• Medicare LTSS Care Coordinator - Must…

    AmeriHealth Caritas (Detroit, MI)
    …it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... more
    AmeriHealth Caritas (03/20/25)
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  • Senior LTSS Service Care Manager (RN)

    Centene Corporation (Corpus Christi, TX)
    …Care & Support Services + Adult Day Care + Home Health or Hospice + Case Management + LTSS Care Coordination + Managed Care + Service Coordination Pay Range: ... more
    Centene Corporation (03/22/25)
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  • Manager Healthcare Services - Virginia

    Molina Healthcare (Williamsburg, VA)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... more
    Molina Healthcare (01/23/25)
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  • Clinical Evaluation Manager (Remote)

    VNS Health (Manhattan, NY)
    …in development of plans to address improvement needs as appropriate. * For Utilization Management Only: * Issues Determinations, Notices of Action, and other ... more
    VNS Health (03/26/25)
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  • Clinical Evaluation Manager, Select Health

    VNS Health (Manhattan, NY)
    …Delivers timely notification detailing clinical decisions. Coordinates with management , subject matter experts, physicians, member representatives, and discharge ... more
    VNS Health (03/19/25)
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  • Case Manager, Medicaid Long Term Support Program

    MVP Health Care (Rochester, NY)
    …every interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes ... more
    MVP Health Care (03/04/25)
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