- Centene Corporation (Raleigh, NC)
- …Health Counselor (LMHC) **For North Carolina Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care ... **For North Caroline Tailored Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior… more
- Centene Corporation (Raleigh, NC)
- …Social Worker (LCSW) **For North Carolina Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management ... on workplace flexibility. **Position Purpose:** **(Location Wake County)** + Provides care coordination and care management and oversees higher acuity… more
- Humana (Annapolis, MD)
- …community and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead a team of nurses ... and support compliance with contractual requirements and industry best practices. The Manager , Care Management ( LTSS -ABD) works within specific guidelines… more
- Molina Healthcare (Taylor, MI)
- …will support our MMP (Medicaid Medicare Population) that is part of the Personal Care team. This position will have a case load and manage members enrolled in ... We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- AmeriHealth Caritas (Dover, DE)
- **Clinical Case Manager DE LTSS (New Castle County Delaware)** Location: Dover, DE Primary Job Function: Medical Management ID**: 31582 Your career starts now. ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS in… more
- CVS Health (Irving, TX)
- …a care plan and authorizes services in a cost-effective manner within the LTSS benefit. + The care manager is responsible for documenting accurately ... appropriate physical, behavioral health, psychosocial wrap around services. + The care manager will be responsible for, care planning, direct provider… more
- Elevance Health (New Castle, IN)
- …4-5 days per week in-person with patients, members or providers. The ** LTSS SERVICE COORDINATOR** is responsible for conducting service coordination functions for a ... (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care … more
- Amergis (Augusta, ME)
- Business Analyst - LTSS Data Systems Overview: This is business analyst/ project manager hybrid role: the candidate will need to help solicit and document ... solution could provide, relating to Maine Long Term Services and Supports ( LTSS ) programs. This person will collaborate with Subject Matter Experts (SMEs) and… more
- AmeriHealth Caritas (Newark, DE)
- **Medical Director, LTSS (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified candidates must ... We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about...associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures that… more
- Molina Healthcare (Wytheville, VA)
- …lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case ... Manager will be required to physically go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (Roanoke, VA)
- …lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case ... Manager will be required to physically go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (Green Bay, WI)
- …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 (San Antonio, TX)
- …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
- CDPHP (Albany, NY)
- …clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Care Manager is responsible and accountable for coordinating requests for ... initial and reassessments for members enrolled in a Medicaid LTSS program using the Uniform Assessment System (UAS). The...line, fax machine and mail. The Medicaid Special Programs Care Manager typically works in the telephonic… more
- CVS Health (Tallahassee, FL)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Long-Term Services and… more
- Highmark Health (Dover, DE)
- …as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a ... and other community based setting for individuals enrolled in DSHP Plus LTSS . **ESSENTIAL RESPONSIBILITIES** + Travel to members' homes, nursing facilities, and… more
- BrightSpring Health Services (Morganton, NC)
- …Qualifications: + Years of experience as specified below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred. + ... post-bachelor's degree accumulated experience with the IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS and/or… more
- Commonwealth Care Alliance (Springfield, MA)
- **Why This Role is Important to Us:** Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing comprehensive care coordination ... members from one or more CCA benefit programs. The Care Partner provides care management, and ...CCA requirements + MA/MI only : Demonstrated understanding of LTSS + Demonstrated understanding of how to use CDSTs… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Direct Care Worker Workforce Program Manager - HYBRID** Location: Newtown Square, PA Primary Job Function: Medical Management ID**: 34255 **Job Brief** This is ... other administrative services. Discover more about us at www.amerihealthcaritas.com. The Direct Care Worker (DCW) Workforce Program Manager is responsible for… more
- Highmark Health (Dover, DE)
- …and to promote effective use of resources for members enrolled in DSHP Plus LTSS . Provides direct oversight to Case Managers, meets all of the requirements of a ... Case Manager and be able to assist in the day...the day to day activities as needed. + Ensure care is medically appropriate, high quality, and cost effective.… more