- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care ...Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... Care experience + 2 or more years of LTSS experience + 2 or more years working in...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Molina Healthcare (Boston, MA)
- …and cost-effective based on the severity of illness and the site of service. The Care Manager , LTSS provides support for care management/ care ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Fort Worth, TX)
- JOB DESCRIPTION We are seeking a ( RN ) Registered Nurse who must live in the Fort Worth service delivery area and have a current active unrestricted RN ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Dearborn, 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 ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Fort Worth, TX)
- …and supports ( LTSS ), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Dallas, TX)
- …health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ... **JOB DESCRIPTION** Opportunity for a TX licensed RN to join Molina to work with our...to those candidates with previous experience working with the LTSS population receiving waiver services. Mileage is reimbursed as… more
- Molina Healthcare (Brockton, MA)
- …who reside in Massachusetts. We are looking for candidates with a MA RN licensure, care management and hospital experience. Bilingual candidates that speak ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Molina Healthcare (WI)
- …health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ... **JOB DESCRIPTION** **Family Care with My Choice Wisconsin** **Job Summary** Molina...+ Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who… more
- Molina Healthcare (ID)
- null Pay Range: $23.76 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- Molina Healthcare (Dallas, TX)
- null Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- Centene Corporation (Greenville, NC)
- …Job Description **Centene is hiring in Greenville, North Carolina!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... team. The ideal candidate will be a Registered Nurse ( RN ) or hold...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Honolulu, HI)
- …adult experience required + For Hawaii: Current Hawaii Registered Nurse ( RN ) License. required + For Arkansas Total Care plan - This position is ... Reside on Oahu, HI.** **Driver's License Required **Current Hawaii Registered Nurse ( RN ) License. Required...North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Austin, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Registered Nurse work in or near: Laredo, TX** ** LTSS Case Manager ... years of related experience Bachelor's degree in Nursing preferred **License/Certification:** + Registered Nurse - State Licensure and/or Compact State Licensure… more
- Centene Corporation (Mcallen, TX)
- …perspective on workplace flexibility. **Must be licensed as a LCSW, LPC, or RN with Psychiatric experience** **Must reside in Hidalgo County, TX near Edinburg, ... days per week.** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Centene Corporation (Mcallen, TX)
- …workplace flexibility. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards ... Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on… more
