• Manager , Care Management

    Humana (Richmond, VA)
    …community and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead a team of ... support compliance with contractual requirements and industry best practices. The Manager , Care Management ( LTSS -ABD) works within specific guidelines… more
    Humana (09/21/24)
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  • LTSS Director - Aetna Better Health…

    CVS Health (Richmond, VA)
    …with the State as needed **Required Qualifications** + 5+ years LTSS leadership + Management of field-based care management teams + 10+ years managed ... in local communities and leading the way in health care . The LTSS Director, Clinical Health Services...Ability to successfully motivate, drive and lead colleagues in Manager , Supervisory and field level positions. + Ability to… more
    CVS Health (08/02/24)
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  • LTSS Service Coordinator-Auditor (Remote)

    Elevance Health (Richmond, VA)
    ** LTSS Service Coordinator - Auditor (Remote)** **Location:** While remote, candidates will ideally be located within 50 miles of one of our Elevance Health ... PulsePoints. The ** LTSS Service Coordinator-Auditor** is responsible for auditing member individual...Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for… more
    Elevance Health (09/19/24)
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  • LTSS Svc Coord-RN Clinician

    Elevance Health (Richmond, VA)
    …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights. The ** LTSS Service Coordinator RN Clinician** is responsible for overall management more
    Elevance Health (09/11/24)
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  • Registered Nurse Case Manager

    CAI (Richmond, VA)
    …career move, apply now. **Job Description** We are looking for a RN Case Manager to provide community-based care coordination/ management for our client's ... Summary** We are looking for a motivated RN Case Manager ready to take us to the next level!...Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care more
    CAI (09/25/24)
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  • Sr Consultant

    Public Consulting Group (Richmond, VA)
    … facilities for individuals with intellectual disabilities (ICF-IID) + Serves as project manager and subject matter expert on community LTSS programs within the ... regulations and requirements for community long-term services and supports ( LTSS ) programs, including home and community-based services (HCBS) waivers, Program… more
    Public Consulting Group (08/03/24)
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  • Training Specialist (US)

    Elevance Health (Richmond, VA)
    **Training Specialist, LTSS Service Coordination** **Location** : Virginia. This is a hybrid role with 1 - 2 days per week required in-office. The ideal candidate ... to worksite and other locations as necessary. The **Training Specialist, LTSS Service** **Coordination** is responsible for facilitating a variety of… more
    Elevance Health (09/11/24)
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