- Centene Corporation (Dallas, TX)
- …will be required to travel within the region. **Position Purpose:** Manages the care management team that serves long-term care members with physical/medical ... develop and assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees and… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Opportunity for TX licensed RN residing in Dallas County to join our LTSS Team as a Case Manager working with our Medicaid members. Part of ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Elevance Health (Grand Prairie, TX)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs of members with chronic… more
- Elevance Health (Grand Prairie, TX)
- …service plans are appropriate. + Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for ... ** LTSS Service Coordinator - Auditor** **Location:** While remote,...law and contract. The audit process does not involve clinical judgment. **How you will make an impact:** +… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Opportunity for experienced, non-RN Case Manager to join our LTSS Team working with our Medicaid members in the Dallas County service ... 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
- Elevance Health (Grand Prairie, TX)
- …law and contract. **Minimum Requirements:** + Requires an RN and minimum of 5 years clinical care experience and minimum of 5 years of experience in working with ... reside in Lubbock, or WRSA service delivery area. The ** LTSS Service Coordinator - RN Lead Clinician (US)** is...make an impact:** + Performs quality audits to ensure care plans designed optimize member's physical, behavioral, and social… more
- Elevance Health (Dallas, TX)
- …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 ... field position and the candidate should reside in Dallas, TX area. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN,… more
- Centene Corporation (Dallas, TX)
- …support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical… more
- Centene Corporation (Irving, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... home visits** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Elevance Health (Dallas, TX)
- …with the goal of optimizing member health care across the care continuum. Responsible for performing face-to-face clinical assessments for the ... and the candidate should reside in Dallas, TX. The ** LTSS Service Coordinator RN Clinician** is responsible for overall...+ Identifies members for high risk complications and coordinates care in conjunction with the member and the health… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Opportunity for a TX licensed RN to work as a Case Manager with our IDD members in the Dallas service delivery area. Previous experience with ... 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