• Commonwealth Care Alliance (Boston, MA)
    011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care ...Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters… more
    DirectEmployers Association (10/17/25)
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  • Commonwealth Care Alliance (Boston, MA)
    011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
    DirectEmployers Association (10/17/25)
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  • 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
    DirectEmployers Association (10/02/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... 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… more
    DirectEmployers Association (10/17/25)
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  • 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 ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
    DirectEmployers Association (10/17/25)
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  • 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 ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
    DirectEmployers Association (10/18/25)
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  • RN Care Manager , LTSS

    Molina Healthcare (Boston, MA)
    …and cost-effective based on the severity of illness and the site of service. The Care Manager , LTSS provides support for care management/ care ... 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 (11/04/25)
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  • RN Transition of Care - Care

    Molina Healthcare (Fort Worth, TX)
    JOB DESCRIPTION We are seeking a ( RN ) Registered Nurse who must live in the Fort Worth service delivery area and have a current active unrestricted RN ... 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 (11/19/25)
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  • Telephonic Care Manager

    Molina Healthcare (TX)
    …and supports ( LTSS ), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
    Molina Healthcare (11/19/25)
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  • Care Manager , Ltss

    Molina Healthcare (Dearborn, 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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