• Case Manager , Ltss

    Molina Healthcare (Las Cruces, NM)
    **_For this role we are seeking a Case Manager who lives in Chavez, Bernalillo, or San Juan County NEW MEXICO. Travel within these counties will be ... services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
    Molina Healthcare (11/14/24)
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  • Case Manager , Ltss (RN)…

    Molina Healthcare (Las Cruces, NM)
    …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
    Molina Healthcare (11/10/24)
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  • LTSS Service Coordinator - Case

    Elevance Health (Fort Lauderdale, FL)
    $5,000 Sign On Bonus ** LTSS Service Coordinator** _Location:_ This is primarily a field based position. Candidate would need to reside in one of the following ... Marion, Pinellas, Hillsborough, Polk, Orange, or Palm Beach county. The ** LTSS Service Coordinator** is responsible for conducting service coordination functions for… more
    Elevance Health (11/06/24)
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  • LTSS Service Coordinator - LPN Case

    Elevance Health (Fort Myers, FL)
    $6,000 Sign On Bonus ** LTSS Service Coordinator - Clinician** _Location:_ This is a field based position. Candidate would need to reside in one of the following ... Beach, St. Lucie, Broward, or Miami-Dade counties, FL. The ** LTSS Clinician** works under the direction/supervision of an RN,...of an RN, with overall responsibility for the member's case , as required by applicable state law and contract,… more
    Elevance Health (10/29/24)
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  • Senior LTSS Care Manager - Pediatric…

    Centene Corporation (Austin, TX)
    …ER + Pediatrics PDN + School Nurse + Home Health or Hospice experience + Case Management + Service Coordination + LTSS Care Coordination + Community health ... for long-term care members in a cost-effective manner + May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth,… more
    Centene Corporation (10/11/24)
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  • LTSS Service Coordinator-RN Clinician

    Elevance Health (Memphis, TN)
    ** LTSS Service Coordinator - RN Clinician** **Location:** **Shelby, Fayette, and Tipton Counties** **Sign-on Bonus:$2500** **This is a field position 4-5 days per ... week** The ** LTSS Service Coordinator - RN Clinician** is responsible for...RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
    Elevance Health (11/07/24)
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  • LTSS Service Coordinator-RN Lead Clinician

    Elevance Health (Grand Prairie, TX)
    …and the candidate should reside in Lubbock, or WRSA service delivery area. The ** LTSS Service Coordinator - RN Lead Clinician (US)** is responsible for leading a ... Appeal Process. + Responsible for overall management of member's case within the scope of licensure; provides supervision and...basis. + Serves as a mentor or preceptor for new staff, assists in formal training and may be… more
    Elevance Health (10/19/24)
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  • LTSS Service Coordinator - RN

    Elevance Health (NJ)
    ** LTSS Service Coordinator - RN** _Location:_ This is a field based position. Candidate would work remotely and travel 2 - 3 times a week to visit members in ... Passaic/ Bergen counties. The ** LTSS Service Coordinator-RN** is responsible for overall management of...Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
    Elevance Health (10/17/24)
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  • LTSS Service Coordinator-Clinician

    Elevance Health (Grand Prairie, TX)
    …a field position and the candidate should reside in Dallas, TX. The ** 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,...by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the… more
    Elevance Health (10/25/24)
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  • Clinical Case Manager DE Long Term…

    AmeriHealth Caritas (Wilmington, DE)
    …Wilmington, DE Primary Job Function: Medical Management ID**: 37947 **Job Brief** The Clinical Case Manager will support LTSS member for the DSHP (Delaware) ... us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS...the services they need as required by DSHP Plus LTSS in New Castle county. He or… more
    AmeriHealth Caritas (10/18/24)
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  • Case Manager RN Field - Union County…

    CVS Health (Springfield, NJ)
    … to use critical thinking skills and the ability to problem solve. The Case Manager will also be expected to mentor new hires, once, a level of proficiency ... sign on bonus upon hire.** This is a remote Case Manager opportunity with 50 to 75%...training modules, and field mentoring component **Preferred Qualifications** + LTSS experience + Case management and/or discharge… more
    CVS Health (11/07/24)
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  • Case Manager RN - Field

    CVS Health (Brooklyn, NY)
    …and affordable. **Program Overview** Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible ... as we grow and expand dually eligible members to change lives in new markets across the country. **Position Summary/Mission** This is a field-based role based… more
    CVS Health (11/13/24)
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  • Social Work Case Manager Sr

    Elevance Health (Woodbridge, NJ)
    The Social Work Case Manager Sr will be dedicated to the NJ Healthy Homes program and will be responsible for ensuring coordination of Housing Services with all ... 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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  • Clinical Evaluation Manager (mostly remote)

    VNS Health (Manhattan, NY)
    …or an Occupational Therapist in New York State required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner (NP) certification ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… more
    VNS Health (11/13/24)
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  • Clinical Evaluation Manager

    VNS Health (Manhattan, NY)
    …Nurse or an Occupational Therapist in New York State required + Certified Case Manager preferred Education: + Associate's Degree in Nursing or a Master's ... cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in… more
    VNS Health (11/05/24)
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  • Mgr I GBD Special Programs

    Elevance Health (Richmond, VA)
    ** Manager I GBD Special Programs** **Location: Virginia.** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations in Virginia. The ** Manager I GBD Special Programs** is responsible for managing and overseeing team responsible… more
    Elevance Health (11/13/24)
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