- Molina Healthcare (Norwell, MA)
- JOB DESCRIPTION **Job Summary** The Care Manager , LTSS provides support for care management/ care coordination long-term services and supports ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION **Job Summary** The Care Manager , LTSS provides support for care management/ care coordination long-term services and supports ... position will be supporting our Florida state plan. The Care Manager will be conducting home visits...Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )… more
- Molina Healthcare (Des Moines, IA)
- … LTSS team in Iowa for several service delivery areas. Counties in need of a Care Manager : + Linn County - one needed + Union, Ringgold, and Decatur Counties ... 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 (Galena Park, 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 (Cleveland, OH)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Elevance Health (Panama City, FL)
- …Skills, Capabilities and Experiences** : + BA/BS degree field of study in health care related field preferred. + LTSS , case management, social work or hospital ... ** LTSS Service Coordinator** **Schedule:** Monday-Friday 8am-5pm **Location** _:_...plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated… more
- Elevance Health (OH)
- ** LTSS Service Coordinator (Case Manager )** **Candidates should live in one of the following counties:** Auglaize, Coshocton, Defiance, Gallia, Harrison, Holmes, ... behavioral health, long term services and supports, and psychosocial needs. The ** LTSS Service Coordinator** is responsible for managing service coordination for a… more
- Elevance Health (Lancaster, OH)
- ** LTSS Service Coordinator - RN Clinician (Case Manager )** **Hiring in the following counties: Athens, Hocking, Meigs, Monroe, Morgan, Noble, Perry, Washington** ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's… more
- Elevance Health (Viroqua, WI)
- ** LTSS Service Coordinator (Case Manager )** **$5,000 Sign-on Bonus** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, ... granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the Family … more
- System One (Las Vegas, NV)
- …Essential Functions: + Serve as point of contact with the Primary Care Manager , Medical Director, Provider, or other internal/external stakeholders. + ... clinical documentation system for processing approvals and denials, notify care management team of LTSS approvals and denials, and support the appeals process as… more
- Elevance Health (Toledo, OH)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician (Case Manager...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
- Elevance Health (Odessa, TX)
- ** LTSS Service Coordinator - RN** **Location:** Candidate should reside in Ector, Fredericksburg or Midland TX. **Field** : This field-based role enables associates ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN** is responsible for overall management of...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Elevance Health (Jersey City, NJ)
- ** LTSS Service Coordinator - RN** **Location:** The location for this position Essex, Passaic, Hudson, and Middlesex Counties, NJ. **Field** : This field-based role ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN** is responsible for overall management of...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Humana (Indianapolis, IN)
- …caring community and help us put health first** The Strategy Advancement Advisor LTSS Program Manager provides data-based strategic direction to identify and ... Qualifications** + Bachelor's degree or equivalent experience in Medicaid managed care + Excellent verbal and written communications + Strategic planning experience… more
- Molina Healthcare (Jackson, MI)
- …discuss and resolve issues related to utilization management, pharmacy, quality of care , and correct coding. * Independently delivers training and presentations to ... assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health… more
- AmeriHealth Caritas (New Castle, DE)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS in ... member to remain in the program. The Clinical Case Manager will also provide clinical support to his/her non-licensed...and supports for Participants. + Informs participants about available LTSS required needs assessments, the care plan… more
- Highmark Health (Dover, DE)
- …includes ensuring appropriate care transitions between home, community, and community-based care settings. + Authorize LTSS services based upon completion of ... as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a… more
- Molina Healthcare (Cincinnati, OH)
- …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
- BrightSpring Health Services (Rutherfordton, NC)
- …Qualifications: + Years of experience as specified below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred. + ... post-bachelor's degree accumulated experience with the IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS and/or… more
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