- Appcast (Dallas, TX)
- Title : Senior LTSS Service Care Manager...care and service delivery for long-term care members in a cost-effective mannerMay precept clinical ... quality, cost effective care . Develops a personalized care plan / service plan for long-term...activities to ensure compliance with current state, federal, and clinical guidelinesProvides and/or facilitates education to long-term care… more
- Elevance Health (Hialeah, FL)
- Anticipated End Date: 2025-08-11 Position Title: LTSS Service Coordinator - Case Manager Job Description: LTSS Service Coordinator (Bilingual in ... an accommodation is granted as required by law. The LTSS Service Coordinator is responsible for conducting...tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not… more
- Health eCareers (Rockford, IL)
- …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
- Health eCareers (Madison, WI)
- JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with… more
- UnitedHealthcare (Olathe, KS)
- …us to start Caring. Connecting. Growing together. The Long-Term Services and Supports ( LTSS ) Care Coordinator is responsible for establishing a set of ... and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely...directed toward the most appropriate, least restrictive level of care Identify and initiate referrals for social service… more
- Harris Health System (Houston, TX)
- …Notification RN is responsible for subsequent review of redeterminations related to LTSS service approvals, denials, increases, reductions and terminations, as ... when required. JOB SPECIFICATIONS Responsible for secondary review of LTSS service approvals, denials, increases, reductions and...BSN preferred. Work Experience (Years and Area): 3 years clinical experience in a managed care organization.… 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
- CVS Health (Galesburg, IL)
- …risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Virginia Department of Human Resource Management (Chesapeake, VA)
- …health, preventing disease and support the community. The Long-Term Support Services ( LTSS ) is a Department of Medical Assistance Services (DMAS) mandated program. ... be experienced in performing nursing assessments across the lifespan in both clinical and community settings. This position provides additional experiences with case… more
- Centene Corporation (Dover, DE)
- …+ Provide training to case managers, care teams, and providers to improve clinical assessments, care planning, and service delivery. + Develop and ... This person shall oversee and be responsible for all LTSS , including oversight and consultation with care ...unusual provider practice patterns and addressing adverse trends in service use. + Conduct regular clinical rounds,… 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
