- Axelon Services Corporation (Mcallen, TX)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... plan for the best outcome Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community… more
- Elevance Health (Grand Prairie, TX)
- ** LTSS Service Coordinator** **Location:** While remote, candidate will ideally be located within 50 miles of one of our Elevance Health PulsePoints. The LTSS ... appropriate. + Audits to determine whether members with potential clinical health care needs (including, but not...work agency ton include a minimum of 2 years LTSS service coordinator experience; or any combination… more
- Centene Corporation (Austin, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... their families/caregivers on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex… more
- Elevance Health (Corpus Christi, TX)
- …spend 3-5 days per week in-person with patients, members or providers The ** LTSS Service Coordinator- RN** is responsible for overall management of member's ... Texas Medicaid STAR+ PLUS program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… more
- Molina Healthcare (Fort Worth, TX)
- …DESCRIPTION** **Opportunity open to TX LBSW, LMSW or LVN in the West Forth Worth service delivery area to work as a Field Case Manager with our Medicaid members ... Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our...is reimbursed as part of our benefits package.** **The service area includes the following zip codes (and preference… more
- Molina Healthcare (El Paso, TX)
- **JOB DESCRIPTION** **Opportunity open to TX RNs in the El Paso, TX service delivery area to work as a Field Case Manager with our Medicaid members there. The ... Preference will be given to those RNs with previous LTSS experience, be we will also consider RNs who...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term… more
- Elevance Health (Grand Prairie, TX)
- …**Hybrid (1-2 days per week onsite)** **Position Overview:** The **Training Specialist, LTSS Service Coordination** is responsible for facilitating a variety of ... that may include, but are not limited to general associate, management, clinical , technical and operations training. Training often focuses on more abstract, less… more
- Centene Corporation (Irving, TX)
- …Evaluates member service needs and develops or contributes to development of care plans/ service plans, and educates members, their families and caregivers on ... include medical, behavioral and social services. Provides coordination of service authorization to members and care managers...care management system. Works to ensure compliance with clinical guidelines as well as current state and federal… more
- Centene Corporation (Mcallen, TX)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify...this roles to meet IN-PESRON with members in assigned service delivery area(s) + Strong clinical documentation… more
- Centene Corporation (Mcallen, TX)
- …Evaluates member service needs and develops or contributes to development of care plans/ service plans, and educates members, their families and caregivers on ... include medical, behavioral and social services. Provides coordination of service authorization to members and care managers...care management system. Works to ensure compliance with clinical guidelines as well as current state and federal… more
- Molina Healthcare (Richmond, TX)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Humana (Austin, TX)
- …**,** 5+ years of experience in strategy consulting supporting Medicaid managed care clinical strategy and population health management strategy. + 5+ ... + 5+ years of experience in a Medicaid Managed Care Organization (MCO) focusing on Medicaid clinical ...serve to achieve their best health - delivering the care and service they need, when they… more
- Elevance Health (TX)
- **Training Specialist,** ** LTSS Service Coordination Content Creator** **Location** : Virginia. This is a hybrid role with 1 - 2 days per week required ... locally to worksite and other locations as necessary. The **Training Specialist, LTSS Service Coordination Content Creator** is responsible for facilitating a… more
- Molina Healthcare (Bedford, TX)
- …cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Provide non- clinical operational support for Waiver ... 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
