- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with ... efforts. Through reporting, data analysis, and partnership management, the LTSS Program Manager ensures that providers meet contractual, regulatory,… more
- Elevance Health (Tampa, FL)
- ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is primarily a field based position. Candidate ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator** is responsible for conducting service coordination... needs, as required by applicable state law and contract , and federal requirements. **How you will make an… more
- Molina Healthcare (Rockwell City, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan in the Greene, Carroll, and Calhoun Counties service ... The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina...including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity… more
- Elevance Health (Neillsville, WI)
- ** LTSS Service Coordinator (Case Manager )** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, ... organization in western/southwestern Wisconsin and Milwaukee County to offer the Family Care Program . Family Care is a Wisconsin long-term care program for older… more
- Humana (Springfield, IL)
- …first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals ( LTSS ) who are responsible for day-to-day, front-line relationship management for ... with physicians, providers and healthcare systems. The Provider Engagement Professional ( LTSS ) roles and responsibilities include: + Serve as primary relationship … more
- CVS Health (Harrisburg, PA)
- …initiation through execution. The ideal candidate will have negotiation skills, basic contract knowledge, and the ability to manage multiple priorities in a ... pre- and post-signature review, language modifications, when appropriate, submission of contract packet to appropriate departments, follow through to completion and… more
- Centene Corporation (Mcallen, TX)
- …**License/Certification:** Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LPC or RN with direct Behavioral Health ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- Centene Corporation (Mcallen, TX)
- …**License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LPC and RN with BH experience ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- Elevance Health (Topeka, KS)
- …Director** drives the strategic and operational performance of Healthy Blue's LTSS program , ensuring alignment and excellence across Care Coordination, ... **Long-Term Services & Supports Strategy & Program Development Director** Location: Kansas. This role requires...will be responsible for strengthening the Healthy Blue KS LTSS team's growth and compliance through strategic partnerships, both… more
- Elevance Health (Cincinnati, OH)
- ** Program Manager Long Term Care -...and conducts routine audits of key performance indicators and contract adherence. + Serve as the liaison between the ... an accommodation is granted as required by law._ The ** Program Manager Long Term Care - Self-Direction...client facing projects or initiatives. + Collaborate with the LTSS COE as part of the larger enterprise/regional external… more
- Molina Healthcare (Reno, NV)
- …management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. Ensures members reach desired outcomes ... care, health management, behavioral health, long-term services and supports ( LTSS ), and/or member assessment. * Facilitates integrated, proactive healthcare services… more
- Molina Healthcare (Ann Arbor, MI)
- …This position will have a case load and manage members enrolled in this program . We are looking for Registered Nurses who have experience working with manage care ... of services for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity of care. *… more
- Molina Healthcare (Yakima, WA)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The BH Care Manager Provides support for care management/care coordination activities and collaborates with multidisciplinary team… more
- Molina Healthcare (Lynnwood, WA)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/care coordination activities and collaborates with multidisciplinary team ... proficient knowledge with Microsoft applications and experience working remotely. The Care Manager must be comfortable with outreach calling to educate and enroll… more
- Molina Healthcare (Salt Lake City, UT)
- …verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications * Certified Case Manager ... Licensed Social Worker Case Manager residing in the state of UT, will...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Molina Healthcare (Jacksonville, FL)
- …of services for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity of care. * ... * Clinical licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. * Valid and unrestricted… more
- Molina Healthcare (Fort Worth, TX)
- …care management, care transitions, behavioral health, long-term services and supports ( LTSS ), and other clinical programs. Leads team responsible for assessing, ... (prior-authorization, inpatient review), behavioral health, long-term services and supports ( LTSS ), and other member care focused programs. Demonstrates accountability… more
- Molina Healthcare (Dayton, OH)
- …health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and ... management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. Ensures members reach desired outcomes… more
- Molina Healthcare (Naperville, IL)
- …management, utilization management, care transitions, long-term services and supports ( LTSS ), behavioral health, and other clinical programs, and collaborates with ... healthcare service leadership apprised of operational issues, staffing issues, system and program needs. * As a subject matter expert clinical lead, provides… more
- Molina Healthcare (Sacramento, CA)
- …health management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and ... management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. Ensures members reach desired outcomes… more
