- 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 ... is actively seeking a Case Manager to fill an opening with a Managed Care Company in Odessa, TX . Daily Responsibilities for Case Manager : Determine needs… more
- Commonwealth Care Alliance (Boston, MA)
- …of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is...plan. The Manager , Utilization Management is responsible for overseeing and managing… more
- Commonwealth Care Alliance (Springfield, MA)
- …modalities and conducts visits within the patient's home, community and at area facilities to ensure connection and optimize care . The SBHC will interface ... locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not...with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging… more
- Molina Healthcare (Jersey Village, TX)
- …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 (Tampa, FL)
- …competitive benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Tampa, FL)** Centene is ... seeking a **Bilingual (English/Spanish) LTSS Service Care Manager ** to...case management support for members in their homes or facilities + Collaborate with healthcare providers, social service agencies,… more
- Centene Corporation (Orlando, FL)
- …benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Lake County, FL)** **Centene ... is seeking a LTSS Service Care Manager to...case management support for members in their homes or facilities ** + **Collaborate with healthcare providers, social service agencies,… 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 ... 80% field work, visiting members in their homes or care facilities to provide hands-on support and...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Dallas, TX)
- …access to competitive benefits including a fresh perspective on workplace flexibility. **RN LTSS Case Manager - must reside in Dallas County near** **Dallas, ... + Nursing Rehab + Assisted Living Facilities (ALF) + Skilled Nursing Facilities (SNF) + Long Term Care settings + Adult Day Care + Home Health or Hospice… 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 , ... 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
- Centene Corporation (Topeka, KS)
- …Russell, or Smith** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on… more
- Centene Corporation (Austin, TX)
- …no On-Call** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on… more
- Centene Corporation (Tallahassee, FL)
- …flexibility. **This position is field based with in-person visits to member homes or facilities required up to 75% of the time. 25% of the role is remote/home ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- Highmark Health (Dover, DE)
- …includes ensuring appropriate care transitions between home, community, and community-based care settings. + Authorize LTSS services based upon completion of ... as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a… more
- Highmark Health (Dover, DE)
- …and to identify training opportunities. + Apply clinical knowledge to work with facilities and providers for care -coordination. + Participate in rounds with the ... use of resources for members enrolled in DSHP Plus LTSS . Provides direct oversight to Case Managers, meets all...Managers, meets all of the requirements of a Case Manager and be able to assist in the day… more
- Commonwealth Care Alliance (Boston, MA)
- …technological modalities and conducts visits within the patient's home, community, and area facilities to ensure connection and optimize care . The RN will ... and communication with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points… more
- Commonwealth Care Alliance (Boston, MA)
- …of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is...plan. The Manager , Utilization Management is responsible for overseeing and managing… more
- CVS Health (Charlottesville, VA)
- …of the time to meet with members face to face** **.** **The Nurse Case Manager ** **is responsible for evaluating and coordinating care for members to improve ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Stafford, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... or Southern Surrounding Counties Virginia_** **Position Summary:** **This Case Manager Registered Nurse/Behavioral Health Clinician position is with Aetna's… more
- University of Virginia (Charlottesville, VA)
- …medical records, attends rounds, and responds to patients needs. Assists the case manager and/or social worker with implementing continuing care plans. Applies ... the hospital to the most appropriate next level of care . Activities include such things as preparing information to...professional experience. + Under the direction of a Case Manager and/or Social Worker assists in the facilitation of… more
- Molina Healthcare (Rockford, IL)
- …Bilingual, Spanish, Spanish Speaking, MCO, Medicare Advantage, Waiver, healthcare, Health Care , LTSS , IPA, Salesforce, Data, Analysis, Reporting, Enrollment, ... require day to day execution conducting member outreach, data analysis, nursing facilities , and workgroup facilitation to increase member retention. This role leads… more
