- CVS Health (Newark, NJ)
- …care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. ... Clinical Case Manager Bh At CVS Health, we are building...and programs are comprised of utilization management, quality management, network management, clinical coverage, and policies. The position requires… more
- CVS Health (Newark, NJ)
- …care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. ... Case Manager Opportunity At CVS Health, we're building a...and programs are comprised of utilization management, quality management, network management, clinical coverage, and policies. The position requires… more
- Elevance Health (Mason, OH)
- ** LTSS Service Coordinator (Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily operate in the ... behavioral health, long term services and supports, and psychosocial needs. The ** LTSS Service Coordinator** is responsible for managing service coordination for a… more
- Molina Healthcare (Weslaco, TX)
- …worker residing in the service delivery area of Weslaco and Donna, TX, to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the ... for determining the types of services we need to provide . Preference will be given to those candidates with...Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our… more
- Molina Healthcare (West Des Moines, IA)
- **JOB DESCRIPTION** Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face ... to determine the types of services we need to provide and managing their care until they are discharged...The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina… more
- Molina Healthcare (Arlington, TX)
- …DESCRIPTION** Opportunity for Texas licensed RN to join Molina as a Case Manager working with our Medicaid members in the Arlington (Tarrant County), TX service ... for determining the types of services we need to provide . Preference will be given to those candidates with...to those candidates with previous experience working with the LTSS population. Mileage is reimbursed as part of our… more
- Molina Healthcare (Houston, TX)
- …who lives in TEXAS and must be licensed for the state of TEXAS Case Manager will work in remote and field setting supporting our Medicaid Star Plus population. Case ... Manager will be required to physically go to member's...physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. +… more
- Beth Israel Lahey Health (Exeter, NH)
- …in people's lives.** As a Social Worker within Beth Israel Lahey Health Performance Network , you will have the opportunity to make a profound impact on the lives ... This position is responsible for supporting Beth Israel Lahey Health Performance Network 's (BILHPN) value-based care initiatives within risk contracts and ACO's,… more
- CVS Health (Plainfield, NJ)
- …care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. ... care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner.… more
- CVS Health (Edison, NJ)
- …care manager will be responsible for, care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. ... and programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced… more
- CVS Health (Atlantic City, NJ)
- …care manager will be responsible for; care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. ... compassionate. And we do it all with heart, each and every day. **Case Manager opportunity with** **50 to 75% field travel in Bergen, Hudson, Atlantic, Cape May,… more
- Commonwealth Care Alliance (Boston, MA)
- …of findings, and participation in interdisciplinary care planning. The RN will provide direct or indirect nursing care, support of health maintenance by teaching, ... communities across various locations. This position reports to the CIC APC Clinical Manager . Supervision Exercised: * No, this position does not have direct reports.… more
- Elevance Health (NC)
- \#HealthyBlueCareTogetherCFSP **IDD Specialty Care Manager ** **$2,000 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a statewide ... accommodation is granted as required by law. The **IDD Specialty Care Manager ** is responsible for coordinating operations and workflows related to complex medical… more
- CVS Health (Dallas, TX)
- …care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. ... develop a care plan and authorizes services in a cost-effective manner within the LTSS benefit. The care manager is responsible for documenting accurately and… more
- Elevance Health (Hickory, NC)
- **Special Program Case Manager II** _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled ... field, you will work virtually from your home. The **Special Program Case Manager II** is responsible for performing case management telephonically and/or by home… more
- Elevance Health (Richmond, VA)
- …+ Conducts and may approve pre-certification, concurrent, retrospective, out of network and/or appropriateness of treatment setting reviews by utilizing appropriate ... and Experiences:** + RN license strongly preferred. + Previous LTSS experience is highly preferred. Please be advised that...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Hattiesburg, MS)
- …of the member with hospitalists, outpatient providers, facility staff, and family/support network . + Ensures member transitions to a setting with adequate caregiving ... and medication oversight as required. Works with participating ancillary providers ( LTSS /HCSS, DME), public agencies or other identified service providers to make… more
