- Molina Healthcare (Pasadena, TX)
- …and 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
- 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
- Highmark Health (Dover, DE)
- …includes ensuring appropriate care transitions between home, community, and community-based care settings. Authorize LTSS services based upon completion of a ... 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
- 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 ... so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP),...field, you will work virtually from your home. You must reside within a proximity to travel throughout Guilford… 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
- Molina Healthcare (Boise, ID)
- …changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and ... of experience working with persons with disabilities/chronic conditions long-term services and supports ( LTSS ), and 1 year of experience in care management, or… 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
- 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
- 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
- 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 ... North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring...RN or LCSW / LCSW-A preferred + For Florida LTSS ECC, must have 2 years of… more
- Centene Corporation (Charlotte, NC)
- …**License/Certification:** + For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care ... the time** **.** **Residency Requirement:** **To be considered, candidates must reside in one of the following counties in**...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… 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 ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...in good standing + If field work is required, Must have valid driver's license with good driving record… more
- Centene Corporation (Austin, TX)
- …on workplace flexibility. **Registered Nurse work in or near: Laredo, TX** ** LTSS Case Manager positions - full-time hours, benefits, company equipment ... 8 am - 5 pm (CST); no evenings or weekends** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and supporting… more
- Centene Corporation (Tallahassee, FL)
- …and skill reflective of the level of this position. **License/Certification:** For Florida LTSS ECC, must have 2 years of youth/young adult experience required ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- Elevance Health (Kansas City, KS)
- ** LTSS Service Coordinator-RN Clinician (Case Manager )** **Schedule:** Monday-Friday 8am-5pm CST **Location:** Candidates must live in or near **Wyandotte or ... unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for **face-to-face member service coordination… more
- Elevance Health (Nashville, TN)
- **Candidates for this position must reside within 50 miles of our Nashville, TN location.** **Hybrid 1: (1-2 days)** : This role requires associates to be in-office ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator** is responsible for conducting service coordination functions for… more
- Elevance Health (Columbus, IN)
- …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** **Schedule:** Monday-Friday 8am-5pm EST **Location** : Candidates must be located in Bartholomew, Brown or Jackson County.… more
- Elevance Health (Carroll, IA)
- ** LTSS Network Relations Consultant, West Iowa** **Location:** Carroll, Iowa and surrounding counties **Hours:** Standard M - F **Field:** This field-based role ... the ability to travel within the west region. The ** LTSS Network Relations Consultant, West Iowa** develops and maintains...+ Conducts seminars to support the understanding of managed care policies and procedures. + Identifies network access and… more
- Molina Healthcare (Fitchburg, WI)
- **_ Will travel throughout Dane County _** **_ Must reside in Wisconsin _** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...in good standing + If field work is required, Must have valid driver's license with good driving record… more
