- Molina Healthcare (Chicago, IL)
- …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 (Pardeeville, 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
- AmeriHealth Caritas (Winston Salem, NC)
- …the field up to 75% of the time. ;RN or LCSW required. ;; **Responsibilities** The LTSS Care Manager II is responsible for managing and coordinating care ... and/or behavioral health conditions and other health needs. The LTSS Care Manager is responsible...+ Other duties as assigned. **Education/Experience** + **Qualified candidates must be local to Boone, NC.** + **Up to… more
- Molina Healthcare (Irving, TX)
- **JOB DESCRIPTION** Opportunity for TX licensed RN interested in joining our LTSS Team as a Case Manager working with our Medicaid members in the Irving, TX ... 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
- Molina Healthcare (New York, NY)
- …management skills, CCA, PEGA knowledge and proficient MS Excel experience. The Case Manager must have the ability to work in a high-volume environment ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...Medicaid and Medicare. We are looking for a Case Manager with a LMSW or LCSW licensure. Experience with… more
- Centene Corporation (Austin, TX)
- …access to competitive benefits including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in Starr County, Roma, ... 3 days per week (mileage reimbursement is provided)** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and… more
- Molina Healthcare (Cleveland, TX)
- …For this position we are seeking a (RN) Registered Nurse who lives in Texas and must be licensed for the state of Texas. Case Manager will work in remote ... field setting supporting our Texas Medicaid Population with. Case Manager will be required to physically go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (Northbrook, IL)
- …position we are seeking a Licensed Behavioral Health Professional who lives in Illinois and must be licensed for the state of Illinois Case Manager will work in ... and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI. This ... (Medicaid Medicare Population) that is part of the Personal Care Services team. This position will have a case...in good standing + If field work is required, Must have valid driver's license with good driving record… more
- Elevance Health (New York, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables ... integration, and ensures essential face-to-face onboarding and skill development. The ** LTSS Service Coordinator - RN Telehealth** is responsible for overall… more
- Centene Corporation (Miami, FL)
- …**ield assessments in the southern area of Miami-Dade County** **. Candidates must be comfortable traveling up to 75% within a 30-mile radius. Preference ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- Centene Corporation (Phoenix, AZ)
- …including a fresh perspective on workplace flexibility. **Qualified applicants must reside in Arizona** **Position Purpose:** Develops, assesses and coordinates ... holistic care management activities, with primary focus and support towards...service needs and develops or contributes to development of care plans/service plans, and educates members, their families and… more
- Centene Corporation (Phoenix, AZ)
- …including a fresh perspective on workplace flexibility. **Qualified applicants must reside in Arizona** **Position Purpose:** Develops, assesses and coordinates ... holistic care management activities, with primary focus and support towards...enable quality, cost-effective healthcare outcomes. Performs assessments, develops personalized care plans/service plans, and educates members, their families and… more
- Centene Corporation (Phoenix, AZ)
- …to competitive benefits including a fresh perspective on workplace flexibility. **_ Candidate must reside in the state of AZ _** **Position Purpose:** Manages the ... care management team that serves long-term care members to develop and assess high quality, cost-effective healthcare outcomes. Manages escalations and care … 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
- Centene Corporation (Omaha, NE)
- …benefits including a fresh perspective on workplace flexibility. Applicants for this role must reside in the Council Bluffs / Omaha area as the position requires ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- Highmark Health (Dover, DE)
- …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 ... and other community based setting for individuals enrolled in DSHP Plus LTSS .** **ESSENTIAL RESPONSIBILITIES** + Travel to members' homes, nursing facilities, and… more
- CVS Health (Bedminster, NJ)
- …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... Nurse position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of...program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for… more
- BrightSpring Health Services (Greensboro, NC)
- …Qualifications: + Years of experience as specified below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred. + ... with a high degree of quality and autonomy. + Must meet all agency requirements for pre-employment and those...degree accumulated experience with the IDD population; and For care managers serving members with LTSS needs:… more
- CVS Health (Eureka, IL)
- …critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/ LTSS members by providing care coordination, support and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more