- Elevance Health (Fort Lauderdale, FL)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday...healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs… more
- Molina Healthcare (Weslaco, TX)
- …worker residing in the service delivery area of Weslaco and Donna, TX, to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… 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 ... Nurse (RN) or hold a license as a Licensed Clinical Social Worker (LCSW or LCSW-A), with experience in...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Elevance Health (Mason, OH)
- ** LTSS Service Coordinator (Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily operate in the ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential… more
- Elevance Health (Canton, OH)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician (Case Manager...RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. +… more
- Centene Corporation (San Antonio, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Care Manager RN - STAR Plus** ** LTSS Comprehensive Care Screening ... support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap… more
- Molina Healthcare (West Des Moines, IA)
- **JOB DESCRIPTION** Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting ... service. The ideal candidate will have experience as a Care Manager within a managed care...informal ICT collaboration. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during… more
- Centene Corporation (Austin, TX)
- …support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap ... must be obtained within 90 days of hire required **Preferred Experience:** + Clinical RN nursing experience with direct patient care and/or administering… more
- Molina Healthcare (Mansfield, TX)
- …DESCRIPTION** Opportunity for Texas licensed RN to join Molina as a Case Manager working with our Medicaid members in the Arlington (Tarrant County), TX service ... will be given to those candidates with previous experience working with the LTSS population. Mileage is reimbursed as part of our benefits package. Hours are… more
- Elevance Health (Topeka, KS)
- ** LTSS Service Coordinator-RN Clinician (Case Manager )** **Schedule:** Monday-Friday 8am-5pm CST **Location:** Candidates must live in or around **Atchison or ... unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for **face-to-face member service coordination… more
- Elevance Health (Fresno, CA)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs of members with chronic… more
- Elevance Health (Woodbridge, NJ)
- ** LTSS Service Coordinator - RN** **Location:** The location for this position includes various counties throughout the state of New Jersey. **Field** : This ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator-RN** is responsible for overall management of member's… more
- Molina Healthcare (Verona, WI)
- …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 (West Roxbury, MA)
- …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
- Centene Corporation (Corpus Christi, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... adults (18- 65)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Centene Corporation (Austin, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... County (Texas).** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Centene Corporation (Mcallen, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... 3 days per week for IN-PERSON visits with Foster Care members** **Monday - Friday 8:00 am- 5:00 pm...pm (CST)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and ... interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to… more
- CVS Health (Chicago, IL)
- …we do it all with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and ... critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/ LTSS members by providing care coordination, support and… more
- CVS Health (Edison, NJ)
- …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, ... and communication skills are required. **Fundamental Components/Job Description:** The Clinical Case Manager BH is responsible for...program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for… more