• Care Manager , LTSS

    Molina Healthcare (Des Moines, IA)
    …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-Western Iowa

    Elevance Health (West Des Moines, IA)
    ** LTSS Service Coordinator** _Location:_ Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator** is responsible for conducting service coordination functions for… more
    Elevance Health (10/22/25)
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  • Care Manager (RN) - Must Reside…

    Molina Healthcare (Des Moines, IA)
    …concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity...regimens. * Care manager RNs may conduct medication reconciliation… more
    Molina Healthcare (10/29/25)
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  • Care Manager (non-RN)- Must Reside…

    Molina Healthcare (Des Moines, IA)
    Must reside in Iowa** JOB DESCRIPTION Job Summary Provides support for care management/ care coordination activities and collaborates with multidisciplinary team ... coordinating integrated delivery of member care across the continuum. Strives to ensure member progress...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
    Molina Healthcare (10/29/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Des Moines, IA)
    …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 (Des Moines, IA)
    …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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