- 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 within ... to determine the types of services we need to provide and managing their care until they are discharged...discharged from your service. Experience working as a Care Manager in either another MCO, working with IHH or… more
- Elevance Health (KS)
- **RN Case Manager ( LTSS Service Coordinator- RN Clinician)** Location: Seeking candidates to reside in Linn, Coffey, or Anderson County in in Kansas. **_Please ... responsiveness to client needs, and direct, hands-on engagement. The **RN Case Manager ** is responsible for overall management of member's case within the scope… more
- Elevance Health (Darlington, WI)
- **Title** : Manager II GBD Special Programs - LTSS Care/Service Coordination **Location: We are currently seeking people in the following counties:** Durand, ... an accommodation is granted as required by law. The ** Manager II GBD Special Programs** will be responsible for...for Wisconsin Family Care, a long-term service and supports ( LTSS ) program. **How you will make an impact:** +… 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 ... regulator, plan leadership, and the enterprise to ensure the execution of contract deliverables and operational changes when requested by regulator or deemed… more
- Elevance Health (Plainfield, IN)
- ** LTSS Service Coordinator (Case Manager )** **Location:** Seeking candidates to work in Daviess, Indiana. **_Please note that per our policy on hybrid/virtual ... responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator (Case Manager )** is responsible... needs, as required by applicable state law and contract , and federal requirements. **How you will make an… more
- Centene Corporation (Austin, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LPC, or RN with Behavioral...advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN, or Social Worker in community mental… more
- Centene Corporation (Austin, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LMHC, LPC and RN with BH experience… more
- Centene Corporation (San Antonio, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... + REQUIRED: Licensed Behavioral Health Professional or RN based on state contract requirements (eg, LCSW, LMFT, LPC or RN with BH experience) **Preferred… more
- Centene Corporation (Mcallen, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC and RN with BH experience… 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, ... independent living, employment, and contributing to their communities. The ** LTSS Service Coordinator** is responsible for conducting service coordination functions… more
- Humana (Springfield, IL)
- …and help us put health first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals ( LTSS ) who are responsible for day-to-day, front-line ... long-term relationships with physicians, providers and healthcare systems. The Provider Engagement Professional ( LTSS ) roles and responsibilities include:… more
- Elevance Health (Carroll, IA)
- …and comprehensive service to the company's provider community. + Provide assistance regarding education, contract questions and non-routine claim issues. ... ** LTSS Network Relations Consultant, West Iowa** **Location:** Carroll,...Network Relations Consultant, West Iowa** develops and maintains positive provider relationships with provider community by regular… 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 (Indianapolis, IN)
- …responsibility for the member's case, as required by applicable state law and contract , contributes to the LTSS care coordination process by performing ... ** LTSS Service Coordinator-Clinician** **Schedule:** Monday-Friday 8am-5pm EST **Location**...or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted LSW, LCSW,… more
- Elevance Health (Trenton, NJ)
- …responsibility for the member's case. As required by applicable state law and contract , the Clinician contributes to the LTSS care coordination process by ... ** LTSS Service Coordinator - Clinician** **Location:** The location...or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted LPN/LVN, LSW,… more
- Elevance Health (Middletown, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables associates ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is responsible for...member's case in accordance with applicable state law and contract ; develops , monitors, evaluates, and revises the member's… more
- Molina Healthcare (Reno, NV)
- …management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. Ensures members reach desired outcomes ... of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Responsible for… more
- Commonwealth Care Alliance (Boston, MA)
- …and utilization management systems and workflows. * Experience managing delegated provider contracts and oversight programs. * Project management skills ... 011230 CA- Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the… more
- Elevance Health (Topeka, KS)
- …collaborative partnership. + Acts as the subject matter expert regarding the LTSS /Child Welfare market specific clinical, operational and provider expectations. ... Director** drives the strategic and operational performance of Healthy Blue's LTSS program, ensuring alignment and excellence across Care Coordination, Provider… more
- Elevance Health (Mason, OH)
- **Program Manager Long Term Care - Self-Direction Program - OH** **_Location:_** _ This role requires associates to be in-office_ **_1 - 2 days per week_** _, ... employment, unless an accommodation is granted as required by law._ The **Program Manager Long Term Care - Self-Direction Program - OH** is responsible for initial… more