- 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
- 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 (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
- 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
- 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
- Molina Healthcare (Galena Park, TX)
- …and supports ( LTSS ), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... to those candidates with previous experience working with the LTSS population within a Managed Care Organization...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Dallas, TX)
- …health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ... **JOB DESCRIPTION** Opportunity for a TX licensed RN to join Molina to work with our...to those candidates with previous experience working with the LTSS population receiving waiver services. Mileage is reimbursed as… more
- Molina Healthcare (Cleveland, OH)
- …health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Centene Corporation (Greenville, NC)
- …a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... team. The ideal candidate will be a Registered Nurse ( RN ) or hold...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Trenton, NJ)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... is a** **fully remote role** **supporting our** **Long-Term Services and Supports ( LTSS ) population** **. The position requires** **local travel for member visits up… more
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