- Molina Healthcare (Waukesha, WI)
- …Facilitates comprehensive waiver enrollment and disenrollment processes. * Develops and implements care plans, including a waiver service plan in collaboration ... changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... below based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS … more
- Commonwealth Care Alliance (Boston, MA)
- …more years of Home Health Care experience + 2 or more years of LTSS experience + 2 or more years working in a Medicare Advantage health Plan **Required ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Commonwealth Care Alliance (Boston, MA)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Centene Corporation (Orlando, FL)
- …competitive benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Lake County, FL)** ... **Centene is seeking a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports ( LTSS ) team. This hybrid role covers… more
- Centene Corporation (Greenville, NC)
- …including a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina ... healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Topeka, KS)
- …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...North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Charlotte, NC)
- …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...North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Austin, 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...**Preferred Experience:** + Candidates with Social Worker or Case Manager experience and/or an educational background in Social Work,… more
- Centene Corporation (Austin, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. Job Description **RN Care Manager - work from home and do member visits 3 days ... to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates… more
- Centene Corporation (Austin, TX)
- …Evaluates member service needs and develops or contributes to development of care plans/ service plans, and educates members, their families and caregivers on ... resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services… more
- Centene Corporation (Orlando, FL)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Centene Corporation (Spring Hill, FL)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Centene Corporation (West Palm Beach, FL)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Centene Corporation (San Antonio, 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...coordination of service authorization to members and care managers for various services based on service… more
- Centene Corporation (Austin, 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...coordination of service authorization to members and care managers for various services based on service… 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...coordination of service authorization to members and care managers for various services based on service… more
- Elevance Health (Darlington, WI)
- **Title** : Manager II GBD Special Programs - LTSS Care / Service Coordination **Location: We are currently seeking people in the following counties:** ... an accommodation is granted as required by law. The ** Manager II GBD Special Programs** will be responsible for...services for Wisconsin Family Care , a long-term service and supports ( LTSS ) program. **How you… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... below based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS … more
