• Care Manager , LTSS

    Molina Healthcare (Joliet, IL)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (09/06/25)
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  • Care Manager , LTSS

    Molina Healthcare (Forest Park, IL)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (08/23/25)
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  • Care Manager , Ltss (RN)

    Molina Healthcare (Chicago, IL)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
    Molina Healthcare (08/09/25)
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  • Clinical Case Manager Behavioral Health…

    CVS Health (Chicago, IL)
    …critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/ LTSS members by providing care coordination, support and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (08/27/25)
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  • Case Manager Behavioral Health - Field…

    CVS Health (Rantoul, IL)
    …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... position is with Aetna's Long Term Services & Supports ( LTSS ) team and is a field-based position out of...with network management and clinical coverage policies. BH Case Manager is responsible for telephonically and/or face to face… more
    CVS Health (07/22/25)
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  • Clinical Behavioral Health Case Manager

    CVS Health (Mchenry, IL)
    …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... each and every day. **Position Summary** This BH Case Manager position is with Aetna's Long-Term Services and Supports... position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of… more
    CVS Health (07/18/25)
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  • Claims Research and Resolution Professional

    Humana (Springfield, IL)
    …types (primary care , FQHCs, hospitals, nursing facilities, and/or HCBS and LTSS providers) + Experience working with Medicaid Long Term Support Services, ( ... any trended claims issues stemming from internal systems issues to Provider Claims Manager and support development of systems issue resolution + Assist with content… more
    Humana (09/10/25)
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  • Provider Engagement Professional

    Humana (Springfield, IL)
    …Gold Plus Integrated is seeking Provider Engagement Professionals (Physician and LTSS ) who are responsible for day-to-day, front-line relationship management for ... providers and healthcare systems. The Provider Engagement Professional (Physician and LTSS ) roles and responsibilities include: + Serve as primary relationship … more
    Humana (08/02/25)
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  • Case Management Coordinator - Field - Henry…

    CVS Health (Kewanee, IL)
    …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... Coordinator position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of...with members face to face. As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members… more
    CVS Health (09/04/25)
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  • Member Services Lead

    Humana (Springfield, IL)
    …of member materials. + Works closely with other managers (especially the Quality Manager , Utilization Manager , and Medical Director) and departments to address ... center operations or a related service operations environment. + Prior experience with LTSS or program population. + 3+ years of leadership and management experience… more
    Humana (09/10/25)
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