- Molina Healthcare (Ann Arbor, MI)
- …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 (Ann Arbor, MI)
- …Summary** Molina Health Plan Provider Network Contracting (Long Term Support Services, LTSS ) jobs are responsible for the network strategy and development with ... for Performance. * Assesses and negotiates contract language for LTSS and ancillary providers including, but not limited to...based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA… more
- Molina Healthcare (Ann Arbor, MI)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are ... 8:30AM to 5:00PM JOB DESCRIPTION Job Summary Provides support for care management/ care coordination activities and collaborates with multidisciplinary team… more
- Molina Healthcare (Ann Arbor, MI)
- …services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction with the chief medical officer ... guidelines. Assesses appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to provide quality and… more
- Molina Healthcare (Ann Arbor, MI)
- …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