RN Care Manager - LTSS & Medicaid Care Coordination
Molina Healthcare
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
- Molina Healthcare in the United States is seeking an experienced RN Care Manager to coordinate LTSS and care across settings. You will work with a multidisciplinary team to assess needs, develop care plans, and monitor progress toward outcomes, while navigating waiver...Suggested
- Centene seeks a Senior UAS LTSS Assessor (RN) to perform care management duties, assess and coordinate medical services for complex populations, develop personalized care plans, and educate members and families on available services. This full-time role is remote in New...SuggestedRemote jobFull time
- Molina Healthcare is seeking aRegistered Nurse (RN) with care management experience to support long-term services and supports (LTSS) and care coordination. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated, high-quality care...Suggested
- Centene Corporation is seeking a field-based Care Manager in New York to assess and coordinate all aspects of care for complex/high acuity members with primary medical needs. The role focuses on developing individualized care plans and educating members and caregivers on...Suggested
- Centene Corporation in New York seeks a field-based RN/NP with strong care management and coordination skills to support Fidelis MLTC members. You will assess needs, develop care plans, coordinate with providers, and educate families to ensure high-quality, cost-effective...SuggestedFlexible hours
- UnitedHealthcare is seeking a Remote Appeals Clinician to conduct comprehensive clinical reviews of Medicaid appeals (H6516/H2060). The role requires an active Texas RN license and 2+ years of Medicaid experience. You will evaluate records, provide independent judgments...Remote jobMonday to Friday
- ...Key Resources is seeking experienced remote Care Managers for the New York metro area. This role supports MLTC members by coordinating medical, psychosocial, and functional needs... ...interdisciplinary team. The ideal candidate is an RN licensed in NY with prior managed care or...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...
$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...- Molina Healthcare is seeking a registered nurse to provide care management and coordination across the continuum, collaborating with a multidisciplinary team to improve member outcomes and cost-effective care. The role requires comprehensive assessments, plan development...
- Centene is seeking a Care Manager (RN) to lead complex care management for Medicaid members in a remote role serving Georgia residents. You will assess needs, develop care plans, and collaborate with cross-functional teams to ensure timely access to services. The role...Remote jobFlexible hours
$100k - $135k
CareSource is looking for a Nurse Care Manager in New York, responsible for coordinating care for members through assessments, planning, and collaborating with interdisciplinary teams. The position is offered with a competitive salary ranging from $100,000 to $135,000,...$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- Humana's Inclusa division seeks a RN Care Manager to support Wisconsin Family Care members with care coordination, education, and connection to providers. The role is remote from home with travel about 40% to visit members in Lincoln, Langlade, Oneida, Forest and Vilas...Remote jobNight shiftWeekend work
- CareSource seeks a Nurse Care Manager to coordinate care for members, including in-home assessments, planning, advocacy, and authorization of services... ...quality, cost-effective outcomes. The role requires RN licensure in New York, experience in geriatrics or managed long...Afternoon shift
- Postgraduate-Center-For-Mental-Heal is seeking a Care Coordinator to address member needs, update care plans, and conduct outreach between visits. You will coordinate care for NYC Medicaid beneficiaries with chronic health and/or behavioral health disorders using a Health...
- Humana is hiring a Care Coordinator to support Illinois Medicaid members on the HealthChoice Medicaid Managed Care program. You will outreach to new enrollees, conduct HRAs, identify needs, and connect members to services. This is a remote field role with 75% travel to...Remote work
- ...seeking an on-site Registered Nurse Case Manager - Field to conduct member assessments... ...of each visit. Responsibilities include coordinating care with interdisciplinary teams,... ...scheduling for 2-3 daily home visits. #J-18808-Ljbffr 4004 Aetna Medicaid Administrators
- CVS Health is seeking a Case Manager Registered Nurse in New Jersey... ...health service strategies, coordinate care, and advocate for members. The... ...ideal candidate has an active NJ RN license and at least 3 years... ...Certification. #J-18808-Ljbffr 4004 Aetna Medicaid Administrators
- ...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
- 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,...
- A leading healthcare organization is seeking a Care Manager to ensure continuity of care for newly enrolled members. The role involves developing care plans, conducting assessments, and managing community resources to facilitate member independence. The ideal candidate...
- ...Centene Corporation is seeking a licensed RN for a remote care management role serving New Jersey members. The position requires in-home visits up to 50% travel, with standard hours Monday–Friday 8:00 AM–5:00 PM EST and essential documentation completion per regulations...Remote workMonday to FridayFlexible hours
$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- ...A healthcare provider in New Jersey is seeking a dedicated perioperative nurse responsible for coordinating and delivering care in the operating room. The role involves supervising surgical team members and ensuring efficient operations while addressing the needs of patients...
- ...The University of Miami UHealth Department of UMHC-SCCC is seeking a full-time Case Manager RN to coordinate interdisciplinary care from admission through discharge. The role involves liaising with patients, families, healthcare staff, and insurers to develop discharge...Full time
- Lead complex care management for members with primarily physical health... ...person-centered care planning, coordination, education, and ongoing... ...functional teams serving the Medicaid line of business to promote... ...credential Registered Nurse (RN). Position Purpose Develops,...Remote jobFull timePart timeWork at officeLocal areaFlexible hours
- ...Highland Hospital in Rochester, NY seeks a part-time RN Case Manager to join the Social Work Service. The role coordinates interdisciplinary care planning to achieve timely, safe discharge and coherent post-hospital care. Responsibilities include identifying discharge...Part timeMonday to Friday
$71.1k - $97.8k
Become a part of our caring community As a RN Care Manager, you will enjoy a true work-life balance with no... ...Care Program providing essential care coordination, support, and education. You will... ...life for people with Medicare and Medicaid, families, individuals, military service...Full timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayShift workWeekend work- A health care organization based in New York seeks a Care Manager to enhance members' health care experiences by addressing clinical, psychosocial, and financial... ...of relevant experience, and a valid New York State RN license. Responsibilities include developing personalized...Work at office
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