- Molina Healthcare (Pasadena, TX)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... to those candidates with previous experience working with the LTSS population within a Managed Care Organization...regimens. * Care manager RNs may conduct medication reconciliation… more
- Molina Healthcare (Houston, TX)
- …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
- Molina Healthcare (Houston, TX)
- …work with our IDD members in the Houston service delivery area. Our Care Managers conduct face-to-face meetings with the members in their homes, completing ... candidates with previous experience working with the IDD population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our benefits package.… more
- Elevance Health (Houston, TX)
- ** LTSS Service Coordinator - RN** **Location:** The location for this position is the Dallas, Mesquite, Rockwall, and Houston, TX. **Field** : This field-based role ... an accommodation is granted as required by law._ 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
- Molina Healthcare (Houston, TX)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. or equivalent… more
- Molina Healthcare (Houston, TX)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. r equivalent… more
- Molina Healthcare (Houston, TX)
- … 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 (Houston, TX)
- …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