- AmeriHealth Caritas (Dover, DE)
- **Clinical Case Manager DE LTSS (New Castle...Plus LTSS . He or she contributes to the LTSS case management process by performing ... Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS in obtaining… more
- Elevance Health (Scottsburg, IN)
- …other capacity, highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of ... and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal… more
- Molina Healthcare (Jarratt, VA)
- …Nurse who 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...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (Roanoke, VA)
- …LCSW who 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...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (Taylor, MI)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
- Molina Healthcare (Frisco, TX)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... Long Term Services & Supports. + 1-3 years in case management , disease management , managed...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
- Molina Healthcare (Fort Worth, TX)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or… more
- Centene Corporation (Raleigh, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... effective coordination of care activities. + Provides care coordination and care management and oversees higher acuity long-term support services / long-term care… more
- Centene Corporation (Raleigh, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Purpose:** **(Location Wake County)** + Provides care coordination and care management and oversees higher acuity long-term support services / long-term care… more
- AmeriHealth Caritas (Newark, DE)
- …consultation to staff as appropriate. + Assists IHCM Managers in assessing members' need for case management services. + Attends case management meetings ... **Medical Director, LTSS (must reside in DE)** Location: Newark, DE...monthly rounds as scheduled. + Collaborates with the integrated case management team, during scheduled meetings and… more
- Centene Corporation (Springfield, IL)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... active caseload based on state mandated ratios according to residential setting, case intensity and acuity. + Partners effectively with the PCP, Specialist, member,… more
- Highmark Health (Columbus, OH)
- …**Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors ... programs such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care and… more
- Elevance Health (Brazil, IN)
- …per week in-person with patients, members or providers. The ** Case Manager - LCSW/LSW/LMSW** (also called the ** LTSS Service Coordinator - Clinician)** has ... the IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities within the...preferred. + Experience managing a community and/or facility-based care management case load, highly preferred. + MA/MS… more
- CVS Health (Irving, TX)
- …the use of care management tools and information/data review, the Case Manager conducts comprehensive evaluation of referred member's needs/eligibility and ... in a cost-effective manner. Strong assessment, writing and communication skills are required.The Case Manager is responsible for conducting face to face visits… more
- Highmark Health (Dover, DE)
- …. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of a ... Case Manager as needed. This is a... Case Manager as needed. This is a full time community...disabilities population + Two years in home clinical or case management experience + Medicare and Medicaid… more
- Centene Corporation (Wichita, KS)
- …the integration of waiver, LTSS , and Behavioral health /physical health Medicaid case management programs in Kansas. Preference will be given to applicants ... Additional Details: * Business Unit: Sunflower Health Plan * Department: MED- Case Management Pay Range: $84,300.00 - $151,700.00 per year Centene offers a… more
- Elevance Health (Cumberland, IN)
- …spend 4-5 days per week in-person with patients, members or providers The **RN Case Manager ** **( LTSS Service Coordinator- RN)** is responsible for overall ... with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of education and… more
- CVS Health (Chicago, IL)
- …member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... in healthcare decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance… more
- Child & Family Services of RI (Middletown, RI)
- …team supports the aging adults and adults with disabling conditions by providing case management , coordinated care, caregiver support, and access to the Long ... with the Office of Healthy Aging (OHA) to provide case management services to clients who are...Healthy Aging and Department of Human Services (DHS). The Case Manager provides in-home visits, monthly calls,… more
- Molina Healthcare (Spokane, WA)
- …psychology, gerontology, public health or social work. **Required Experience** + 1-3 years in case management , disease management , managed care or medical or ... locality with reliable transportation. **Preferred Experience** 3-5 years in case management , disease management , managed...(LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health… more