- Elevance Health (Independence, OH)
- ** Training Specialist - LTSS Service Coordination** **Location: Cincinnati, Columbus, Mason, or Seven Hills, Ohio** **Hybrid1:** Requires associates to ... an accommodation is granted as required by law. The ** Training Specialist - LTSS Service Coordination** is responsible for facilitating a variety of… more
- Commonwealth Care Alliance (Boston, MA)
- …evaluation of the appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities ... o Maintain training agendas, presentations, and attendance sheets o Support LTSS Program Manager in times of audits * Contribute to maintaining relationships… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Review UM Department. + Works collaboratively across various teams including HADME and Service Coordination department of LTSS . + Assesses candidates and ensures ... at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the LTSS Manager/Director for Utilization Management, this position is responsible for… more
- Elevance Health (Lake Mary, FL)
- **Medical Management Specialist I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... holidays, may be required based on operational needs. The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical… more
- Centene Corporation (Harrisburg, PA)
- …5 COUNTIES LISTED.** **THIS ROLE WILL BE HELPING COORDINATE MEDICAID/MEDICARE MEMBERS LTSS FROM NURSING FACILITIES BACK INTO THE COMMUNITY. MILEAGE WILL BE ... may develop and/or assist with developing member transition plan or service plan/care plan. + Supports care coordination team, providers, and/or other… more
- Molina Healthcare (Salt Lake City, UT)
- …and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care. * Applies appropriate ... Resolves escalated complaints regarding utilization management and long-term services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. *… more
- Molina Healthcare (Aurora, IL)
- Molina Healthcare of Illinois is hiring a Member Liaison, Growth& Community Engagement Specialist . This role will be a hybrid of working in the field (Member Events) ... new or less experienced Enrollment Growth team members by training , developing, coaching, mentoring and being a positive role...events and align media components. + Trains all new Specialist team members and serve as a mentor and… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... diverse provider community - including physician, hospital, behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a key liaison,… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... primary care practices, specialists, physician organizations, hospitals, ancillary and LTSS providers. Key responsibilities include establishing positive working relationships… more