• RN Care Manager LTSS

    Molina Healthcare (New Bedford, MA)
    …who reside in Massachusetts. We are looking for candidates with a MA RN licensure, care management and hospital experience. Bilingual candidates that speak ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (09/27/25)
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  • RN Care Manager LTSS

    Molina Healthcare (Brockton, MA)
    …who reside in Massachusetts. We are looking for candidates with a MA RN licensure, care management and hospital experience. Bilingual candidates that speak ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (09/18/25)
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  • RN Care Manager , LTSS

    Molina Healthcare (Waltham, MA)
    …government funded health plans for members who reside in Massachusetts. We are looking for Care Managers with a RN licensure and a back ground in care ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… more
    Molina Healthcare (09/16/25)
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  • Utilization Manager Registered

    Commonwealth Care Alliance (Boston, MA)
    013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... Care experience + 2 or more years of LTSS experience + 2 or more years working in...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    Commonwealth Care Alliance (10/02/25)
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  • CIC Registered Nurse - Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an interdisciplinary ... LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts,...care management, including: + 5+ years' experience as Registered Nurse in a high touch clinical… more
    Commonwealth Care Alliance (10/02/25)
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  • RN Care Manager Field…

    Molina Healthcare (Boston, MA)
    …and supports ( LTSS ), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... members who reside in Massachusetts. We are looking for Care Managers with a RN licensure and...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
    Molina Healthcare (10/01/25)
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  • RN Case Manager field travel in

    Molina Healthcare (Cambridge, MA)
    …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and home health...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
    Molina Healthcare (10/01/25)
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  • RN , Manager , Utilization…

    Humana (Boston, MA)
    …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... caring community and help us put health first** The Manager , Utilization Management Nursing ( LTSS Utilization Management...procedures to provide the best and most appropriate treatment, care , or services for members. + Hire, train, coach,… more
    Humana (09/28/25)
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  • CIC Advanced Practice Clinician - NP / PA - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …or PA in primary care or care management AND 3+ years' experience as Registered Nurse or EMT-P in a high touch clinical environment or home care ; OR ... LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts,...or PA graduate, must have 5+ years' experience as Registered Nurse or EMT-P in a high… more
    Commonwealth Care Alliance (07/09/25)
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  • Manager , Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
    Commonwealth Care Alliance (10/02/25)
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