- Molina Healthcare (Detroit, MI)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
- Elevance Health (Evansville, IN)
- …send you a check, or ask you for payment as part of consideration for employment. ** LTSS Service Coordinator ( Case Manager )** + Job Family: MED > Medical Ops ... other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of… more
- Molina Healthcare (Peoria, IL)
- **JOB DESCRIPTION** **Opportunity for Bachelors or Masters trained Case Manager in the Peoria, IL area to work as a Field Case Manager for our Medicare ... of our benefit package. Preference will be given to those applicants with case management experience, especially with another managed care organization, or… more
- Molina Healthcare (Eagle Pass, TX)
- **JOB DESCRIPTION** Case Manager RN will work in remote and field setting supporting our Medicaid Population with. Case Manager RN will be required to ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
- Molina Healthcare (Sugar Land, TX)
- **JOB DESCRIPTION** **Opportunity for TX licensed RN to work as a Case Manager in Harris County, TX. The position requires conducting face-to-face visits with ... Medicare members in their homes. Previous experience as a Case Manager , especially with another Managed Care...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (Stafford, VA)
- …LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (Detroit, MI)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
- Elevance Health (Valparaiso, IN)
- …a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management experience is highly preferred. Previous experience in long term ... you for payment as part of consideration for employment. ** Manager I GBD Special Programs, LTSS (RN...in a related field, including minimum of 1 year leadership/ management experience; or any combination of education and experience,… more
- ACI Federal (Chesapeake, VA)
- …also provide resources and referrals to at-risk clients and serves as a limited case manager for screening follow up needs. The successful applicant works ... Registered Nurse ( LTSS ) EOE Statement We are an equal employment...analyze situations and problem. Experience in home visiting and case management is needed. Working experience in… more
- Elevance Health (New Albany, IN)
- …capacity, highly preferred. + Experience managing a community and/or facility-based care management case load, highly preferred. Please be advised that Elevance ... contractual requirements for member outreach, such as coordination and management of an individual's waiver (such as LTSS...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Centene Corporation (Raleigh, NC)
- …(LPC) Licensed Medical Social Therapist (LMST) Licensed Mental Health Counselor (LMHC) ** LTSS Care Manager requirements for North Carolina:** Two (2) years ... of LTSS and/or HCBS coordination, care delivery monitoring, care management , social work, geriatrics, gerontology, pediatrics, or human services required. **RN… more
- Elevance Health (Memphis, TN)
- …Proficiency in Microsoft Office (Excel, Word, Outlook, etc.) strongly preferred. + Case management experience strongly preferred. + Home health experience ... you for payment as part of consideration for employment. ** LTSS Svc Coord-Clinician** + Job Family: MED > Licensed/Certified...of an RN, with overall responsibility for the member's case , as required by applicable state law and contract,… more
- Centene Corporation (Durham, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... active caseload based on state mandated ratios according to residential setting, case intensity and acuity. + Partners effectively with the PCP, Specialist, member,… more
- Elevance Health (Brentwood, TN)
- …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... you for payment as part of consideration for employment. ** LTSS Service Coordinator - RN Clinician** + Job Family:...Microsoft Office (Excel, Word, Outlook, etc.) strongly preferred. + Case management experience strongly preferred. + Home… more
- Elevance Health (Morristown, NJ)
- …with patients. The ** LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision ... you for payment as part of consideration for employment. ** LTSS Service Coordinator - RN** + Job Family: MED...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… more
- Elevance Health (Beech Grove, IN)
- …capacity, highly preferred. + Experience managing a community and/or facility-based care management case load, highly preferred. + MA/MS in Health/Nursing ... you for payment as part of consideration for employment. ** LTSS Care Coordinator - Clinician (LPN, LCSW)** + Job...of an RN, with overall responsibility for the member's case , as required by the IN PathWays for Aging… more
- Elevance Health (Richmond, VA)
- …a check, or ask you for payment as part of consideration for employment. ** LTSS Service Coordinator - Clinician** + Job Family: MED > Licensed/Certified - Other + ... within 5 miles of one of these locations. 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,… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …contract language and reimbursement methodologies, managed care business processes, case \-mix adjustment, medical terminology, utilization management and ... and PowerPoint\) + Accuracy and attention to detail + Effective time management skills + Excellent oral and written communication skills + Strong interpersonal… more
- Highmark Health (Dover, DE)
- …**Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors ... programs such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care and… more
- Highmark Health (Dover, DE)
- …. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of a ... Case Manager as needed. This is a... Case Manager as needed. This is a full time community...disabilities population + Two years in home clinical or case management experience + Medicare and Medicaid… more