- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with ... efforts. Through reporting, data analysis, and partnership management, the LTSS Program Manager ensures that providers meet contractual, regulatory,… more
- Elevance Health (Fort Lauderdale, FL)
- ** LTSS Service Coordinator** **Location** _:_ This is primarily a field based position. Candidate would need to reside in one of the following counties: **Broward ... as required by law._ **Schedule** _:_ Monday-Friday 8am-5pm EST The ** LTSS Service Coordinator** is responsible for conducting service coordination functions for… more
- Molina Healthcare (Evansdale, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team Black Hawk County, IA service delivery area. Applicants need to reside within ... discharged from your service. Experience working as a Care Manager in either another MCO, working with IHH or...including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity… more
- Elevance Health (Neillsville, WI)
- ** LTSS Service Coordinator (Case Manager )** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, ... organization in western/southwestern Wisconsin and Milwaukee County to offer the Family Care Program . Family Care is a Wisconsin long-term care program for older… more
- Humana (Springfield, IL)
- …first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals ( LTSS ) who are responsible for day-to-day, front-line relationship management for ... with physicians, providers and healthcare systems. The Provider Engagement Professional ( LTSS ) roles and responsibilities include: + Serve as primary relationship … more
- CVS Health (Harrisburg, PA)
- …initiation through execution. The ideal candidate will have negotiation skills, basic contract knowledge, and the ability to manage multiple priorities in a ... pre- and post-signature review, language modifications, when appropriate, submission of contract packet to appropriate departments, follow through to completion and… more
- Centene Corporation (Austin, TX)
- …+ Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LPC, or RN with Behavioral Health experience ... providing patient advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN, or Social Worker in community mental health, in-patient or… more
- Centene Corporation (Austin, TX)
- …**License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LMHC, LPC and RN with BH experience ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- Centene Corporation (San Antonio, TX)
- …+ REQUIRED: Licensed Behavioral Health Professional or RN based on state contract requirements (eg, LCSW, LMFT, LPC or RN with BH experience) **Preferred ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- Centene Corporation (Mcallen, TX)
- …**License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC and RN with BH experience ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- Molina Healthcare (Reno, NV)
- …management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. Ensures members reach desired outcomes ... care, health management, behavioral health, long-term services and supports ( LTSS ), and/or member assessment. * Facilitates integrated, proactive healthcare services… more
- Elevance Health (Cincinnati, OH)
- ** Program Manager Long Term Care -...and conducts routine audits of key performance indicators and contract adherence. + Serve as the liaison between the ... an accommodation is granted as required by law._ The ** Program Manager Long Term Care - Self-Direction...client facing projects or initiatives. + Collaborate with the LTSS COE as part of the larger enterprise/regional external… more
- Elevance Health (Topeka, KS)
- …Director** drives the strategic and operational performance of Healthy Blue's LTSS program , ensuring alignment and excellence across Care Coordination, ... **Long-Term Services & Supports Strategy & Program Development Director** Location: Kansas. This role requires...will be responsible for strengthening the Healthy Blue KS LTSS team's growth and compliance through strategic partnerships, both… more
- Elevance Health (Murphy, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Manager I Care Management ( Manager I GBD Special Programs) is responsible ... factors. + Participates in cross-functional workgroups created to maintain and develop program . + Evaluates current processes of Special Program 's support… more
- Molina Healthcare (Albany, NY)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/care coordination...be supporting our New York HARP Adult Behavioral Health program . We are seeking candidates with a New York… more
- Molina Healthcare (NY)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/care coordination activities...position will be supporting our Behavioral Health Care Management program . The ideal candidate will bring expertise in behavioral… more
- Molina Healthcare (Bellingham, WA)
- …verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The BH Care Manager provides support for care management/care coordination activities and collaborates with multidisciplinary team… more
- Molina Healthcare (Yakima, WA)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The BH Care Manager Provides support for care management/care coordination activities and collaborates with multidisciplinary team… more
- Molina Healthcare (Salt Lake City, UT)
- …verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications * Certified Case Manager ... Licensed Social Worker Case Manager residing in the state of UT, will...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Molina Healthcare (Jacksonville, FL)
- …of services for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity of care. * ... * Clinical licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. * Valid and unrestricted… more