- Commonwealth Care Alliance (Boston, MA)
- …performance evaluation and improvement efforts. Through reporting, data analysis, and partnership management , the LTSS Program Manager ensures that providers ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for...Abilities & Language (nice to have):** + Familiarity with care management and utilization management … more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for relationship management with the contracted ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...LTSS , social work, provider relations, healthcare communications, project management , or network management within a health… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for ... facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing...Act as liaison with medical director, provider relations, case management and quality teams to support care … more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is ... Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting...Care experience + 2 or more years of LTSS experience + 2 or more years working in… more
- HealthCare Support (Odessa, TX)
- …and social support staff. Conduct screening and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of travel ... Manager to fill an opening with a Managed Care Company in Odessa, TX . Daily Responsibilities for...members Maintains accurate documentation and supports the integrity of care management activities in the electronic … more
- Commonwealth Care Alliance (Boston, MA)
- …CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One ... providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads...Abilities & Language (nice to have): - Familiarity with care management and utilization management … more
- Commonwealth Care Alliance (Springfield, MA)
- … Alliance's (CCA) Community Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high ... significant medical, behavioral, and social complexities that require intensive care management and care delivery....with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging… more
- Commonwealth Care Alliance (Springfield, MA)
- … Alliance's (CCA) Community Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high ... significant medical, behavioral, and social complexities that require intensive care management and care delivery....with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging… more
- Commonwealth Care Alliance (Boston, MA)
- …- 8-10 years of progressively responsible experience in provider relations, network management , or healthcare operations within a managed care organization, ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Collaborate with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management , Member Services, Provider Services, Regulatory Affairs, ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Elevance Health (Waukesha, WI)
- ** Manager Provider Network Management - LTSS (Wisconsin Family Care )** **Location:** WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 Please note that per our ... a dynamic and adaptable workplace. The ** Manager Provider Network Management - LTSS (Wisconsin Family Care )** manages a team responsible for provider… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for relationship management with the contracted ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...LTSS , social work, provider relations, healthcare communications, project management , or network management within a health… more
- Molina Healthcare (West Union, IA)
- …long-term services and supports ( LTSS ), and 1 year of experience in care management , or experience in a medical and/or behavioral health setting, or ... JOB DESCRIPTION Opportunity for an experienced Care Manager who is Bachelors or...necessary forms and documentation. Job Summary Provides support for care management / care coordination long-term services… more
- Centene Corporation (Tampa, FL)
- …competitive 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...**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective… more
- Centene Corporation (Orlando, FL)
- …benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Lake County, FL)** **Centene ... is seeking a LTSS Service Care Manager to...**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective… 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:** Durand, ... an accommodation is granted as required by law. The ** Manager II GBD Special Programs** will be responsible for...physical health, behavioral health, social services for Wisconsin Family Care , a long-term service and supports ( LTSS )… more
- Elevance Health (Port St. Lucie, FL)
- …and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal ... for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS /IDD), and… more
- Centene Corporation (Tallahassee, FL)
- …Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with ... Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with… more
- Molina Healthcare (Warren, MI)
- …as contract system lead by developing and maintaining provider contracts in contract management software. * Targets and recruits additional LTSS providers to ... Summary** Molina Health Plan Provider Network Contracting (Long Term Support Services, LTSS ) jobs are responsible for the network strategy and development with… more
- Molina Healthcare (Detroit, MI)
- …EST (No weekends or Holidays) JOB DESCRIPTION Job Summary Provides support for care management / care coordination long-term services and supports specific ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care , including at least 1 year experience in care management , managed care , and/or… more
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