- Elevance Health (Jersey City, NJ)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location:** The location...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
- Elevance Health (New York, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables associates ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is responsible for...contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- MVP Health Care (Tarrytown, NY)
- …health and/or improved functional capability through the coordination of quality cost effective care . + The Case Manager will also monitor and review cases ... concurrent, and retrospective reviews to determine medical necessity and appropriateness of LTSS services. + Care Coordination: Collaborate with case managers, … more
- Molina Healthcare (Bronx, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (RN) provides support for care management/ care coordination activities and collaborates with ... concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication… more
- Molina Healthcare (Bronx, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/ care coordination activities and collaborates with ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral health care … more
- Molina Healthcare (Yonkers, NY)
- …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