- Molina Healthcare (Janesville, WI)
- …and welfare. May provide consultation, resources and recommendations to peers as needed. Care manager RNs may be assigned complex member cases and medication ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...regimens. Care manager RNs may conduct medication reconciliation… more
- Centene Corporation (Orlando, FL)
- …Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May ... develop or assist with developing personalized service care plans/service plans for long-term care members...personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care ...Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters… more
- UnitedHealth Group (Canon City, CO)
- …Mineral, Rio Grande, Saguache Preferred Qualification: Experience as a caseworker or case manager with LTSS population, in a private or public social services ... At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care . The work you do here… more
- 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 ...of access to CCA accounts (Reporting, ECW, Extranet, Guiding Care , LMS, and others) o Update Staffing lists on… more
- Elevance Health (Mason, OH)
- Manager I GBD Special Programs - LTSS ...overseeing a team responsible for coordination of OH My Care comprehensive health care program in which Ohio ... health, behavioral health, long term services and supports, and psychosocial needs. The Manager I GBD Special Programs - LTSS is responsible for managing… more
- Commonwealth Care Alliance (Boston, MA)
- …more years of Home Health Care experience + 2 or more years of LTSS experience + 2 or more years working in a Medicare Advantage health Plan **Required ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Elevance Health (Greensboro, NC)
- …be considered for employment, unless an accommodation is granted as required by law. The Manager I Care Management ( Manager I GBD Special Programs) is ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… 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 ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Molina Healthcare (Dallas, TX)
- …suite/other applicable software program(s) proficiency. Preferred Qualifications Transitions of care sub-specialty certification and/or Certified Case Manager ... to candidates with experience working as a Transition of Care Coach with another MCO like Molina. Additional pluses...MCO like Molina. Additional pluses - experience with the LTSS or Behavioral Health populations. Bilingual is also a… more
- Molina Healthcare (Dayton, OH)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. r equivalent… more
- Commonwealth Care Alliance (Boston, MA)
- …for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, ... behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a...excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Molina Healthcare (Evansdale, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team Black Hawk County, IA service delivery area. Applicants need to reside ... are discharged from your service. Experience working as a Care Manager in either another MCO, working...Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )… more
- Molina Healthcare (Pasadena, TX)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... to those candidates with previous experience working with the LTSS population within a Managed Care Organization...regimens. * Care manager RNs may conduct medication reconciliation… more
- Molina Healthcare (Dallas, TX)
- …will be given to those candidates with previous experience working with the LTSS population receiving waiver services. Mileage is reimbursed as part of our benefits ... 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
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Family Care with My Choice Wisconsin** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary ... 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 (Orlando, FL)
- …benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Lake County, FL)** **Centene ... is seeking a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports ( LTSS ) team. This hybrid role covers Lake County, to… 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 ... For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior… more
- Centene Corporation (Honolulu, HI)
- …of experience required + For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management ... For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior… more
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