• Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Preferred Associate's Degree Experience Required: At least 1 year of experience in Managed Care working with Medicare, Medi-Cal and other State Sponsored ... for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk… more
    LA Care Health Plan (11/06/25)
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  • Care Manager, Ltss (RN) NE Ohio

    Molina Healthcare (Cleveland, OH)
    …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year experience… more
    Molina Healthcare (12/13/25)
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  • Care Manager (LSW/LISW)

    Molina Healthcare (OH)
    …or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... REQUIREMENTS:** **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED… more
    Molina Healthcare (12/13/25)
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  • Care Manager (RN)- Ohio- WC and NE

    Molina Healthcare (Cleveland, OH)
    …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
    Molina Healthcare (12/13/25)
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  • Social Worker Care Management MSW Hidesnp

    Corewell Health (Southfield, MI)
    …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. Collaborate with providers, ... work + 5 years of relevant experience LMSW - clinical and/or case management/ managed care or related field + Master Social Worker (MSW-Master) - State of… more
    Corewell Health (12/12/25)
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  • Field Care Manager, Ltss (RN) - Local…

    Molina Healthcare (Pasadena, TX)
    …to those candidates with previous experience working with the LTSS population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... in health care , including at least 1 year experience in care management, managed care , and/or experience in a medical or behavioral health setting,… more
    Molina Healthcare (12/11/25)
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  • Care Manager

    Lakeview Health Services (Geneva, NY)
    …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional ... needed + Collaborate with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of care + Address the… more
    Lakeview Health Services (12/11/25)
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  • Mobile Professional Care Manager - Blair…

    UPMC (Pittsburgh, PA)
    …to learn new software applications required. + Three years experience in a managed care environment preferred + Experience with geriatric population preferred. + ... UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role...and coordinate service plans. + Ensures that cases are managed and documentation is within established timeframes in accordance… more
    UPMC (12/08/25)
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  • Mobile Professional Care Manager - Blair…

    UPMC (Pittsburgh, PA)
    …to learn new software applications required. + Three years experience in a managed care environment preferred + Experience with geriatric population preferred. + ... UPMC Community Care Behavioral Health is seeking a full-time Mobile...and coordinate service plans. + Ensures that cases are managed and documentation is within established timeframes in accordance… more
    UPMC (12/08/25)
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  • Mobile Professional Care Manager…

    UPMC (Pittsburgh, PA)
    …to learn new software applications required. + Three years experience in a managed care environment preferred Experience with geriatric population preferred. + ... for the better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is… more
    UPMC (12/08/25)
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