- Centene Corporation (Topeka, KS)
- …on oversite of a team supporting the Waiver population.** **Position Purpose:** Manages the care management team that serves long-term care members to ... develop and assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees… 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 the field - mileage reimbursed. (hospitals, clinics, members' homes.) ** Manager I, GBD Special Programs LTSS is** responsible for supporting the development,… more
- Elevance Health (Overland Park, KS)
- ** Manager I GBD Special Programs - LTSS...State of Kansas is strongly preferred. + Case and Care Management experience is strongly preferred. + ... workplace model with PulsePoint sites used for collaboration, community, and connection. The ** Manager I GBD Special Programs - LTSS ** is responsible for… more
- Centene Corporation (Raleigh, NC)
- …Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with ... Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with… more
- Elevance Health (Kansas City, KS)
- …and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal ... for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS /IDD), and… more
- Centene Corporation (Austin, TX)
- …you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ** LTSS Service Care Manager - LPC, LCSW, or Psych RN** ... On Call, NO Holidays)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards… more
- Centene Corporation (Dallas, TX)
- …have access to competitive benefits including a fresh perspective on workplace flexibility. ** LTSS Care Manager RN travels throughout Dallas counties: Ellis, ... assessments and coordinate care for members.** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and… more
- Molina Healthcare (Newark, NJ)
- …Services and Supports ( LTSS ) is highly preferred. Strong organizational and time management skills. The Case Manager must have the ability and be comfortable ... Long-Term Services & Supports. + 1-3 years in case management , disease management , managed care ...with population who receive waiver services.** + **Managed Long-Term Care (MLTC) experience.** + ** LTSS experience** +… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Opportunity for TX licensed RN residing in Dallas County to join our LTSS Team as a Case Manager working with our Medicaid members. Part of ... Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our...Term Services & Supports. + 1-3 years in case management , disease management , managed care … more
- Elevance Health (KS)
- …and throughout the Member's life span. This position should report to the Care Coordination director/ manager and is responsible for working across internal ... to align with contractual requirements for member outreach, such as coordination and management of an individual's waiver (such as LTSS /IDD), behavioral health… more
- Elevance Health (Woodbridge, NJ)
- …and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal ... for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS /IDD), and… more
- Molina Healthcare (Bronx, NY)
- …Services and Supports ( LTSS ) is highly preferred. Strong organizational and time management skills. The Case Manager must have the ability to work in ... Term Services & Supports. + 1-3 years in case management , disease management , managed care ...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Molina Healthcare (Houston, TX)
- …we will also consider RNs who reside in east Houston. Previous experience working with LTSS population at a managed care organization is highly preferred, but we ... a TX licensed RN to work as a Case Manager with our Medicaid members in a service delivery...Term Services & Supports. + 1-3 years in case management , disease management , managed care … more
- Molina Healthcare (Fort Worth, TX)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... service delivery area to work as a Field Case Manager with our Medicaid members there. The schedule is...health settings. **PREFERRED EXPERIENCE:** + 3-5 years in case management , disease management , managed care … more
- Elevance Health (Kingsport, TN)
- …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 ... ** LTSS Service Coordinator - Clinician** **Location: Rogersville, Church...or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Elevance Health (Wichita, 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
- Commonwealth Care Alliance (Boston, MA)
- …+ CCM (Certified Case Manager ) preferred + 1 to 2 years Utilization Management experience required. + 2 or more years working in a clinical setting required. + ... **Why This Role is Important to Us:** Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of… more
- Elevance Health (Murfreesboro, TN)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... ** LTSS Service Coordinator - RN Clinician** **Location: Rutherford...Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure;… more
- Elevance Health (FL)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... ** LTSS Service Coordinator - RN Telehealth** _Location:_ While...Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure;… more
- Elevance Health (Springfield, VA)
- …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 ... should reside in Loudon, Fairfax, or Prince William Counties VA. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN,… more