• Care Manager , LTSS (Must…

    Molina Healthcare (Tucson, AZ)
    …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 (01/18/26)
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  • RN Care Manager (Telephonic)

    Molina Healthcare (AZ)
    …must be licensed for the state of South Carolina and or compact license. Care Manager RN will work with Medicaid/Medicare SC population completing assessments, ... concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication… more
    Molina Healthcare (01/18/26)
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  • Medical Review Nurse (RN)- Itemized Bill Review

    Molina Healthcare (Scottsdale, AZ)
    …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 (01/09/26)
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