• Care Manager , LTSS

    Molina Healthcare (Bowling Green, KY)
    …changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and ... of experience working with persons with disabilities/chronic conditions long-term services and supports ( LTSS ), and 1 year of experience in care management, or… more
    Molina Healthcare (11/15/25)
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  • LTSS Service Coordinator

    Elevance Health (Clarksville, TN)
    …employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator** is responsible for conducting service coordination functions for ... (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care more
    Elevance Health (09/03/25)
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  • LTSS Service Coordinator - Clinician

    Elevance Health (Nashville, TN)
    …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location:** The location...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
    Elevance Health (09/24/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Clarksville, TN)
    ** LTSS Service Coordinator - RN** **Location:** The location for this position includes Knox, Anderson, Claiborne, Williamson, Davidson, Montgomery, Shelby, Tipton, ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN** is responsible for overall management of...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
    Elevance Health (09/24/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Bowling Green, KY)
    …services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction with the chief medical officer ... guidelines. Assesses appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to provide quality and… more
    Molina Healthcare (11/14/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (Bowling Green, KY)
    …and supports ( LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) ... to overarching strategy to provide quality and cost-effective member care . **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective… more
    Molina Healthcare (09/06/25)
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  • Mobile Device Coordinator I

    Elevance Health (Nashville, TN)
    …settings to maximize their health, independence, and quality of life through home- care and community based services. The **Mobile Device Coordinator I** accurately ... organization strongly preferred. + General HCBS and/or Long-Term Support Services ( LTSS ) product and customer knowledge preferred. Please be advised that Elevance… more
    Elevance Health (10/29/25)
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