• Registered Nurse Case Manager,…

    Molina Healthcare (Nampa, ID)
    …position will be supporting our Idaho State plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare and Medicaid ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license (RN) in good standing + If field work is… more
    Molina Healthcare (11/03/24)
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  • Senior LTSS Care Manager - Pediatric RN

    Centene Corporation (Austin, TX)
    …access to competitive benefits including a fresh perspective on workplace flexibility. **Pediatric Registered Nurse (RN) work from home and travel for home ... Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure or Compact...Hospice experience + Case Management + Service Coordination + LTSS Care Coordination + Community health settings + Managed… more
    Centene Corporation (10/11/24)
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  • Lead LTSS Service Care Manager (RN)

    Centene Corporation (San Antonio, TX)
    …related experience Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... fresh perspective on workplace flexibility. **Team Lead - Pediatric LTSS Service Care Manager, RN** **Pediatric RN experience is...required or + NP - Nurse Practitioner - Current State's Licensure required + For… more
    Centene Corporation (11/17/24)
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  • LTSS Service Care Manager (RN)

    Centene Corporation (Honolulu, HI)
    …degree and 2 - 4 years of related experience **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or + ... NP - Nurse Practitioner - Current State's Licensure required. Pay Range: $25.97 - $46.68 per hour Centene offers a comprehensive benefits package including:… more
    Centene Corporation (10/16/24)
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  • Case Manager RN - Medicaid Ltss (RN)…

    Molina Healthcare (Norfolk, 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 Manager ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license (RN) in good standing + If field work is… more
    Molina Healthcare (09/13/24)
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  • LTSS Service Care Coordinator

    Centene Corporation (Des Moines, IA)
    …manager or case management supervisor to serve; or An Iowa license to practice as a registered nurse and at least three years of experience in the delivery of ... services to the population group the person is hired as a case manager or case management supervisor to serve . Pay Range: $22.07 - $37.25 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock… more
    Centene Corporation (11/15/24)
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  • Manager, LTSS Clinical Care Management

    Centene Corporation (Dallas, TX)
    …preferred preferred. **License/Certification:** + Positions overseeing RN team members: Current state's Registered Nurse (RN) license Upon Hire required or + ... Positions overseeing BH team members: Licensed Clinical Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, and RN with BH experience required Upon Hire required + For Superior: Must be RUG certified if… more
    Centene Corporation (10/16/24)
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  • Registered Nurse Case Manager

    CAI (Wilmington, DE)
    …Type** Full time **Worksite Flexibility** Hybrid **Job Summary** We are looking for a motivated Registered Nurse Case Manager ready to take us to the next level! ... next career move, apply now. **Job Description** We are looking for a Registered Nurse Case Manager to provide community-based care coordination/management for… more
    CAI (11/13/24)
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  • ( Registered Nurse , RN) Program…

    Molina Healthcare (TX)
    **_JOB TITLE: RN ( REGISTERED NURSE ) Program Manager: HCS, Clinical Program Design_** **_Program Specific Preferred skills:_** + _Experience with leading program ... materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational … more
    Molina Healthcare (11/14/24)
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  • Health Care Coordinator 3 - Nurse - Carson…

    State of Nevada (NV)
    …the following requirements: Education and Experience (Minimum Qualifications) Licensure as a Registered Nurse and two years of professional experience providing ... Financing and Policy (DHCFP) Long Term Services and Supports ( LTSS ) unit, and may be located in Carson City...required of the selected applicant. Professional licensure as a registered nurse or certification in a medical… more
    State of Nevada (09/21/24)
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  • Field Service Coordinator

    Humana (Linton, IN)
    …by an Area Agencies of Aging since June 30, 2018; OR + Unrestricted Licensed Registered nurse , a licensed practical nurse , or an associate's degree in ... include: + Administer initial and ongoing long-term services and support ( LTSS ) related assessments through person-centered thinking approaches. + Contacts members… more
    Humana (10/29/24)
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  • Case Manager Long-term Care - Delaware

    Highmark Health (Dover, DE)
    …experience in long-term care, home health, hospice, public health, or assisted living **OR** + Registered Nurse or Licensed Practical Nurse and 2 years of ... and other community based setting for individuals enrolled in DSHP Plus LTSS . **ESSENTIAL RESPONSIBILITIES** + Travel to members' homes, nursing facilities, and… more
    Highmark Health (10/23/24)
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  • Care Manager

    BrightSpring Health Services (Charlotte, NC)
    …or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North ... IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS ...with LTSS needs: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care… more
    BrightSpring Health Services (11/05/24)
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  • Clinical Evaluation Manager (mostly remote)

    VNS Health (Manhattan, NY)
    …as assigned. QualificationsLicenses and Certifications: Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York ... State required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner (NP) certification with background or degree in Public Health preferred… more
    VNS Health (11/13/24)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …We're Looking For:** + Associate's Degree in Nursing, Bachelor's Degree preferred + Registered Nurse licensed in the Commonwealth of Massachusetts in good ... and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and… more
    Commonwealth Care Alliance (10/04/24)
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  • RN Quality Reviewer (hybrid)

    Liberty Healthcare Corporation (Doylestown, PA)
    …You are a good fit for this role if you are a Registered Nurse and have experience in these areas: + Conducting functional ... Liberty is hiring Registered Nurses for several new Quality Reviewer positions...Community Based (HBCS) or Long Term Services and Supports ( LTSS ) + Case management and service coordination + Leadership,… more
    Liberty Healthcare Corporation (11/14/24)
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  • Clinical Evaluation Manager

    VNS Health (Manhattan, NY)
    …assigned. Qualifications Licenses and Certifications: + Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York ... have experience and qualifications demonstrating knowledge of working with the LTSS eligible population. preferred + Knowledge of Medicare and Medicaid regulations… more
    VNS Health (11/05/24)
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  • Social Work Case Manager Sr

    Elevance Health (Woodbridge, NJ)
    …and evaluates effectiveness of the social work goals. + Interfaces with Registered Nurse Care Managers and Management on the development, implementation, ... other services provided to NJ Medicaid members. This associate will work with the LTSS (Long-Term Services and Support) Housing Specialist to ensure that we have the… more
    Elevance Health (09/17/24)
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