- Humana (Nashville, TN)
- …community and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead a team of ... support compliance with contractual requirements and industry best practices. The Manager , Care Management ( LTSS -ABD) works within specific guidelines… more
- Elevance Health (Spring Hill, TN)
- …and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal ... for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS /IDD), and… more
- Elevance Health (Nashville, TN)
- …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** **Location: Nashville-Davidson County**...or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Elevance Health (Nashville, TN)
- ** LTSS Service Coordinator - Auditor (Remote)** **Location:** While remote, candidates will ideally be located within 50 miles of one of our Elevance Health ... PulsePoints. The ** LTSS Service Coordinator-Auditor** is responsible for auditing member individual...Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for… more
- Elevance Health (Nashville, TN)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... ** LTSS Service Coordinator - RN Clinician** **Location: Nashville-Davidson...Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure;… more
- CAI (Nashville, TN)
- …career move, apply now. **Job Description** We are looking for a RN Case Manager to provide community-based care coordination/ management for our client's ... Summary** We are looking for a motivated RN Case Manager ready to take us to the next level!...Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care… more
- Public Consulting Group (Nashville, TN)
- … facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... regulations and requirements for community long-term services and supports ( LTSS ) programs, including home and community-based services (HCBS) waivers, Program… more