• Care Manager , LTSS

    Molina Healthcare (Coeur D'Alene, ID)
    …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... For this position we are seeking a Care Manager who lives in Idaho Care manager...will support Idaho Medicaid. This position will have a case load and manage members enrolled in this program.… more
    Molina Healthcare (11/21/25)
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  • Care Manager , Ltss (RN)

    Molina Healthcare (Meridian, ID)
    …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
    Molina Healthcare (11/27/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (ID)
    …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... Resolves escalated complaints regarding utilization management and long-term services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. *… more
    Molina Healthcare (11/14/25)
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