- 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
- CVS Health (Harrisburg, PA)
- …while integrating CVS assets to bring accessible healthcare to our members. The LTSS Director, Clinical Health Services (Director), will partner closely with the ... LTSS Executive Director, Market CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare and Medicaid Services, and State Agencies to build a… more
- Humana (Richmond, VA)
- …day-day operation for Long-Term Services and Supports and Aged, Blind or Disabled ( LTSS /ABD) clinical care management team. + Provides ongoing associate ... data sharing among internal and external resources to ensure service integration, continuity of care , challenges, risk,...the clinical tools and systems to support LTSS Care Management activities. **Use your skills… more
- Elevance Health (Lauderdale Lakes, FL)
- ** LTSS Service Coordinator** _Location:_ This is primarily a field based position. Candidate would work from home and meet face to face with patients and ... This position requires travel to worksite and other locations as necessary. The ** LTSS Service Coordinator** is responsible for conducting service … more
- Elevance Health (New Hyde Park, NY)
- ** LTSS Service Coordinator** _Location:_ This is a hybrid role. Candidate will work primarily remote and go into the office at one of our PulsePoint locations ... Iselin, or Morristown) at least once a week. The ** LTSS Service Coordinator** is responsible for conducting...tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not… more
- CVS Health (Richmond, VA)
- …the norm - getting involved in local communities and leading the way in health care . The LTSS Director, Clinical Health Services (Director), will partner ... with the LTSS Executive Director, Market CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare and Medicaid Services, and State Agencies to… more
- Elevance Health (Walnut Creek, CA)
- ** 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...appropriate. + Audits to determine whether members with potential clinical health care needs (including, but not… more
- Elevance Health (Memphis, TN)
- ** LTSS Service Coordinator - Clinician** **Location: Shelby, Tipton, and Fayette Counties** **This is a field position 4-5 days per week** **$750 Sign On Bonus** ... ** LTSS Service Coordinator - Clinician** this role...by applicable state law and contract, contributes to the LTSS care coordination process by performing activities… more
- Elevance Health (Overland Park, KS)
- …not limited to, potential for high-risk complications). + Engages the primary service coordinator and other clinical healthcare management and interdisciplinary ... must be located in the state of Kansas.** The ** LTSS CONCIERGE COORDINATOR** is responsible for supporting the ...to provide care coordination support. + Manages non- clinical needs of members with chronic illnesses, co-morbidities, and/or… 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 (Latham, NY)
- ** LTSS Service Coordinator - RN Telehealth** _Location:_ While this position is remote, candidate must reside in tri-state area (NY, NJ, or CT). The ** LTSS ... applicable state law and contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… more
- Elevance Health (Springfield, VA)
- …should reside in Loudon, Fairfax, or Prince William Counties VA. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of ... by applicable state law and contract, contributes to the LTSS care coordination process by performing activities...+ Identifies members for high risk complications. + Obtains clinical data. + Identifies members that would benefit from… more
- Molina Healthcare (Bronx, NY)
- …experience working with population who receive waiver services.** + **Managed Long-Term Care (MLTC) experience.** + ** LTSS experience** + **Home health ... assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...on the severity of illness and the site of service . **This position will support our Senior Whole Health… more
- Elevance Health (Olathe, KS)
- …patients, members or providers in **Kansas City/Olathe/Topeka and surrounding areas.** The ** LTSS SERVICE COORDINATOR - RN CLINICIAN** is responsible for overall ... applicable state law and contract; 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
- Molina Healthcare (Bronx, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...on the severity of illness and the site of service . **This position will support our Senior Whole Health… 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 (Honolulu, HI)
- …to enable quality, cost-effective healthcare outcomes. Performs assessments, develops personalized care plans/ service plans, and educates members, their families ... brain injury) + Develops, monitors and modifies ongoing long-term care plans/ service plans, to include skilled and/or...care management system; works to ensure compliance with clinical guidelines as well as current state and federal… 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
