- Molina Healthcare (Waukesha, WI)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... services for members including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity of care. *… more
- Commonwealth Care Alliance (Boston, MA)
- …Licensing ( must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience ( must have):** + 2 to 3 years ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Elevance Health (Kansas City, KS)
- ** LTSS Service Coordinator-RN Clinician ( Case Manager )** **Schedule:** Monday-Friday 8am-5pm CST **Location:** Candidates must live in or near ... unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for **face-to-face member service coordination… more
- Molina Healthcare (Galena Park, TX)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... to those candidates with previous experience working with the LTSS population within a Managed Care Organization (MCO). Mileage...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Molina Healthcare (Dallas, TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... will be given to those candidates with previous experience working with the LTSS population receiving waiver services. Mileage is reimbursed as part of our benefits… more
- Elevance Health (Indianapolis, IN)
- ** LTSS Service Coordinator-Clinician** **Schedule:** Monday-Friday 8am-5pm EST **Location** : Candidates must be located in Marion County. **Field** : This ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-Clinician** working under the direction/supervision of an RN, with… more
- Elevance Health (Darmstadt, IN)
- ** LTSS Service Coordinator-RN Clinician** **Schedule:** Monday-Friday 8am-5pm EST **Location** : Candidates must be located in Vanderburgh County. **Field** : ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's … more
- Elevance Health (Middletown, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is responsible for...RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
- Molina Healthcare (Fitchburg, WI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) \#PJHS \#LI-AC1 To all current Molina ... **_ Will travel throughout Dane County _** **_ Must reside in Wisconsin _** **JOB DESCRIPTION** **Job...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in… more
- Elevance Health (Roanoke, VA)
- **Location:** This is a field based position. Candidate must reside in Roanoke, Salem, or Vinton. _Field:_ This field-based role enables associates to primarily ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's … more
- Centene Corporation (West Palm Beach, FL)
- …Remote field-based role Bilingual English/Spanish Highly Preferred Florida Residency Required Must live in West Palm Beach County and comfortable traveling up ... to 75% within a 30-mile radius. Case Management exp preferred **Position Purpose:** Assists in developing,...field-based role Bilingual English/Spanish Highly Preferred Florida Residency Required Must live in West Palm Beach County and comfortable… more
- Centene Corporation (San Antonio, TX)
- …Behavioral Health/IDD experience** **TRAVEL required for in-person member visits and applicants must reside in San Antonio, TX (Bexar County)** **Schedule: Monday - ... or RN with BH experience) **Preferred Experience:** + 3+ years of case management, service coordination, treatment and/or discharge planning with children and… more
- Centene Corporation (Austin, TX)
- …have access to competitive benefits including a fresh perspective on workplace flexibility. ** Must hold an LCSW, LPC, or RN license with Psych/ Behavioral Health ... Health experience is required **Preferred Experience:** * 3+ years of case management, care coordination, discharge planning with adult populations (ages:18 -… more
- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. **This is a Remote position - Candidate must be located in the Florida Panhandle area - Escambia or Santa Rosa Counties ... Requires a Bachelor's degree and 2 - 4 years of related Case Management experience. Or equivalent experience acquired through accomplishments of applicable… more
- CVS Health (Oak Brook, IL)
- …do it all with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and ... Supports ( LTSS ) team and is a field-based position out of...of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit… more
- Highmark Health (Dover, DE)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to… more
- CVS Health (Petersburg, VA)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is with Aetna's Long-Term Services & Support ( LTSS ... hold a current unrestricted Virginia state RN licensure. Nurse Case Manager is responsible for assessing, planning,...telephone and typing on the computer. **Required Qualifications** + Must reside in Petersburg, VA or Surrounding Areas +… more
- CVS Health (Petersburg, VA)
- …do it all with heart, each and every day. **Position Summary:** This Case Manager Registered Nurse/Behavioral Health Clinician position is with Aetna's Long-Term ... Services and Supports ( LTSS ) team and is a field-based position out of...to meet with members face to face. RN/BH Licensed Case Manager is responsible for assessing, planning,… more
- CVS Health (Richmond, VA)
- …50-75% of the time to meet with members face to face** **.** **The Nurse Case Manager ** **is responsible for evaluating and coordinating care for members to ... Management position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of...work duties. As a **field-based role** , the Nurse Case Manager will regularly travel to various… more
- CVS Health (Salem, IL)
- …to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/ LTSS members by providing care coordination, support and education for ... evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and… more
