- Iowa Department of Administrative Services (Des Moines, IA)
- …associations, the Developmental Disability Council and member/family advocates involved in shaping Medicaid LTSS program policies to address and improve ... State and Federal policy changes and resolves policy issues with existing Medicaid LTSS policy. Continuously monitors contractual performance targets through… more
- Molina Healthcare (Richmond, VA)
- … Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking for someone with strong leadership and experience ... with direct reports. Previous MCO experience is strongly preferred with LTSS experience. This is a remote position that will allow you to anywhere within the state… more
- AmeriHealth Caritas (Newark, DE)
- …Full-time experience as an administrator in a Medicare or state-level Medicaid program , Health Maintenance Organization (HMO), Preferred Provider Organization ... **Medical Director, LTSS (must reside in DE)** Location: Newark, DE...of practice standards, and through an internal quality assurance program that measures network. + Provider performance against standards… more
- Molina Healthcare (Roanoke, VA)
- …VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to ... an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology,… more
- Molina Healthcare (Canton, MI)
- …RN license in the state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Personal Care team. This position will ... a case load and manage members enrolled in this program . We are looking for Registered Nurses who have...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Humana (Indianapolis, IN)
- …Humana policies and procedures, explain Humana systems, etc. + Serves as primary relationship manager with LTSS and HCBS providers and/or PH and BH providers to ... Outreach Representative will specialize in supporting Long-Term Services and Supports ( LTSS ) and Home and Community-Based Services (HCBS) providers and/or Physical… more
- Humana (Lafayette, IN)
- …regulations governing nutrition practice. + Prior experience in Long-Term Services and Supports ( LTSS ) or with the program population and experience with gastric ... Nutritionist (Senior Dietician) is dedicated to the Contractor's Indiana Medicaid lines. He/she designs meal plans that alter and...to the Contractor's care teams. + Partner with Dental Manager . **Use your skills to make an impact** **Required… more
- CVS Health (Tampa, FL)
- …relevant quality and compliance performance metrics. Partner effectively with Medicaid Program Integrity operations to meet all LTSS requirements. Promote a ... collaborate across the enterprise to ensure that the State LTSS program and Aetna objectives are aligned,...APN, LCSW, LCPC, LMFT + 5+ Years working in Medicaid LTSS + 10-15 Years of prior… more
- Humana (Hanover, IN)
- …include: + Administer initial and ongoing long-term services and support ( LTSS ) related assessments through person-centered thinking approaches. + Contacts members ... goals and priorities, evaluate resources, develop plan of care and identify LTSS providers and community partnerships to provide a combination of services and… more
- Humana (Tallahassee, FL)
- …policies and procedures, explain Humana systems, etc. + Serves as primary relationship manager with LTSS , Skilled Nursing Facilities, HCBS providers and/or PH ... in Florida is seeking a Provider Engagement Professional to join the Florida Medicaid Market Team. In this role, you will develop and grow positive, long-term… more
- UPMC (Pittsburgh, PA)
- …HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports ( LTSS ) program serving seniors and individuals with physical disabilities ... as well as dual-eligible individuals covered by Medicare and Medicaid . As a Clinical Care Manager , you will be responsible for care coordination and health… more
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