• Care Manager , Ltss (RN)

    Molina Healthcare (Chicago, IL)
    …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
    Molina Healthcare (08/09/25)
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  • Care Manager , LTSS - Field travel…

    Molina Healthcare (East Dubuque, IL)
    …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in...Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or… more
    Molina Healthcare (07/25/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Chicago, IL)
    …do it all with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and ... Supports ( LTSS ) team and is a field-based position out of...of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit… more
    CVS Health (07/27/25)
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  • Case Manager Behavioral Health…

    CVS Health (Rantoul, IL)
    …and procedures in compliance with network management and clinical coverage policies. BH Case Manager is responsible for telephonically and/or face to face ... with heart, each and every day. **Position Summary** This Case Management BH position is with Aetna's Long Term...position is with Aetna's Long Term Services & Supports ( LTSS ) team and is a field-based position out of… more
    CVS Health (07/22/25)
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  • Clinical Behavioral Health Case

    CVS Health (Mchenry, IL)
    …And we do it all with heart, each and every day. **Position Summary** This BH Case Manager position is with Aetna's Long-Term Services and Supports ( LTSS ) ... reimbursed per our company expense reimbursement policy. **Preferred Qualifications** - Case management and discharge planning experience. -Managed Care experience.… more
    CVS Health (07/18/25)
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  • Case Management Coordinator - Field - Henry…

    CVS Health (Kewanee, IL)
    …50-75% of the time to meet with members face to face. As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members by providing ... **This position offers a $3,000 New Hire Bonus!** This Case Management Coordinator position is with Aetna's Long-Term Services...Coordinator position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of… more
    CVS Health (08/14/25)
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  • Case Management Analyst - Field - La Salle…

    CVS Health (Ottawa, IL)
    …50-75% of the time to meet with members face to face. As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members by providing ... position offers a $3,000 New Hire Bonus!** This Analyst, Case Management position is with Aetna's Long-Term Services and...Management position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of… more
    CVS Health (07/16/25)
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  • Claims Research and Resolution Professional 2

    Humana (Springfield, IL)
    …any trended claims issues stemming from internal systems issues to Provider Claims Manager and support development of systems issue resolution + Assist with content ... to optimize provider experience and satisfaction + Submit and monitor Business Case Justification (BCJ), Incorrect Payment Audit Requests (IPAR) and follow progress… more
    Humana (08/15/25)
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