- Molina Healthcare (Atlanta, GA)
- …changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and ... of experience working with persons with disabilities/chronic conditions long-term services and supports ( LTSS ), and 1 year of experience in care management, or… more
- Molina Healthcare (Atlanta, GA)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. r equivalent… more
- Molina Healthcare (Atlanta, GA)
- …and of training curriculum for Utilization Management, Case Management, and LTSS staff. Creates and delivers clinical training programs for clinical staff ... that align with Molina programs and protocols + Assists Manager with data for team member performance reviews +...an inter-disciplinary clinical team. + Educates inter-disciplinary / integrated care teams on the best ways to leverage their… more
- Molina Healthcare (Atlanta, GA)
- …and supports ( LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) ... to overarching strategy to provide quality and cost-effective member care . **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective… more