- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for a Statewide LTSS Manager to join the Community HealthChoices team!** The LTSS Manager is responsible for the ... and counseling of staff, manage, supervise, and coordinate the LTSS operations of the CHC Team. The Manager...ICT and program development. + Directs the service coordination process for all LTSS staff. + Develops,… more
- Elevance Health (Fort Lauderdale, FL)
- …in the formal training of associates, and may be involved in process improvement initiatives. + Submits utilization/authorization requests to utilization ... ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday...with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified… more
- Elevance Health (Mason, OH)
- …in the formal training of associates, and may be involved in process improvement initiatives. + Submits utilization/authorization requests to utilization ... ** LTSS Service Coordinator (Case Manager )** **Hiring...Collaborate with individuals to lead the Person Centered Planning process , documenting their preferences, needs, and goals. Conduct assessments,… more
- Elevance Health (Fresno, CA)
- …in the formal training of associates, and may be involved in process improvement initiatives. + Submits utilization/authorization requests to utilization ... responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator** is responsible for conducting service coordination functions… more
- Elevance Health (Houston, TX)
- …assisting in the formal training of associates and may be involved in process improvement initiatives. **Minimum Requirements:** + BA/BS degree required and a ... ** LTSS Administrative Services Coordinator Lead** _Location:_ Candidates for...representative on business unit and enterprise initiatives. + Performs process evaluations and tests and monitors systems/ process … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Accountabilities) + Handles all member clinical condition management programs. + Offers process improvement suggestions and participates in the solutions of more ... procedures per corporate and departmental policy. + Implements the Case Management Process per department policies, procedures and guidelines. The process … more
- Highmark Health (Dover, DE)
- …Description :** **JOB SUMMARY** This job supervises a team of Case Manager Supervisors who are charged with promoting quality member outcomes, optimizing member ... requirements as outline by the State of Delaware related to LTSS Case Management services. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to… more
- Beth Israel Lahey Health (Exeter, NH)
- …standards of social work case management practice and reports to the Manager of Care Management **Job Description:** Essential Duties & Responsibilities (including ... the patient's strengths and support systems. -Participates in quality improvement activities aimed to improve patient-population outcomes and associated processes.… more
- BrightSpring Health Services (Halifax, NC)
- …to promote positive relationships with stakeholders. + Participates in quality improvement and measurement activities to achieve identified targets and outcomes. + ... below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred....IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS … more
- MVP Health Care (Rochester, NY)
- …a healthier future for everyone - which requires innovative thinking and continuous improvement . To achieve this, we're looking for a **Case Manager , Medicaid ... Management experience. Experience working in a Medicaid Long Term Support Program ( LTSS ) or Health Home required. + Must demonstrate understanding of clinical and… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
- Compass Maryland (Beltsville, MD)
- …of data integrity reports to Program Directors, supporting continuous quality improvement and performance accountability + Monitor and ensure data collection efforts ... compliance with overall program operations including data collection, attendance recording and LTSS billing. + Partner with the Director of Properties and Assets and… more
- Elevance Health (Richmond, VA)
- …lower-level clinicians and staff. + May collaborate with leadership to assist in process improvement initiatives to improve the efficiency and effectiveness of ... plans. + May assist leadership and other stakeholders on process improvement initiatives. + May help to...and Experiences:** + RN license strongly preferred. + Previous LTSS experience is highly preferred. Please be advised that… more
- Humana (Springfield, IL)
- …Care Programs, specifically in Member/Consumer Experience areas. + Experience with process improvement initiatives and strategy development. **Work at Home ... + Works closely with other managers (especially the Quality Manager , Utilization Manager , and Medical Director) and...a related service operations environment. + Prior experience with LTSS or program population. + 3+ years of leadership… more