- Elevance Health (South Bend, IN)
- …a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management experience is highly preferred. Previous experience in long term ... ** Manager I, GBD Special Programs LTSS ...in a related field, including minimum of 1 year leadership/ management experience; or any combination of education and experience,… 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 (Accomac, 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 (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 ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
- Molina Healthcare (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 (Miami, FL)
- …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
- Molina Healthcare (Richmond, VA)
- …Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), ... Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking... management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management , transition of care, health … 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
- 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 (South Bend, IN)
- …week in-person with patients, members or providers. The ** Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the ** LTSS Service Coordinator - Clinician)** ... 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
- 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
- Commonwealth Care Alliance (Springfield, MA)
- …or care management including telephonic based setting, home health or acute care case management required. + BH: LCSW/ /LMFT with 3-5 years 3-5 years ... meaningful clinical experience in community case management , EAP, telephonic ...CCA requirements + MA/MI only : Demonstrated understanding of LTSS + Demonstrated understanding of how to use CDSTs… more
- BrightSpring Health Services (Asheville, NC)
- …+ Years of experience as specified below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred. + Ability to perform work ... resources to meet the needs of individuals receiving care management services. Provide services in accordance with care ...IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS … more
- UPMC (Pittsburgh, PA)
- Are you an experienced nurse with an extensive background in case management ? Are you looking for an opportunity to use your nursing assessment skills without ... you! We are hiring a full-time mobile Clinical Care Manager to support the Home and Community-Based Services (HCBS)...setting in Allegheny County. The HCBS Command Team provides case management to Community HealthChoices full-risk members.… more