- CVS Health (Harrisburg, PA)
- …partner closely with the LTSS Executive Director, Market CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare and Medicaid Services, ... health outcomes while integrating CVS assets to bring accessible healthcare to our members. The LTSS Director, Clinical Health Services (Director), will… more
- Centene Corporation (Austin, TX)
- …Crystal City, TX, Carrizo Springs, TX, Eagle Pass, TX, Del Rio, TX, or Uvalde, TX** ** Senior LTSS RN Case Manager - position provides flexibly to work from home ... cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and.../ needs + Monitors member status for complications and clinical symptoms or other status changes, including assessment needs… more
- CVS Health (Richmond, VA)
- …partner closely with the LTSS Executive Director, Market CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare and Medicaid Services, ... We're changing the norm - getting involved in local communities and leading the way in health care. The LTSS Director, Clinical Health Services (Director), will… more
- Molina Healthcare (Bronx, NY)
- …and cost-effective based on the severity of illness and the site of service . **This position will support our Senior Whole Health business.** **_Senior ... York LMSW or LCSW licensure. Experience with Long-term Services and Supports ( LTSS ) is highly preferred. Strong organizational and time management skills. The Case… more
- Centene Corporation (Austin, TX)
- …metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required + Leads long-term care management policies and ... external audits as required + Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care +… more
- Molina Healthcare (Bronx, NY)
- …and cost-effective based on the severity of illness and the site of service . **This position will support our Senior Whole Health business.** **_Senior ... New York RN licensure. Experience with** **Long-term Services and Supports (** ** LTSS ) is highly preferred. Strong organizational and time management skills. The… more
- State of Massachusetts (Boston, MA)
- …to the ADH/DH programs, and appropriately escalating issues to the Senior Manager/Director/DeputyDirector of Community Programs. * Respond to interagency inquiries ... Collaborate with the OLTSS External Affairs team to resolve program policy and service delivery issues and to respond to legislative and constituent requests and on… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Vice President, Internal Audit & Enterprise Risk Management (Remote) will lead the company's Internal Audit Program ... and performing objective analyses of strategic, financial, operational, governance/compliance, clinical , technological, internal controls, and risk management processes by… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director, Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk ... monitoring of delegated third parties including Medicare FDR; Duals/SNP; and Medicaid/ LTSS programs. + Coordinates and reviews work completed by Third-Party… more
- Greater Lynn Senior Services (Lynn, MA)
- …challenges *Employee referral bonuses of up to $1,000 Position Overview: The LTSS Program Clinical Care Nurse will complete program Comprehensive Assessments, ... starting year 1 and increasing with your years of service + 403b Retirement Savings Plan with an Agency...Intakes and Care Plans. In addition, the NRLP Clinical Care Nurse will provide oversight to enrollees' discharge… more
- Fairview Health Services (Edina, MN)
- …which include, but are not limited to: assessment, care planning, service coordination and referral, transition management, utilization management and quality ... Centers for Medicare & Medicaid Services (CMS) guidelines + Performs additional clinical assessments specific to the population being served per professional scope… more
- Fairview Health Services (Edina, MN)
- …which include, but are not limited to: assessment, care planning, service coordination and referral, transition management, utilization management and quality ... Centers for Medicare & Medicaid Services (CMS) guidelines + Performs additional clinical assessments specific to the population being served per professional scope… more