- Humana (Washington, DC)
- …Supports ( LTSS ) Waiver Services, in hospice and/or in nursing facilities. They will lead LTSS -ABD care management operations and staff to ensure timely ... Humana Healthy Horizons in Virginia is seeking a Manager, Care Management ( LTSS -ABD) who will lead...department/market. + Monitors and maintain staffing levels to meet care and service quality objectives. + Makes… more
- Elevance Health (Newton, IA)
- ** LTSS Service Coordinator** _Location:_ This is a field based position. Candidate would need to meet face to face with patients in and around Jasper/Poweshiek ... Counties, IA The ** LTSS Service ...plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated… 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 ... (Lake Success, Manhattan, Iselin, or Morristown) at least once a week. The ** LTSS Service Coordinator** is responsible for conducting service coordination… more
- Elevance Health (KS)
- …and federal requirements. Develops, monitors, and assesses changes during any transitions of care into the Service Coordination forms and tools, such as the ... **Location: Must be located in Kansas** The ** LTSS Transition Concierge Coordinator** is responsible for supporting the LTSS Coordinator (or contracted provider)… more
- Elevance Health (Memphis, TN)
- ** LTSS Service Coordinator - Clinician** **Location: Shelby, Tipton, and Fayette Countie** **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 (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...Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for… more
- Elevance Health (KS)
- **Manager II GBD Special Programs - LTSS (Southwest Kansas)** **Sign-On Bonus Eligible** **Location: Southwest Kansas** Our ideal candidate will live within a county ... not required. The **Manager II GBD Special Programs - LTSS ** is responsible for managing and overseeing a team...team responsible for coordination of Healthy Blue's comprehensive health care program in which Kansas long-term services and supports… more
- Elevance Health (KS)
- **Manager I GBD Special Programs - LTSS ** **Location:** Based in the State of Kansas, with our PulsePoint Office located at 1010 SW Tyler St, Topeka, KS 66612. ... and connection. The **Manager I GBD Special Programs - LTSS ** is responsible for managing and overseeing a team...team responsible for coordination of Healthy Blue's comprehensive health care program in which Kansas long-term services and supports… more
- Elevance Health (Murfreesboro, TN)
- ** LTSS Service Coordinator - RN Clinician** **Location: Rutherford County** **SIgn-on Bonus:$2500** **This is a field position 4-5 days per week** The ** ... LTSS Service Coordinator - RN Clinician** is...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… 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 ... contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the...also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of… more
- Elevance Health (Goshen, IN)
- **Manager I, GBD Special Programs LTSS (RN/LCSW)** **Location: This position is an Indiana field-based position.** This role requires face to face interactions in ... (hospitals, clinics, members' homes.) **Manager I, GBD Special Programs LTSS is** responsible for supporting the development, implementation, and coordination… more
- Elevance Health (Norfolk, VA)
- …candidate should reside in Virginia Beach, Chesapeake, or Norfolk, VA. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of ... member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of… more
- Elevance Health (Greensburg, IN)
- **Manager II GBD Special Programs, LTSS ** **Location:** **This position is an Indiana field-based position.** This role requires face to face interactions in the ... (hospitals, clinics, members' homes.) The **Manager II GBD Special Programs, LTSS ** is responsible for supporting the development, implementation, and coordination… more
- Elevance Health (Topeka, KS)
- **Network Relations Consultant, LTSS Provider Representative** **Location:** Kansas. This position will work a hybrid model (remote and office). The ideal candidate ... Kansas Elevance Health PulsePoint locations. The **Network Relations Consultant, LTSS Provider Representative** develops and maintains positive provider relationships… 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 ... field may be required **Preferred Qualifications:** + Experience in managed care , preferred + Facilitating training experience, preferred + Training creation… more
- Family Service Association - Fall River (Mashpee, MA)
- …fit! About the Program: Clinical Care Manager in our Long Term Support Service Community Program ( LTSS CP). The Clinical Care Manager (CCM) serves ... looking for a caring, supportive Clinical Supervisor for our LTSS Community Partners program! Lead an interdisciplinary...as the supervisor of the LTSS CP Supports Care Coordination team. The… more
- Humana (Columbus, OH)
- …leading integrated LTSS programs such as the Program of All-inclusive Care for the Elderly (PACE), Fully Integrated Dual Eligible Special Needs Plan(FIDE-SNP). + ... Strategy Advancement Principal for Long Term Supports and Services ( LTSS ). The Strategy Advancement, Principal accelerates ideation and development...serve to achieve their best health - delivering the care and service they need, when they… more
- State of Massachusetts (Boston, MA)
- …Coordinate the oversight of AFC/GAFC provider accreditation and fiscal soundness requirements in LTSS internal and provider systems. Lead key components of the ... range of LTSS stakeholders and partners. Knowledge of the Massachusetts health care industry and market dynamics related to LTSS . Knowledge and experience in… more
- Humana (Columbus, OH)
- …for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to ... and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead initiatives developing and… more
- Commonwealth Care Alliance (Boston, MA)
- …The Senior Vice President, Internal Audit & Enterprise Risk Management (Remote) will lead the company's Internal Audit Program and activities as well as the ... reliability of financial reporting and controls. + Build and lead Enterprise Risk Management (ERM) Office, Program, activities, and...Required Education: + Bachelor's degree in a business, health care or related area of study + CPA and/or… more