• Program Manager , HCS RN , LMSW,…

    Molina Healthcare (Owensboro, KY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/21/25)
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  • RN Case Manager

    Elevance Health (Evansville, IN)
    …associates spend 4-5 days per week in-person with patients, members or providers The ** RN Case Manager ** **(LTSS Service Coordinator- RN )** is responsible ... members that would benefit from an alternative level of care or other waiver programs. + The RN...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (02/10/25)
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  • Case Manager RN - Two Rivers Region

    CVS Health (Henderson, KY)
    care more personal, convenient and affordable. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and ... facilitate and support the member's improved health. The Case Manager develops a proactive course of action to address...Qualifications** + 3+ years' clinical practice experience including patient care coordination and health assessments + RN more
    CVS Health (03/06/25)
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  • Sr Specialist, Quality Improvement ( RN

    Molina Healthcare (Owensboro, KY)
    …QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of ... include initiation and management of interventions (eg, removing barriers to care ); preparation for Quality Improvement Compliance surveys; preparation and review of… more
    Molina Healthcare (03/19/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Owensboro, KY)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **PREFERRED EDUCATION:** Bachelors's Degree in Nursing or Health Related Field **PREFERRED EXPERIENCE:** Nursing experience in Critical Care , Emergency Medicine,… more
    Molina Healthcare (01/25/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Owensboro, KY)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/07/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Owensboro, KY)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... multidisciplinary integration and collaboration to enhance the continuity of care + Functions as hands-on manager responsible... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Owensboro, KY)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... Nursing ( RN ) or State Clinical Social Worker/Counseling (or related field ) License Certified Case Manager (CCM), Utilization Management Certification (CPHM),… more
    Molina Healthcare (03/13/25)
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  • Behavioral Health Case Manager II

    Elevance Health (Evansville, IN)
    …position must reside in the state of Indiana The **Behavioral Health Case Manager II** is responsible for performing case management telephonically and/or by home ... Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified...in social work counseling or a related behavioral health field or a degree in nursing, and minimum of… more
    Elevance Health (03/19/25)
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