• LTSS Provider Education

    Humana (Indianapolis, IN)
    …health first** Humana Healthy Horizons in Indiana is seeking a LTSS Provider Education & Outreach Representative ( Provider Engagement Professional ... (HCBS) providers based in Indiana. The LTSS Provider Education & Outreach Representative...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
    Humana (11/09/24)
    - Save Job - Related Jobs - Block Source
  • LTSS Concierge Coordinator - Kansas

    Elevance Health (Overland Park, KS)
    …Kansas.** The ** LTSS CONCIERGE COORDINATOR** is responsible for supporting the LTSS Coordinator (or contracted provider ) in completing components of the ... an impact:** + Responsible for performing telephonic and/or virtual outreach to individuals in specialized programs, providers, or other...with a social work agency; or any combination of education and experience which would provide an… more
    Elevance Health (09/11/24)
    - Save Job - Related Jobs - Block Source
  • Manager, LTSS Clinical Care Management

    Centene Corporation (Dallas, TX)
    …health needs + May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources + Ensures proper ... + Works with long-term care management senior management to provide updates and insights on care management team goals...to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care +… more
    Centene Corporation (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Provider Education & Outreach

    Humana (Indianapolis, IN)
    …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Provider Education & Outreach Representative who is responsible for the ... provider inquiries, and resolving issues or complaints. The Provider Education & Outreach Representative...working with providers (eg, provider relations, claims education ). + Experience working with LTSS and… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Outreach Care Coordinator - Float

    Family Service Association - Fall River (Fall River, MA)
    …River, New Bedford, Mashpee and Brockton. The Long Term Services and Supports ( LTSS ) Community Partners (CP) Outreach Care Coordinator is responsible for making ... provide ongoing monitoring of the implementation of the LTSS Care Plan; to monitor for changes in status...+ Maintain all documentation required for the delivery of LTSS Community Partners services. Education and Experience:… more
    Family Service Association - Fall River (10/10/24)
    - Save Job - Related Jobs - Block Source
  • Bilingual Outreach Representative

    Highmark Health (Harrisburg, PA)
    …for serving as a liaison between the member, the Health Plan, and the provider for Highmark. The position conducts telephonic support to assess member needs, ... provide appointment scheduling assistance, and educating members of their...members to accomplish business and member needs + Initiate outreach efforts, primarily by telephone, related to targeted preventive… more
    Highmark Health (11/08/24)
    - Save Job - Related Jobs - Block Source
  • Social Worker

    Beth Israel Lahey Health (Wakefield, MA)
    …and revisits, and reducing total cost of care over time. BILHPN-ACO will provide services in collaboration with contracted Managed Care Organizations as well as ... with the patient, which may include linking the patient with systems that provide him or her with needed services, resources, and opportunities. Utilizing medical… more
    Beth Israel Lahey Health (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Claims Research & Resolution Professional

    Humana (Indianapolis, IN)
    …to ensure the issues causing the denials are resolved. + Partners with Provider Education & Outreach Representatives to ensure prompt resolution ... Resolution Professional roles and responsibilities include: + Routinely tracks and trends provider claims denials and rework to determine root cause. + Conducts… more
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • CEO, Aetna Better Health of Louisiana

    CVS Health (Kenner, LA)
    …plan management is essential: Compliance and Regulatory Oversight, Member Experience, Provider Engagement Strategy, Member Advocacy/ Outreach / Retention, Quality ... the Louisiana department of health and/or health system leadership and key provider group leadership. ** Education ** Bachelor's degree required; Master's degree… more
    CVS Health (11/12/24)
    - Save Job - Related Jobs - Block Source