- Centene Corporation (Newark, DE)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Highmark Health (Dover, DE)
- …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 ... for eligible members with chronic and complex health care , social service and custodial needs in... care transitions between home, community, and community-based care settings. + Authorize LTSS services based… more
- AmeriHealth Caritas (Philadelphia, PA)
- …us at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the LTSS Manager /Director for Utilization Management, this position is ... all times. + Maintains operational processes, policies, procedures and reports to support LTSS care delivery. + Stays current with;ACFC policies and procedures,… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager will focus on departmental integrity, learning, and data management. They will also be the Community HealthChoices Long-Term Service ... + Remote **Responsibilities** + Conduct audits related to departmental compliance with LTSS policies + Assists in the day-to-day management of the department and… more
- CVS Health (Swedesboro, NJ)
- …and follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support health service strategies, policies, ... day. **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in...management** or **discharge planning** . + Background in **managed care ** , **Medicaid/Medicare** , or ** LTSS ** .… more
- AmeriHealth Caritas (West Chester, PA)
- **Role Overview** The; **Application Support Specialist Lead** ;will support a Healthcare Care Management System platform for a state government market product, Long ... Term Services & Support ( LTSS ). ;In this role you will lead a technical...user access policies and procedures + Provide input to manager on staff performance relating to technology but does… more