• Senior LTSS Service Care

    Centene Corporation (Dallas, TX)
    …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex or high risk/high acuity… more
    Centene Corporation (11/16/25)
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  • LTSS Service Care

    Centene Corporation (Dallas, TX)
    …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
    Centene Corporation (11/19/25)
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  • RN Transition of Care - Care

    Molina Healthcare (Dallas, TX)
    …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... waiver enrollment and disenrollment processes. * Develops and implements care plans, including a waiver service plan...regimens. * Care manager RNs may conduct medication reconciliation… more
    Molina Healthcare (11/19/25)
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  • Telephonic Care Manager

    Molina Healthcare (Dallas, TX)
    …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... of services we need to provide and managing their care until they are discharged from your service...regimens. * Care manager RNs may conduct medication reconciliation… more
    Molina Healthcare (11/19/25)
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  • Field Care Manager , Ltss

    Molina Healthcare (Little Elm, TX)
    JOB DESCRIPTION Opportunity for a Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicaid members in the northern part of the Fort ... waiver enrollment and disenrollment processes. * Develops and implements care plans, including a waiver service plan...Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )… more
    Molina Healthcare (11/07/25)
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  • Field Care Manager , Ltss

    Molina Healthcare (Dallas, TX)
    …RN to join Molina to work with our Medicaid members in the greater Dallas service delivery area. Part of the responsibilities of the role is to conduct face-to-face ... 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
    Molina Healthcare (09/24/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Rockwall, TX)
    ** LTSS Service Coordinator - RN** **Location:** The location for this position is the Dallas, Mesquite, Rockwall, and Houston, TX. **Field** : This field-based ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN** is responsible for overall...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
    Elevance Health (08/23/25)
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  • Phone Queue Care Manager

    Molina Healthcare (Dallas, TX)
    …Hours are M - F, 8 AM - 5 PM. Preferred experience includes Home Health, Care Management either at another MCO like Molina or within a hospital. Candidates should be ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (10/30/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Dallas, TX)
    …appropriateness of service provided, length of stay and level of care . * Applies appropriate criteria on PAR and Non-PAR (contracted and non-contracted) cases ... services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction with the chief medical officer… more
    Molina Healthcare (11/14/25)
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