- Humana (Brazil, IN)
- …monitoring).Must meet all following requirements:Prior experiences in health care and/or case management .Intermediate to advanced computer skills and experience ... 8:00am-5:00pmPreferred QualificationsBilingual (English/Spanish)Bilingual (English/Burmese)Nursing home diversion or long-term care case management experienceExperience with Medicare & Medicaid… more
- Molina Healthcare (Detroit, MI)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration… more
- Elevance Health (Portage, IN)
- …a managed care setting preferred. LCSW, LMHC, or RN license is highly preferred. Case Management experience is highly preferred. Previous experience in long term ... ** Manager I, GBD Special Programs LTSS ...in a related field, including minimum of 1 year leadership/ management experience; or any combination of education and experience,… more
- Molina Healthcare (Peoria, IL)
- **JOB DESCRIPTION** **Opportunity for Bachelors or Masters trained Case Manager in the Peoria, IL area to work as a Field Case Manager for our Medicare ... of our benefit package. Preference will be given to those applicants with case management experience, especially with another managed care organization, or… more
- Molina Healthcare (Wytheville, 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...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (Peoria, IL)
- …for an IL licensed RN in the Peoria, IL area to work as a Field Case Manager for our Medicare members in this area. Position will require making face-to-face ... of our benefit package. Preference will be given to those applicants with case management experience, especially with another managed care organization, or… more
- Molina Healthcare (Stafford, 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...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service… more
- Molina Healthcare (El Paso, TX)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or… more
- ACI Federal (Chesapeake, VA)
- …also provide resources and referrals to at-risk clients and serves as a limited case manager for screening follow up needs. The successful applicant works ... Registered Nurse ( LTSS ) EOE Statement We are an equal employment...analyze situations and problem. Experience in home visiting and case management is needed. Working experience in… more
- Centene Corporation (Raleigh, NC)
- …(LPC) Licensed Medical Social Therapist (LMST) Licensed Mental Health Counselor (LMHC) ** LTSS Care Manager requirements for North Carolina:** Two (2) years ... of LTSS and/or HCBS coordination, care delivery monitoring, care management , social work, geriatrics, gerontology, pediatrics, or human services required. **RN… more
- Centene Corporation (Raleigh, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... effective coordination of care activities. + Provides care coordination and care management and oversees higher acuity long-term support services / long-term care… more
- Centene Corporation (Durham, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... active caseload based on state mandated ratios according to residential setting, case intensity and acuity. + Partners effectively with the PCP, Specialist, member,… more
- Highmark Health (Dover, DE)
- …**Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors ... programs such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care and… 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...disabilities population + Two years in home clinical or case management experience + Medicare and Medicaid… more
- Actalent (Syracuse, NY)
- …essential to the efficient operation of the department. Skills: RN, assessment, care management , case management , UAS, ambulatory care, community health, ... Home health, LTSS , MLTC, medicaid, utilization management Additional Skills & Qualifications: Minimum Resource Qualifications: *...or home health setting * Long Term Support Services ( LTSS ) or Managed Long-Term Care (MLTC) UAS field RN… more
- CVS Health (Springfield, IL)
- …member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... in healthcare decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance… more
- CVS Health (Chicago, IL)
- …member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... in healthcare decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance… more
- Child & Family Services of RI (Middletown, RI)
- …team supports the aging adults and adults with disabling conditions by providing case management , coordinated care, caregiver support, and access to the Long ... with the Office of Healthy Aging (OHA) to provide case management services to clients who are...Healthy Aging and Department of Human Services (DHS). The Case Manager provides in-home visits, monthly calls,… more
- Molina Healthcare (San Diego, CA)
- …psychology, gerontology, public health or social work. **Required Experience** + 1-3 years in case management , disease management , managed care or medical or ... locality with reliable transportation. **Preferred Experience** 3-5 years in case management , disease management , managed...(LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health… more
- Humana (Indianapolis, IN)
- …quality or process improvement experience + Prior experiences in health care and/or case management . + Intermediate to advanced computer skills and experience ... + Bilingual (English/Spanish) + Prior nursing home diversion or long-term care case management experience + Prior experience with Medicare & Medicaid… more
