- Healthfirst (FL)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... Conducts assessments to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans and recommends… more
- Centene Corporation (Phoenix, AZ)
- …to visit members. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most ... enable quality, cost-effective healthcare outcomes. Performs assessments, develops personalized care plans/service plans, and educates members, their families and… more
- Centene Corporation (Phoenix, AZ)
- …up to 90% travel to visit members. **Position Purpose:** Oversees the long-term care plans/service plans and care management activities to enable quality, cost- ... healthcare outcomes. Reviews and provides expert knowledge to inform personalized care plan/service plan as appropriate/required for long-term care members… more
- Centene Corporation (Durham, NC)
- …plan for the best outcome + Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community ... resources needed for long-term care + Coordinates as appropriate between the member and/or...as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible… more
- Centene Corporation (Topeka, KS)
- …Western Kansas.** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... service needs and develops or contributes to development of care plans/service plans, and educates members, their families and...with mental/behavioral health needs, and recommends a plan of care for the best outcome + Acts as liaison… 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
- Advocates (Chelmsford, MA)
- …an integrated member of the care management team to a diverse population with LTSS needs. The Clinical Care Manager is responsible for providing final ... the ideas and contributions of our staff. The Clinical Care Manager is responsible for overseeing outreach,...team, and other providers to coordinate the delivery of LTSS care management services. + Provide final… 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 and ... facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, direct… more
- Elevance Health (Terre Haute, IN)
- ** Manager I, GBD Special Programs LTSS (RN/LCSW)** **Location: This position is an Indiana field-based position.** This role requires face to face interactions ... in the field - mileage reimbursed. (hospitals, clinics, members' homes.) ** Manager I, GBD Special Programs LTSS is** responsible for supporting the development,… more
- Elevance Health (Brazil, IN)
- ** Manager II GBD Special Programs, LTSS ** **Location:** **This position is an Indiana field-based position.** This role requires face to face interactions in the ... field - mileage reimbursed. (hospitals, clinics, members' homes.) The ** Manager II GBD Special Programs, LTSS ** is responsible for supporting the development,… more
- Elevance Health (Scottsburg, 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
- Molina Healthcare (Richmond, VA)
- …Health and Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager responsible for ... and must be licensed for the state of VIRGINIA. Manager will support a team of field Nurse Case...direct reports. Previous MCO experience is strongly preferred with LTSS experience. This is a remote position that will… 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 (Accomac, 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 (Pekin, IL)
- **_We are seeking a NURSE OR SOCIAL WORK CASE MANAGER who must live in the state of ILLINOIS, TAZEWELL COUNTY Excellent computer skills and attention to detail are ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Molina Healthcare (Milwaukee, 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… more
- Molina Healthcare (La Crosse, WI)
- **JOB DESCRIPTION** **Family Care with My Choice Wisconsin - must reside in WI** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- CVS Health (Tampa, 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 (Columbus, OH)
- …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