- Centene Corporation (Dallas, TX)
- …will be required to travel within the region. **Position Purpose:** Manages the care management team that serves long-term care members with physical/medical ... develop and assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees and… more
- Elevance Health (Jacksonville, FL)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... $5,000 Sign On Bonus ** LTSS Service Coordinator** _Location:_ This is primarily a...healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs… more
- Centene Corporation (Austin, TX)
- …have access to competitive benefits including a fresh perspective on workplace flexibility. **Travel LTSS RN Case Manager - seeking RNs in the following areas ... support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap… more
- Molina Healthcare (The Woodlands, TX)
- …residing in the service delivery area of Conroe, Magnolia, and The Woodlands to join our LTSS Team as a Case Manager working with our Medicaid members. Part of ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Molina Healthcare (Newark, NJ)
- …experience working with population who receive waiver services.** + **Managed Long-Term Care (MLTC) experience.** + ** LTSS experience** + **Home health ... team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Hidalgo, TX)
- …RN residing in the service delivery area of Hildago and Brownsville, TX, to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… 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 ... clinical healthcare management and interdisciplinary teams to provide transitions of care coordination support. + Manages non- clinical needs of members with… more
- Elevance Health (Woodbridge, NJ)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... ** LTSS Service Coordinator** _Location:_ This is a hybrid...healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs… more
- Elevance Health (FL)
- …service plans are appropriate. + Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for ... ** LTSS Service Coordinator - Auditor** **Location:** While remote,...law and contract. The audit process does not involve clinical judgment. **How you will make an impact:** +… more
- Elevance Health (Cookeville, 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: Cannon, Coffee,...in identifying members for high risk complications. + Obtains clinical data as directed by the responsible RN. +… more
- Elevance Health (Tampa, FL)
- …+ Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... ** LTSS Service Coordinator Lead** _Location:_ This is a...care coordination support. The process does not involve clinical judgment. + Manages non- clinical needs of… more
- Elevance Health (Grand Prairie, TX)
- …law and contract. **Minimum Requirements:** + Requires an RN and minimum of 5 years clinical care experience and minimum of 5 years of experience in working with ... reside in Lubbock, or WRSA service delivery area. The ** LTSS Service Coordinator - RN Lead Clinician (US)** is...make an impact:** + Performs quality audits to ensure care plans designed optimize member's physical, behavioral, and social… more
- Elevance Health (Houston, TX)
- …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 ... a field position and the candidate should reside in Houston, TX. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN, with… more
- Elevance Health (Knoxville, TN)
- ** LTSS Service Coordinator - RN Clinician** **Location: Knoxville and Oak Ridge, TN** **Sign-on Bonus:$2500** **This is a field position 4-5 days per week** The ** ... LTSS Service Coordinator - RN Clinician** is responsible for...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Elevance Health (NJ)
- ** LTSS Service Coordinator - RN** _Location:_ This is a field based position. Candidate would work remotely and travel 2 - 3 times a week to visit members in ... Passaic/ Bergen counties. The ** LTSS Service Coordinator-RN** is responsible for overall management of...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Centene Corporation (Austin, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... a fresh perspective on workplace flexibility. **LPC, LCSW, or Psych RN Case Manager . Must reside in Texas** **Positions available in Midland, TX, Odessa, TX,… more
- Centene Corporation (Honolulu, HI)
- …in the electronic care management system; works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... on workplace flexibility. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the… more
- Centene Corporation (Topeka, KS)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... Arizona, Superior, and Sunflower only.** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Molina Healthcare (Waukegan, IL)
- **This Case Manager role will cover home visits in LAKE COUNTY, ILLINOIS.** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Henderson, TX)
- **JOB DESCRIPTION** **Case Manager needed in the Canton, TX service area. Applicants must reside in this community or surrounding communities and hold a TX RN ... complete assessments with the members face-to-face in their homes. Applicants with Case Manager experience with another MCO like Molina are preferred, but we will… more