- Centene Corporation (Austin, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... benefits including a fresh perspective on workplace flexibility. **Travel LTSS RN Case Manager - seeking RNs in the...services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of… more
- Molina Healthcare (TX)
- …Care Team meetings. * Actively participates in the recruitment and hiring of LTSS Supervisors and Service / Care Coordinators with appropriate skills and ... experience. *25% local travel required.. **Job Qualifications** ** Must have LTSS service delivery experience **Required Education** Bachelor's Degree in Public… more
- Molina Healthcare (Newark, NJ)
- …and cost-effective based on the severity of illness and the site of service . **This position will support our Senior Whole Health business.** **_Senior ... experience working with population who receive waiver services.** + **Managed Long-Term Care (MLTC) experience.** + ** LTSS experience** + **Home health… more
- Molina Healthcare (Farmington, NM)
- …EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years customer service , provider service , or claims experience in a managed care setting. * 5+ years ... state of New Mexico. Preference of strong experience within LTSS or Behavioral Health **Job Summary** Molina Health Plan...and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary… more
- Centene Corporation (Dallas, TX)
- …Committee for Quality Assurance (NCQA) standards, as required + Works with long-term care management senior management to provide updates and insights on ... between care management team, members, and providers + Assists long-term care management senior leadership with onboarding, hiring, and training long-term … more
- Opportunity Builders (Millersville, MD)
- …using a client management system; I Care Manager preferred. + Experience in LTSS and a knowledge of the DDA service definitions preferred. + Valid Driver's ... The senior coordinator, person-centered services will provide case management...service and attendance logs. + Review PCPs on LTSS for accuracy and provide feedback to CCS and/or… more
- CVS Health (Columbus, OH)
- …Support all Clinical Quality initiatives and peer review processes including Quality of Care and Quality of Service (grievance) issues. * Actively participate in ... * Be able to effectively communicate these finding to Senior Management and staff at all levels. * Develop...* Three 3+ years of experience in the managed care industry. * One 1+ year LTSS /MLTSS… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Vice President, Internal Audit & Enterprise Risk Management (Remote) will lead the company's Internal Audit Program ... and reporting, enterprise risk scorecards and dashboards, ERM Office senior leadership and Board/Audit Committee materials and reports, ORSA...Required Education: + Bachelor's degree in a business, health care or related area of study + CPA and/or… more
- Fairview Health Services (Edina, MN)
- …long-term services and supports, Medicare and Medicaid benefits and senior care industry **License/Certification/Registration** Minnesota Board of Nursing ... programs, long-term services and supports, Medicare and Medicaid benefits and senior care industry **License/Certification/Registration** + Minnesota Board of… more
- Fairview Health Services (Edina, MN)
- …care programs, long-term services and supports, Medicare and Medicaid benefits and senior care industry. Experience with the State of Minnesota MnChoices ... of case management which include, but are not limited to: assessment, care planning, service coordination and referral, transition management, utilization… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care ... communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to...physical health benefits and long term services and supports ( LTSS ). The Market President is a proactive, strategic, and… more
- Greater Lynn Senior Services (Lynn, MA)
- …challenges *Employee referral bonuses of up to $1,000 Position Overview: The LTSS Program Clinical Care Nurse will complete program Comprehensive Assessments, ... Flexible Spending Accounts (FSA) - Healthcare reimbursement & dependent care assistance + 12 paid holidays each year +...starting year 1 and increasing with your years of service + 403b Retirement Savings Plan with an Agency… more
- Humana (Indianapolis, IN)
- …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 ... any trended claims issues stemming from internal systems issues to the Senior Claims Research & Resolution Professional and assist in development of solutions… more