- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Elevance Health (KS)
- ** RN Case Manager ( LTSS Service Coordinator- RN Clinician)** Location: Seeking candidates to reside in Linn, Coffey, or Anderson County in in Kansas. ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** RN Case Manager ** is responsible for overall management of member's… 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 ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator- RN Clinician** is responsible for...the scope of licensure. Provide direction and oversight to non- RN clinicians participating in the member's case … more
- Elevance Health (Marietta, OH)
- ** LTSS Service Coordinator - RN Clinician ( Case Manager )** **Hiring in the following counties: Athens, Hocking, Meigs, Monroe, Morgan, Noble, Perry, ... for employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator- RN Clinician** is responsible for overall management of… more
- Molina Healthcare (Galena Park, TX)
- …and supports ( LTSS ), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina to work with our...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… more
- Molina Healthcare (Dallas, TX)
- …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
- Elevance Health (Woodbridge, NJ)
- ** LTSS Service Coordinator - RN ** **Location:** The location for this position includes various counties throughout the state of New Jersey. **Field** : This ... accommodation is granted as required by law._ " 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
- Molina Healthcare (Cleveland, 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
- Centene Corporation (Greenville, NC)
- … Manager to join our Carolina Complete Health team. The ideal candidate will be a Registered Nurse ( RN ) or hold a license as a Licensed Clinical Social ... Worker (LCSW or LCSW-A), with experience in physical health, case management, and/or field-based care. This role requires 80%...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care… more
- CVS Health (Petersburg, VA)
- …And we do it all with heart, each and every day. **Position Summary:** This Case Manager Registered Nurse /Behavioral Health Clinician position is with ... The requirements is for candidates to hold an VA Registered Nurse and travel up to 75%...the time to meet with members face to face. RN /BH Licensed Case Manager is… more
- Elevance Health (Columbus, OH)
- ** LTSS Service Coordinator - Clinician ( Case Manager )** **Candidates should live in one of the following counties:** Athens, Auglaize, Defiance, Gallia, ... Service Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case . As… more
- Elevance Health (Trenton, NJ)
- …Service Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case . As ... ** LTSS Service Coordinator - Clinician** **Location:** The location...scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification,… more
- CVS Health (Petersburg, VA)
- …is for candidates to hold a current unrestricted Virginia state RN licensure. Nurse Case Manager is responsible for assessing, planning, implementing and ... with heart, each and every day. **Position Summary** This Case Manager RN position is... position is with Aetna's Long-Term Services & Support ( LTSS ) team and is a Field Based role out… more
- CVS Health (Richmond, VA)
- …up to 50-75% of the time to meet with members face to face** **.** **The Nurse Case Manager ** **is responsible for evaluating and coordinating care for ... Management position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of...with work duties. As a **field-based role** , the Nurse Case Manager will regularly… more
- Centene Corporation (Austin, TX)
- …services, and providing patient advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN , or Social Worker in community ... benefits including a fresh perspective on workplace flexibility. **LCSW, LPC, or RN license with Psych/ Behavioral Health experience.** **Location: East Austin, TX,… more
- Centene Corporation (San Antonio, TX)
- …a fresh perspective on workplace flexibility. **LCSW, LMFT, LPC, or RN with Behavioral Health/IDD experience** **TRAVEL required for in-person member visits ... related experience. **License/Certification:** + REQUIRED: Licensed Behavioral Health Professional or RN based on state contract requirements (eg, LCSW, LMFT, LPC or… 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
- Centene Corporation (Tallahassee, FL)
- …Requires a Bachelor's degree and 2 - 4 years of related Case Management experience. Or equivalent experience acquired through accomplishments of applicable ... scope and skill reflective of the level of this position. **License/Certification:** + RN or LCSW required. + Travel: 75%. required Pay Range: $26.50 - $47.59… more
- CVS Health (Richmond, VA)
- …including NCQA standards. **Required Qualifications** + Candidate must have an active and unrestricted Registered Nurse ( RN ) License in Virginia OR Compact ... Registered Nurse ( RN ) License in state of residence...the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management,… more
- 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 ... + One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social… more
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