- Molina Healthcare (Yonkers, NY)
- …changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and ... of experience working with persons with disabilities/chronic conditions long-term services and supports ( LTSS ), and 1 year of experience in care management, or… more
- Elevance Health (Hackensack, NJ)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location:** The location...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
- Elevance Health (New York, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables associates ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is responsible for...contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (RN) provides support for care management/ care coordination activities and collaborates with ... concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/ care coordination activities and collaborates with ... to overarching strategy to provide quality and cost-effective member care . The Care Manager will...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/ care coordination activities and collaborates with ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral health care … more
- CVS Health (Northvale, NJ)
- …in **case management** or **discharge planning** . + Background in **managed care ** , **Medicaid/Medicare** , or ** LTSS ** . **Education** + **Associate ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...day. **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in… more
- Molina Healthcare (Yonkers, NY)
- … care transitions, behavioral health, long-term services and supports ( LTSS ), and other clinical programs. Leads team responsible for assessing, facilitating, ... management, care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. * At… more
- Molina Healthcare (Yonkers, NY)
- …and supports ( LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) ... Contributes to overarching strategy to provide quality and cost-effective member care . **Job Duties** + Facilitates clinical/medical reviews of retrospective medical… more