- 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 ... complex and/or behavioral health conditions and other health needs. The LTSS Care Manager is responsible for scheduling appointments, performing face-to-face… more
- Centene Corporation (Rocky Mount, NC)
- …a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior… 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, TX, Rio ... 3 days per week (mileage reimbursement is provided)** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and… more
- Centene Corporation (Miami, FL)
- …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. ... May develop or assist with developing personalized service care plans/service plans for long-term care members...personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on… more
- Centene Corporation (Phoenix, AZ)
- …reside in Arizona** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... service needs and develops or contributes to development of care plans/service plans, and educates members, their families and...with mental/behavioral health needs, and recommends a plan of care for the best outcome + Acts as liaison… more
- Centene Corporation (Phoenix, AZ)
- …reside in Arizona** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most ... enable quality, cost-effective healthcare outcomes. Performs assessments, develops personalized care plans/service plans, and educates members, their families and… 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)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...Medicaid and Medicare. We are looking for a Case Manager with a LMSW or LCSW licensure. Experience with… more
- Molina Healthcare (Des Moines, IA)
- …professional in Council Bluffs, IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery area for this position ... 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
- Molina Healthcare (Cleveland, TX)
- …who lives in Texas and must be licensed for the state of Texas. Case Manager will work in remote and 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)
- …who lives in Illinois and must be licensed for the state of Illinois Case Manager will work in remote 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 (Chicago, IL)
- …Opportunity for Illinois licensed RN to join Molina as a Field Case Manager working with our Medicare members in Cook County. This position will require ... While preference will be given to applicants who have worked for a managed care organization (MCO) like Molina, we will also consider well-seasoned RNs with a strong… more
- 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 (TX)
- …will support our MMP (Medicaid Medicare Population) that is part of the Personal Care Services team. This position will have a case load and manage members enrolled ... We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Centene Corporation (Phoenix, AZ)
- …**_ 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 management issues related to members or providers. + Oversees and reviews long-term … more
- Fallon Health (Worcester, MA)
- …to resolve claim issues Works collaboratively and ensures communication with Clinical Integration Care Teams and LTSS vendors/providers to ensure the member ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...the region. **Brief summary of purpose:** The Clinical Integration LTSS Vendor Liaison is an integral part of Fallon… more
- Elevance Health (OH)
- ** Manager II GBD Special Programs - LTSS...oversight and program strategy and implementation of OH My Care comprehensive health care program in which ... long term services and supports, and psychosocial needs._ The ** Manager II GBD Special Programs - LTSS **...service delivery of assigned team to include member assessments, care planning, and ongoing contacts. + Lead assigned subject… more
- Elevance Health (Hialeah, FL)
- ** LTSS Service Coordinator** **Schedule:** Monday-Friday 8am-5pm **Location** _:_ This is primarily a field based position. Candidate would need to reside in one of ... responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator** is responsible for conducting service coordination functions… more
- Elevance Health (Columbus, OH)
- ** Manager I GBD Special Programs - LTSS **...overseeing a team responsible for coordination of OH My Care comprehensive health care program in which Ohio ... long term services and supports, and psychosocial needs. The ** Manager I GBD Special Programs - LTSS **...service delivery of assigned team to include member assessments, care planning, and ongoing contacts. * Participates in cross-functional… more
- Elevance Health (Hialeah Gardens, FL)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location: This is...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more