- Centene Corporation (Dallas, TX)
- …will be required to travel within the region. **Position Purpose:** Manages the care management team that serves long-term care members with physical/medical ... develop and assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees and… more
- CVS Health (Richmond, VA)
- …deliver solutions to make health care more personal, convenient and affordable. The Manager Clinical Health Services is a key member of the Aetna Better ... performing teams who are responsible for service delivery reviews. Manager reports to the Sr Principal Clinical ...care services for members as needed. + Provides clinical leadership and assists care management staff… more
- Elevance Health (Fort Lauderdale, FL)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... $5,000 Sign On Bonus ** LTSS Service Coordinator** _Location:_ This is primarily a...healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs… more
- Humana (Indianapolis, IN)
- …LTSS Provider Education & Outreach Representative serves as the primary relationship manager with LTSS and HCBS providers to ensure positive provider ... providers, including organizing agendas, materials, and other team members ( clinical , provider engagement), to discuss key operational, clinical...2+ years of health care or managed care experience working with LTSS and HCBS… more
- Centene Corporation (Austin, TX)
- …competitive benefits including a fresh perspective on workplace flexibility. Job Description **Travel LTSS RN Case Manager - seeking RNs in the following areas ... support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap… more
- Centene Corporation (San Antonio, TX)
- …benefits including a fresh perspective on workplace flexibility. **Team Lead - Pediatric LTSS Service Care Manager , RN** **Pediatric RN experience is ... + Clinical RN nursing experience with direct pediatric patient care and/or administering medically approved Medicaid Health assessments + Case Management and… more
- Molina Healthcare (Harlingen, TX)
- …for TX licensed LVN or Social Worker residing in Harlingen, TX area to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Molina Healthcare (Dallas, TX)
- …TX licensed RN residing in the South Dallas County service delivery area to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Elevance Health (Sacramento, CA)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... ** LTSS Service Coordinator** Location: Candidate should reside in...healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs… more
- Elevance Health (Huntingdon, TN)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location:** **Gibson, Carrol,...in identifying members for high risk complications. + Obtains clinical data as directed by the responsible RN. +… more
- Elevance Health (Grand Prairie, TX)
- …law and contract. **Minimum Requirements:** + Requires an RN and minimum of 5 years clinical care experience and minimum of 5 years of experience in working with ... reside in Lubbock, or WRSA service delivery area. The ** LTSS Service Coordinator - RN Lead Clinician (US)** is...make an impact:** + Performs quality audits to ensure care plans designed optimize member's physical, behavioral, and social… more
- Elevance Health (Grand Prairie, TX)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... a field position and the candidate should reside in Dallas, TX. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN, with… more
- Elevance Health (Palo Alto, CA)
- ** LTSS Service Coordinator - RN Clinician** Location: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, ... the office at least one day a week. The ** LTSS Service Coordinator - RN Clinician** is responsible for...contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Elevance Health (Memphis, TN)
- ** LTSS Service Coordinator - RN Clinician** **Location:** **Shelby, Fayette, and Tipton Counties** **Sign-on Bonus:$2500** **This is a field position 4-5 days per ... week** The ** LTSS Service Coordinator - RN Clinician** is responsible for...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Centene Corporation (Austin, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... home visits** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Centene Corporation (Honolulu, HI)
- …in the electronic care management system; works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... on workplace flexibility. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the… more
- Centene Corporation (Dallas, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... for travel.** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Elevance Health (Houston, TX)
- …(1-2 days per week onsite)** **Position Overview:** The **Training Specialist, LTSS Service Coordination** is responsible for facilitating a variety of ... that may include, but are not limited to general associate, management, clinical , technical and operations training. Training often focuses on more abstract, less… more
- Molina Healthcare (Palestine, TX)
- **JOB DESCRIPTION** **Case Manager needed in the Canton, TX service area. Applicants must reside in this community or surrounding communities and hold a TX RN ... complete assessments with the members face-to-face in their homes. Applicants with Case Manager experience with another MCO like Molina are preferred, but we will… more
- Molina Healthcare (Norfolk, VA)
- …lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case ... Manager will be required to physically go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more