- Pyramid Consulting, Inc. (Fort Myers, FL)
- Immediate need for a talented Long term care coordinator. This is a 03+ months contract opportunity with long-term potential and is located in Florida(Hybrid). ... a case load for healthcare members with long term care needs. Monthly and quarterly member contact and will...client status, support system, and need for services for care plan development. Monitor delivery of services and follow-up… more
- Molina Healthcare (Long Beach, CA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Long Beach, CA)
- …to join Molina as a Case Manager working with our Medicaid members in the service delivery area of San Benito and Rio Hondo, TX. Part of the responsibilities of ... will be given to those candidates with previous experience working with the LTSS population. Mileage is reimbursed as part of our benefits package. Hours are… more
- Elevance Health (Richmond, VA)
- Anticipated End Date: 2025-08-31 Position Title: LTSS Service Coordinator - RN Clinician Job Description: Location: This is a field position and the candidate ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The LTSS Service Coordinator-RN Clinician is responsible for overall management… more
- CVS Health (Schaumburg, IL)
- …risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis ... critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/ LTSS members by providing care coordination, support and… more
- CVS Health (Elizabeth, NJ)
- …Preferred Qualifications Case management and/or discharge planning experience Managed Care experience Crisis intervention skills LTSS experience Proficiency ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- UnitedHealth Group (Metairie, LA)
- …pay-for-quality initiatives. The CMO oversees market peer review processes, including Quality of Care and Quality of Service issues, and leads the Physician ... Health Equity designation Innovation - The CMO leads the clinical interface with care providers and UHN...clinical value proposition focused on quality, affordability and service , in support of growth activities of the health… more
- Cityblock Health (Prince George, VA)
- …evidence of gap closure. Ensure members receive necessary LTSS with clinical justifications provided to meet service criteria, maintaining communication with ... to the care team, serving as a bridge between the care management team, hub-based clinical team and members. The Resource RN is available to support and… more
- Elevance Health (Louisville, KY)
- …County, IN) -LCSW/LSW/LMSW/LMHC/LMFT Job Description: Case Manager- LCSW/LSW/LMSW/LMHC/LMFT ( LTSS Service Coordinator- Clinician) Location: Seeking candidates ... by law. The Case Manager- LCSW/LSW/LMSW/LMHC/LMFT (also called the LTSS Service Coordinator - Clinician) has overall...the IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities… more
- Corewell Health (Grand Rapids, MI)
- …LTSS , including critical incident reporting and resolution. + Support integration of LTSS service coordination systems (eg, care management platforms, ... federal regulations and fosters cross-functional collaboration to support integrated care delivery for members receiving LTSS . It...trends related to LTSS delivery. + Monitor LTSS performance across financial, clinical , and operational… more
- Elevance Health (Fort Lauderdale, FL)
- ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is primarily a field based position. ... for employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator** is responsible for conducting service coordination… more
- Centene Corporation (Newark, DE)
- …with case managers throughout the whole state of DE.** **Rotating on call** ** LTSS Team** **Position Purpose:** Supervises the care coordination team that serves ... and providers to ensure members are receiving high quality care and information regarding service / ...and 4+ years of related experience Or, Highly advanced clinical knowledge and ability to assess member needs in… more
- Centene Corporation (Greenville, NC)
- …a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Elevance Health (Fresno, CA)
- …ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator** is responsible for conducting service ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential… 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 ... health, behavioral health, long term services and supports, and psychosocial needs. The ** LTSS Service Coordinator** is responsible for managing service … more
- Elevance Health (Lakeland, FL)
- ** LTSS Service Coordinator - Clinician (Bilingual in Spanish/English)** **Location: This is a field based position, candidate would need travel in and around the ... as required by law._ **Schedule: Monday-Friday 8am-5pm EST** The ** LTSS Service Coordinator - Clinician** works under...by applicable state law and contract, contributes to the LTSS care coordination process by performing activities… more
- Centene Corporation (Austin, TX)
- …access to competitive benefits including a fresh perspective on workplace flexibility. ** LTSS - Service Coordination RN** **Applicants must reside near Nueces ... quality, cost effective care . Develops a personalized care plan / service plan for long-term...clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities… more
- 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 ... their families/caregivers on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex… more
- Molina Healthcare (Weslaco, TX)
- **JOB DESCRIPTION** Opportunity for TX licensed LVN or licensed social worker residing in the service delivery area of Weslaco and Donna, TX, to join our LTSS ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Elevance Health (Topeka, KS)
- ** LTSS Service Coordinator-RN Clinician (Case Manager)** **Schedule:** Monday-Friday 8am-5pm CST **Location:** Candidates must live in or around **Atchison or ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
