RN Care Manager - LTSS & Medicaid Care Coordination
Molina Healthcare of Illinois
Molina Healthcare seeks an RN Care Manager to support Medicaid and Medicare members in the New York area. The role involves home visits, care planning, and coordinating LTSS services with a multidisciplinary team. Responsibilities include member assessments, waiver processes, care plan development, and ongoing monitoring to improve outcomes and cost-effective care. Travel to Brooklyn, Queens, Bronx, Manhattan, Westchester and Long Island may be required. #J-18808-Ljbffr Molina Healthcare
- ...Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities.... ...will be assisting members with Medicaid and Medicare benefits.This position... ...experience. • Registered Nurse (RN). License must be active and unrestricted...SuggestedWork at officeLocal area
$26.06 per hour
...ago CLOSED unrestricted RN license NY Medicaid experience LTSS Job ID: JP00046663 Anticipated... ...Responsible for overall management of member's case within... ...and revises the member's care plan to meet the member's... ..., evaluation, coordination and management of member'...SuggestedRemote jobHourly payDaily paidContract workTemporary workFor contractorsWork experience placementLocal area1 day per week- Molina Healthcare seeks a Registered Nurse care manager to support member care coordination for Medicaid and Medicare beneficiaries across New York. You will collaborate with multidisciplinary teams to develop and monitor care plans, including waiver services, aiming for...Suggested
- ...Health is seeking a Registered Nurse Case Manager for the New Castle County territory to... ...case management to DSHP Plus LTSS and DSNP members. The role requires frequent... ...assess needs, develop and implement care plans, and coordinate services to optimize outcomes and costs...Suggested
- Elevance Health is seeking an LTSS Service Coordinator RN Clinician to oversee members' care in Brooklyn and Manhattan. The role requires clinical assessments, care plan development, and collaboration with non-RN staff to coordinate services across health, social, and...SuggestedWork at officeFlexible hours
- CVS Health is seeking a Case Management Coordinator in Illinois to support members with Medicare/Medicaid through care coordination, scheduling, and benefits access. You will work... ...teams virtually to drive outcomes. Requires RN license in Illinois and 3-5 years clinical...Remote jobWork from home
- CVS Health is hiring a Nurse Care Manager for a work-from-home role with 25-50% travel across... ...County, NJ. You will assess member needs, coordinate care, and collaborate with the... ...outcomes. The ideal candidate has an NJ RN license, 3+ years of clinical practice,...Remote jobWork from home
- Fidelis Care - New Jersey seeks an experienced remote Care Manager (RN) to support members in Bergen and Hudson counties. The role... ...managing an MLTSS caseload per Medicaid requirements. The position emphasizes development and coordination of personalized care plans,...Remote jobMonday to Friday
- Centene Corporation seeks a field-based care management professional to assess and coordinate medical and supporting services for highly complex members across... ...families on available services and benefits. Requires NY RN or NP licensure and 4-6 years of related experience;...Remote job
- ElderServe Health Inc is seeking a Nurse Care Manager (RN) in Queens, NY to provide care coordination, in-home assessments, and service planning. The role emphasizes advocacy and timely authorization of covered plan services to meet health needs and promote quality outcomes...Remote jobFlexible hours
- Molina Healthcare is seeking a remote Care Manager RN to support care management activities and coordinate member care across the continuum. The role requires an active South Carolina RN license and residency in SC, with substantial field travel and collaboration with...Remote job
- A healthcare organization in New York is seeking a Clinical Coordinator/RN Care Manager responsible for conducting comprehensive assessments upon patient admission. The role involves coordinating care, facilitating discharge planning to prevent readmissions, and collaborating...
- ...Health is seeking a MAT Registered Nurse/Care Manager to support our Sutphin, Queens, NY... ...nursing care management, MAT intakes, and coordination with a multidisciplinary team to ensure... ...patient care. The position requires a BSN, NY RN license, and CPR/BLS-HCP certification....Relocation package
- ...protocols. Assess, plan, coordinate, implement and evaluate care for eligible members... ...and supports (LTSS), social, and psychosocial... .../Chronic Condition Management, Behavioral Health,... ...Medicare and Medicaid experience Seniority... ...(Registered Nurse) RN Care Manager - Utilization...Daily paidFull timeRemote workRelocation packageFlexible hoursDay shift
- Maryland Care Management, Inc. (MCMI) seeks an experienced Care Manager to plan, develop, implement, and oversee care plans for high-risk members. You will coordinate services, assess health/social needs, and drive timely interventions to improve outcomes. As part of a...Remote jobFlexible hours
$62.7k - $100.4k
CareSource in Georgia seeks a qualified Community Based Care Manager RN to join their inter-disciplinary care team. The role involves improving member quality of life through care coordination and culturally competent service delivery. Ideal candidates hold a nursing degree...$36.21 - $65.09 per hour
Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex... .../Steuben/Livingston/Alleghany county residency and NY RN Licensure required to be eligible for this role....Hourly payFull timePart timeWork at officeRemote workFlexible hours$56.8 - $62.35 per hour
You Make It Possible Care Coordinator - RN - Case Management - Hudson Valley Hospital - Full Time - Days Location Cortlandt Manor, New York Shift Day... ...Care/HMO requirements, laws and regulations, Medicare/Medicaid requirements, policy and procedure, and community health...Hourly payFull timeFlexible hoursShift work- ...NY (near Kingston) is seeking an RN or LPN Admissions Nurse for the... ...primary contact for new admissions, coordinating with the interdisciplinary team to evaluate care needs and facilitate a smooth... ..., compliance with Medicare/Medicaid and HIPAA, resident and family education...Afternoon shift
- ...Longitudinal Care ManagerThe Longitudinal Care Manager provides ongoing care coordination and management for patients over time, ensuring... ...families.Qualifications:Current NYS RN licenseExperience in case... ...of D-SNP, Medicare, and Medicaid programs and eligibility criteria...Remote work
- ...Nursing and Rehabilitation Center in The Bronx, NY seeks a Nurse Care Manager to coordinate care and develop personalized plans to improve patient... ...and smooth transitions. The role requires a current NY State RN license and the ability to manage multiple priorities in a fast...
- Flournoy Health Systems is seeking an experienced RN to provide clinical oversight and coordination of home-based care in the Georgia region. The role involves... ...documentation and POTs coordination in accordance with Medicaid and HIPAA requirements. #J-18808-Ljbffr...
- ...to provide clinical oversight and coordination of home and community-based services. The RN will perform initial assessments, develop individualized care plans, supervise LPNs and caregivers... ...ensures continuity of care while meeting Medicaid and HIPAA #J-18808-Ljbffr Flournoy...
- ...Telehealth-Hospital ICU, Clinical Operations, and Remote Patient Monitoring Location: UMMC Telehealth Job Title RN - Care Coordinator Job Summary To support disease management tasks which include clinical responsibilities such as proactive monitoring, assessment, education, and...Full timeFor subcontractorCasual workWork at officeRemote workShift work
- ...operating room. In its entirety, the perioperative nurse is the registered nurse who, using the nursing process, designs, coordinates, and delivers care to meet the identified needs of patients whose protective reflexes or self‑care abilities are potentially compromised...
- ...Highmark Inc. is recruiting a Case Manager RN for remote work across PA, MD, WA, NC and LA... ...focuses on comprehensive case management, coordinating services and monitoring outcomes to... ...multi-state licensure. Strong assessment, care planning and collaboration skills are essential...Remote work
- ...CVS Health is seeking a Case Manager RN to work remotely from any state. The role involves... ...case management, assessment, planning, coordination, and advocacy to meet member health needs... ...an active RN license, 3+ years of acute care, and proficiency with Microsoft Office....Work at officeRemote work
- MJHS’s Elderplan and HomeFirst programs in New York, NY seek a Care Management Coordinator to ensure high-quality, cost-effective care for Medicaid/dual members. You will support care coordination activities, liaise with members, the care management team, and vendors,...
$57 - $61 per hour
...area is seeking an experienced Registered Nurse (Clinical Care Manager) to lead care coordination and clinical quality in a community-based setting. The... ...over 2 years of clinical management experience, a valid RN license in New York, and strong EMR and UAS assessment skills...Hourly payMonday to Friday- ...Honest Health is seeking a Nurse Care Manager to remotely manage patients with complex needs... ...implement comprehensive care plans. You’ll coordinate services, monitor outcomes, and advocate... ...network. You must hold an active RN license in New York or Michigan, have 3+...Remote work
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