Elevance Health major office (PulsePoint), is not required. The ** Manager II GBD Special Programs - LTSS **...is strongly preferred. + Case and Care Management experience is strongly preferred. +… more
    Elevance Health (09/30/24)
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  • Manager I GBD Special Programs…

    Elevance Health (KS)
    ** Manager I GBD Special Programs - LTSS **...health experience in a managed care setting preferred. + RN , LSW, LPC, or LPN/LVN license in the State of ... PulsePoint sites used for collaboration, community, and connection. The ** Manager I GBD Special Programs - LTSS **...Kansas is strongly preferred. + Case and Care Management experience is strongly preferred. +… more
    Elevance Health (09/11/24)
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  • Hyrbid - Registered Nurse

    Commonwealth Care Alliance (Boston, MA)
    …across multiple states via Zoom or telephone. **What We're Looking For:** Qualifications: + RN : Associate degree or Diploma in Nursing + OR LCSW, LMHC or LICSW: ... Master's Degree + Must have an active RN license in good standing in the state assigned;...including telephonic based setting, home health or acute care case management. + BH: LCSW/ /LMFT with 3-5 years… more
    Commonwealth Care Alliance (10/03/24)
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