- Molina Healthcare (Accomac, VA)
- …Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically go to member's homes to complete Face to Face assessment. You will participate in interdisciplinary care team… more
- Molina Healthcare (Roanoke, VA)
- …LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically go to member's homes to complete Face to Face assessment. You will participate in interdisciplinary care team… more
- Molina Healthcare (Taylor, MI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... the Personal Care team. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Molina Healthcare (Pekin, IL)
- **_We are seeking a NURSE OR SOCIAL WORK CASE MANAGER who must live in the state of ILLINOIS, TAZEWELL COUNTY Excellent computer skills and attention to detail ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
- Molina Healthcare (Miami, FL)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in...Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or… more
- Elevance Health (South Bend, IN)
- ** Manager I, GBD Special Programs LTSS (RN/LCSW)** **Location: This position is an Indiana field-based position.** This role requires face to face interactions ... in the field - mileage reimbursed. (hospitals, clinics, members' homes.) ** Manager I, GBD Special Programs LTSS is** responsible for supporting the development,… more
- Elevance Health (Scottsburg, IN)
- …4-5 days per week in-person with patients, members or providers. The ** LTSS SERVICE COORDINATOR** is responsible for conducting service coordination functions for a ... support and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and… more
- Molina Healthcare (Richmond, VA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking...direct reports. Previous MCO experience is strongly preferred with LTSS experience. This is a remote position that will… more
- AmeriHealth Caritas (Newark, DE)
- **Medical Director, LTSS (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified candidates must ... Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures that organization medical policies… more
- Highmark Health (Columbus, OH)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... and other community based setting for individuals enrolled in DSHP Plus LTSS . **ESSENTIAL RESPONSIBILITIES** + Travel to members' homes, nursing facilities, and… more
- Elevance Health (South Bend, IN)
- …week in-person with patients, members or providers. The ** Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the ** LTSS Service Coordinator - Clinician)** ... has overall responsibility for the member's case , as required by the IN PathWays for Aging...the IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities within the… more
- CVS Health (Irving, TX)
- …in a cost-effective manner. Strong assessment, writing and communication skills are required.The Case Manager is responsible for conducting face to face visits ... members enrolled in Long-Term Services and Support programs. The case manager is responsible for coordinating and...and authorizes services in a cost-effective manner within the LTSS benefit. The care manager is responsible… more
- Highmark Health (Dover, DE)
- …. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of a ... Case Manager as needed. This is a... Case Manager as needed. This is a full time community...ensure appropriate distribution of workload in compliance with Delaware Case Manager caseload requirements. + Recruit, select,… more
- CVS Health (Chicago, IL)
- …critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for LTSS members by providing care coordination, support and education for ... evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and… more
- Child & Family Services of RI (Middletown, RI)
- …of the Office of Healthy Aging and Department of Human Services (DHS). The Case Manager provides in-home visits, monthly calls, and assists with care ... team supports the aging adults and adults with disabling conditions by providing case management, coordinated care, caregiver support, and access to the Long Term… more
- Molina Healthcare (Spokane, WA)
- …Clinical Social Worker (LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education and Promotion (CHEP) ... and medication oversight as required. Works with participating ancillary providers ( LTSS /HCSS, DME), public agencies or other identified service providers to make… more
- Commonwealth Care Alliance (Springfield, MA)
- …care or care management including telephonic based setting, home health or acute care case management required. + BH: LCSW/ /LMFT with 3-5 years 3-5 years meaningful ... clinical experience in community case management, EAP, telephonic case management or...CCA requirements + MA/MI only : Demonstrated understanding of LTSS + Demonstrated understanding of how to use CDSTs… more
- BrightSpring Health Services (Asheville, NC)
- …+ Years of experience as specified below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred. + Ability to perform work ... IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS ...with LTSS needs: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care… more
- UPMC (Pittsburgh, PA)
- Are you an experienced nurse with an extensive background in case management? Are you looking for an opportunity to use your nursing assessment skills without ... Plan is looking for you! We are hiring a full-time mobile Clinical Care Manager to support the Home and Community-Based Services (HCBS) Command Team. The mobile… more