- HealthCare Support (Odessa, TX)
- Case Manager HealthCare Support 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 and eligibility of...Conduct screening and risk assessment interventions per program guidelines. LTSS service care manager will have 3… more
- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program to join #TeamMVP. If ... Experience working in a Medicaid Long Term Support Program ( LTSS ) or Health Home required. Must demonstrate...of medically complex Medicaid members. Through collaborative efforts the Case Manager will identify the medical and… more
- Commonwealth Care Alliance (Boston, MA)
- …Licensing ( must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience ( must have):** + 2 to 3 years ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
- Commonwealth Care Alliance (Springfield, MA)
- …across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports. ... visits with focus on clear, comprehensive, and concise charting. Must be able to document in English. + Identify,...but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse… more
- Commonwealth Care Alliance (Springfield, MA)
- …and meet his/her needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not have direct reports. ... visits with focus on clear, comprehensive, and concise charting. Must be able to document in English. + Completion...but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse… more
- Centene Corporation (Dallas, TX)
- …to competitive benefits including a fresh perspective on workplace flexibility. **RN LTSS Case Manager - must reside in Dallas County near** **Dallas, ... Term Care settings + Adult Day Care + Home Health or Hospice + Case Management + Managed Care **License/Certification:** + RN - Registered Nurse - State Licensure… more
- Elevance Health (Kansas City, KS)
- ** LTSS Service Coordinator-RN Clinician ( Case Manager )** **Schedule:** Monday-Friday 8am-5pm CST **Location:** Candidates must live in or near ... 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 (Waukesha, WI)
- ** LTSS Provider Network Manager , Contracting** **Location:** WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 Please note that per our policy on hybrid/virtual ... autonomy of virtual work, promoting a dynamic and adaptable workplace. The ** LTSS Provider Network Manager , Contracting** develops the provider network through… more
- Centene Corporation (Tampa, FL)
- …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 join our...- 5:00 PM (local time).** **Key Responsibilities:** + Provide case management support for members in their homes or… more
- Molina Healthcare (West Union, IA)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... JOB DESCRIPTION Opportunity for an experienced Care Manager who is Bachelors or Masters trained in...trained in a social services field to join the LTSS team with our Iowa Health Plan. Responsibilities include… more
- Molina Healthcare (Detroit, MI)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN...will be supporting DSNP. This position will have a case load and manage members enrolled in this program.… more
- Molina Healthcare (Jersey Village, TX)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... be given to RNs who have worked in Facility Case Management with another MCO, but we will also...including behavioral health care and long-term services and supports ( LTSS ) and home and community resources to enhance continuity… more
- Molina Healthcare (Dallas, TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... will be given to those candidates with previous experience working with the LTSS population receiving waiver services. Mileage is reimbursed as part of our benefits… more
- Centene Corporation (Dallas, TX)
- …you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ** LTSS Service Care Manager - works with IDD members and IDD ... Waiver Providers in Dallas TX** **. Must reside in the Dallas, TX area** **NOTE: Travel...of this position. **Preferred Experience:** * 3+ years of case management experience working directly with the IDD members… more
- Molina Healthcare (La Crosse, WI)
- …healthcare services professionals supporting members with long-term services and supports ( LTSS ) needs - ensuring members reach desired outcomes through integrated ... - providing direction and guidance to long-term services and supports ( LTSS ) care coordination team, and ensuring timely delivery of appropriate/quality services… more
- Elevance Health (Indianapolis, IN)
- ** LTSS Service Coordinator-Clinician** **Schedule:** Monday-Friday 8am-5pm EST **Location** : Candidates must be located in Marion County. **Field** : This ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-Clinician** working under the direction/supervision of an RN, with… more
- Molina Healthcare (Dallas, TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in...in good standing + If field work is required, Must have valid driver's license with good driving record… more
- Elevance Health (Middletown, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is responsible for...RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
- Molina Healthcare (Fitchburg, WI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) \#PJHS \#LI-AC1 To all current Molina ... **_ Will travel throughout Dane County _** **_ Must reside in Wisconsin _** **JOB DESCRIPTION** **Job...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in… more
