• Care Manager , Ltss…

    Molina Healthcare (Detroit, MI)
    For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI. This ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (10/18/25)
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  • Supervisor Medicare LTSS Operations

    AmeriHealth Caritas (Detroit, MI)
    …Medicare LTSS Care Coordination Operations. Under the supervision of the Manager LTSS , the Supervisor, Medicare LTSS Operations is responsible to ... services. + Ensures effective daily operation of the Medicare LTSS Care Coordination team complying with all...Worker (LCSW) , Licensed Master Social Worker (LMSW), or Registered Nurse ( RN ). + 1-3… more
    AmeriHealth Caritas (10/04/25)
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  • RN , Manager , Utilization…

    Humana (Lansing, MI)
    …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 (10/15/25)
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  • Manager , Quality Assurance (Medicaid)

    Humana (Lansing, MI)
    …Qualifications** + **Must reside in the state of Michigan.** + An active, unrestricted Registered Nurse ( RN ) license or an active, unrestricted Licensed ... help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team...to be screened for TB. **Preferred Qualifications** + Certified Care Manager (CCM). + Three (3) or… more
    Humana (10/01/25)
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  • Field Case Manager - MMP Waiver Program

    Molina Healthcare (Warren, MI)
    …looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are ... For this position we are seeking a RN or a Licensed Social Worker who must...to 5:00PM JOB DESCRIPTION Job Summary Provides support for care management/ care coordination activities and collaborates with… more
    Molina Healthcare (10/18/25)
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  • Director, Clinical Systems

    Molina Healthcare (Grand Rapids, MI)
    …skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and ... and oversight of technology that drives core utilization management, care management, long-term services and supports ( LTSS ),...clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics… more
    Molina Healthcare (10/01/25)
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