- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care ...Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...of access to CCA accounts (Reporting, ECW, Extranet, Guiding Care , LMS, and others) o Update Staffing lists on… more
- Commonwealth Care Alliance (Boston, MA)
- … have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience ( must have):** + 2 to 3 years Utilization Management ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer...Care experience + 2 or more years of LTSS experience + 2 or more years working in… more
- Commonwealth Care Alliance (Boston, MA)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Commonwealth Care Alliance (Boston, MA)
- …for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, ... behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a...excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Molina Healthcare (Loves Park, IL)
- …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 (ID)
- null Pay Range: $21.6 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...of access to CCA accounts (Reporting, ECW, Extranet, Guiding Care , LMS, and others) o Update Staffing lists on… more
- Molina Healthcare (Boston, MA)
- …and cost-effective based on the severity of illness and the site of service. The Care Manager , LTSS provides support for care management/ care ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Centene Corporation (Honolulu, HI)
- …of experience required + For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management ... North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring...RN or LCSW / LCSW-A preferred + For Florida LTSS ECC, must have 2 years of… more
- Molina Healthcare (Fort Worth, TX)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...regimens. * Care manager RNs may conduct medication reconciliation… more
- Molina Healthcare (Dearborn, MI)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...regimens. * Care manager RNs may conduct medication reconciliation… more
- Molina Healthcare (Milwaukee, WI)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...regimens. * Care manager RNs may conduct medication reconciliation… more
- Molina Healthcare (Dallas, TX)
- …will be given to those candidates with previous experience working with the LTSS population receiving waiver services. Mileage is reimbursed as part of our benefits ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...in good standing + If field work is required, Must have valid driver's license with good driving record… more
- Centene Corporation (Austin, TX)
- …on workplace flexibility. **Registered Nurse work in or near: Laredo, TX** ** LTSS Case Manager positions - full-time hours, benefits, company equipment ... 8 am - 5 pm (CST); no evenings or weekends** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and supporting… more
- Centene Corporation (Tallahassee, FL)
- …and skill reflective of the level of this position. **License/Certification:** For Florida LTSS ECC, must have 2 years of youth/young adult experience required ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- Elevance Health (Kansas City, KS)
- ** LTSS Service Coordinator-RN Clinician (Case Manager )** **Schedule:** Monday-Friday 8am-5pm CST **Location:** Candidates must live in or near **Wyandotte or ... unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for **face-to-face member service coordination… more
- Elevance Health (Norfolk, VA)
- …+ Experience in facilitating training preferred. + Previous experience as a LTSS Care /Service Coordinator strongly preferred. + Experience in managed ... necessitates extensive experience and knowledge of HCBS benefits and LTSS assessments. **Location:** Must reside near one...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Richland, IN)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator-Clinician** **Sign On Bonus $2,500** **Schedule:**...Bonus $2,500** **Schedule:** Monday-Friday 8am-5pm EST **Location** : Candidates must be located in one of the following counties:… more
