- 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
- HealthCare Support (Odessa, TX)
- …and social support staff. Conduct screening and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of travel ... Manager to fill an opening with a Managed Care Company in Odessa, TX . Daily Responsibilities for...living by filling out a H2060 form in the field . LTSS Service CM will fill… 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)
- …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 (West Union, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face ... service. The ideal candidate will have experience as a Care Manager within a managed care...Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )… more
- Molina Healthcare (El Paso, TX)
- JOB DESCRIPTION Opportunity for Texas licensed RN to join Molina as a Care Manager working with our Medicaid members in the El Paso, TX service delivery area. If ... 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
- 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...Registered Nursing license (RN) in good standing + If field work is required, Must have valid driver's license… more
- Molina Healthcare (Fort Dodge, IA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… 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
- Molina Healthcare (Brockton, MA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...- Friday 8:00am - 5:00pm EST Remote position with field travel in Brockton, MA to skilled nursing facilities… more
- Molina Healthcare (WI)
- **_ Field Travel throughout Dane County, WI _** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...Registered Nursing license (RN) in good standing + If field work is required, Must have valid driver's license… 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
- Elevance Health (Tampa, FL)
- …in English/ Spanish strongly preferred. + BA/BS degree field of study in health care related field preferred. + LTSS , case management, social work or ... ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday...**Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is primarily a field based position. Candidate should reside in the Tampa… more
- Centene Corporation (Jacksonville, FL)
- …benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, St. Augustine/Hastings, FL.)** ... **Centene is seeking a LTSS Service Care Manager to...32080, 32095, 32084 32086, 32033.** **This position is 75% field -based, with the opportunity to work remotely when not… more
- AmeriHealth Caritas (Detroit, MI)
- …Medicare LTSS Care Coordination Operations. Under the supervision of the Manager LTSS , the Supervisor, Medicare LTSS Operations is responsible to ... case management services. + Ensures effective daily operation of the Medicare LTSS Care Coordination team complying with all applicable statutory provisions,… 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 ... benefits including a fresh perspective on workplace flexibility. Remote Field Work Position-75% Travel. Must Reside on Oahu, HI.**...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Molina Healthcare (Warren, MI)
- …**REQUIRED EDUCATION** : Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider's office, managed ... Health Plan Provider Network Contracting (Long Term Support Services, LTSS ) jobs are responsible for the network strategy and... care , or other health care field… more
- Molina Healthcare (Detroit, 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
- Centene Corporation (Greenville, NC)
- …a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... LCSW-A), with experience in physical health, case management, and/or field -based care . This role requires 80% ...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
