- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with ... efforts. Through reporting, data analysis, and partnership management, the LTSS Program Manager ensures that providers meet contractual, regulatory,… more
- Commonwealth Care Alliance (Boston, MA)
- …below based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS ... participation o Maintain training agendas, presentations, and attendance sheets o Support LTSS Program Manager in times of audits - Contribute to maintaining… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... on fostering strong clinical and programmatic collaboration, effectively communicating program performance to delegated providers, and supporting the implementation… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
- Commonwealth Care Alliance (Springfield, MA)
- …complexities that require intensive care management and care delivery. Within the CIC Program , The Senior Clinician, Behavioral Health (SBHC) serves as a leader for ... across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports.… more
- Commonwealth Care Alliance (Springfield, MA)
- …complexities that require intensive care management and care delivery. Within the CIC Program , the Community Health Worker (CHW) functions as an integral member of ... and meet his/her needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not have direct reports.… more
- Commonwealth Care Alliance (Boston, MA)
- …diverse provider community - including physician, hospital, behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a key liaison, ... , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation… more
- AmeriHealth Caritas (Detroit, MI)
- …of Medicare LTSS Care Coordination Operations. Under the supervision of the Manager LTSS , the Supervisor, Medicare LTSS Operations is responsible to ... more about us at www.amerihealthcaritas.com. **Responsibilities:** The Supervisor, Medicare LTSS Operations is responsible for ensuring and improving the… more
- Elevance Health (Tallahassee, FL)
- ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is primarily a field based position. Candidate ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator** is responsible for conducting service coordination functions for… more
- Molina Healthcare (Boston, MA)
- …based on the severity of illness and the site of service. The Care Manager , LTSS provides support for care management/care coordination long-term services and ... including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… 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 ... to those candidates with previous experience working with the LTSS population. Mileage is reimbursed as part of our...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… 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 ... The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina...including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity… more
- Elevance Health (Coshocton, OH)
- ** LTSS Service Coordinator (Case Manager )** **Hiring near Akron, Cambridge, Canton, Colerain, Columbus, Chillicothe, Coschocton, Cuyahoga Falls, Deerfield, ... behavioral health, long term services and supports, and psychosocial needs. The ** LTSS Service Coordinator** is responsible for managing service coordination for a… more
- Centene Corporation (Jacksonville, FL)
- …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 join our...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more
- Centene Corporation (Tallahassee, FL)
- …required + For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior ... North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more
- Elevance Health (Marietta, OH)
- …an accommodation is granted as required by law._ _MyCare Ohio Plan program is to deliver high_ _‐quality, trauma informed, culturally competent, person_ _‐centered ... Director Associates. May be responsible for an entire clinical program . **How will you make an impact:** + Oversee...to individuals of the health plan, including those receiving LTSS , ensuring the appropriate level of medical care is… 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 team. ... North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more
- Centene Corporation (Austin, TX)
- …work in or near: Laredo, TX, Bruni, TX, Callaghan, TX, or Oilton, TX** ** LTSS Case Manager positions - full-time hours, benefits, company equipment and mileage ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- Centene Corporation (Raleigh, NC)
- …+ For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- Elevance Health (Knoxville, TN)
- …long-term care programs and services strongly preferred. + CHOICES and ECF LTSS program experience in Tennessee strongly preferred. + Experience with ... **Strategy & Program Development Director (Strategy & Prog Dev Dir)**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
