- 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
- MVP Health Care (Rochester, NY)
- …in New York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 ... innovative thinking and continuous improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program to join #TeamMVP. If… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- Commonwealth Care Alliance (Springfield, MA)
- …services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next of kin. + ... needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not...in weekly interprofessional care team meetings and ad hoc case conferences as needed + Provides consultation and support… more
- Commonwealth Care Alliance (Springfield, MA)
- …services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next of kin. + ... across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports.… more
- Centene Corporation (Dallas, TX)
- …organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ** RN LTSS Case Manager - must reside in ... or Hospice + Case Management + Managed Care **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Elevance Health (Fort Wayne, IN)
- ** RN Case Manager ( LTSS Service Coordinator- RN Clinician)** Location: Seeking candidates to reside in Allen, DeKalb, Steuben, Noble, Whitley, ... 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 (Waukesha, WI)
- ** LTSS Service Coordinator - RN Clinician ( RN Case Manager )** **Hiring near:** Milwaukee County **Location** : This field-based role enables ... 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 (Detroit, MI)
- For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI. This ... or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… more
- Molina Healthcare (Jersey Village, 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 TX licensed RN residing in the North Houston/Jersey Village, TX...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… 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...health, hospice, public health, or assisted living **Or** + Registered Nurse or Licensed Practical Nurse… 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 (Middletown, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is...the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case … 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
- Molina Healthcare (Dorchester, MA)
- …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
- CVS Health (Stafford, VA)
- …in or near Stafford or Southern Surrounding Counties Virginia_** **Position Summary:** **This Case Manager Registered Nurse /Behavioral Health Clinician ... 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
- 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
- Molina Healthcare (La Crosse, WI)
- …and/or discharge planning, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Practical Nurse (LPN), ... healthcare services professionals supporting members with long-term services and supports ( LTSS ) needs - ensuring members reach desired outcomes through integrated… more
- Elevance Health (Ironton, OH)
- ** LTSS Service Coordinator - Clinician ( Case Manager )** **Hiring near Cambridge, Canton, Columbus, Chillicothe, Coschocton, Hillsboro, Ironton, Mansfield, ... Service Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case . As… more
