- Commonwealth Care Alliance (Springfield, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with ... community-based Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care ...Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... below based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS … more
- Commonwealth Care Alliance (Boston, MA)
- …more years of Home Health Care experience + 2 or more years of LTSS experience + 2 or more years working in a Medicare Advantage health Plan **Required ... 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)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Commonwealth Care Alliance (Boston, MA)
- …for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, ... behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a...excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation… more
- Centene Corporation (Jacksonville, FL)
- …competitive benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Southside of ... Jacksonville FL.)** **Centene is seeking a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports ( LTSS ) team. This… more
- Centene Corporation (Greenville, NC)
- …flexibility. Job Description **Centene is hiring in Greenville, North Carolina!** **We are seeking two LTSS Service Care Manager to join our Carolina ... healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Topeka, KS)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify...North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… more
- Centene Corporation (Austin, TX)
- …on workplace flexibility. **Registered Nurse work in or near: Laredo, TX** ** LTSS Case Manager positions - full-time hours, benefits, company equipment ... to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates… more
- Centene Corporation (Tallahassee, FL)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify...of the level of this position. **License/Certification:** For Florida LTSS ECC, must have 2 years of youth/young adult… more
- Centene Corporation (Dallas, TX)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Centene Corporation (Mcallen, TX)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Centene Corporation (West Palm Beach, FL)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Centene Corporation (Austin, TX)
- …Evaluates member service needs and develops or contributes to development of care plans/ service plans, and educates members, their families and caregivers on ... include medical, behavioral and social services. Provides coordination of service authorization to members and care managers...coordination of service authorization to members and care managers for various services based on service… more
- Centene Corporation (Mcallen, TX)
- …Evaluates member service needs and develops or contributes to development of care plans/ service plans, and educates members, their families and caregivers on ... include medical, behavioral and social services. Provides coordination of service authorization to members and care managers...coordination of service authorization to members and care managers for various services based on service… more
- Molina Healthcare (Boston, MA)
- …and cost-effective based on the severity of illness and the site of service . The Care Manager , LTSS provides support for care management/ care ... waiver enrollment and disenrollment processes. * Develops and implements care plans, including a waiver service plan...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Elevance Health (WI)
- **Family Care LTSS Network Relations Consultant Manager ** **Location: We are currently seeking people in the following counties and look forward to speaking ... accommodation is granted as required by law. The **Family Care LTSS Network Relations Consultant Manager...actions. + Identifies and reports on provider utilization and service delivery trends which have a direct impact on… more
- Elevance Health (Arcadia, WI)
- **Title** : Manager II GBD Special Programs - LTSS Care / Service Coordination **Location: We are currently seeking people in the following counties:** ... an accommodation is granted as required by law. The ** Manager II GBD Special Programs** will be responsible for...services for Wisconsin Family Care , a long-term service and supports ( LTSS ) program. **How you… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for ... below based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS … more
