- AmeriHealth Caritas (Newark, DE)
- ** Medical Director , LTSS (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified ... and related policy and practice initiatives in collaboration with the Corporate Medical Director (s), Senior Medical Directors, Utilization Management and… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. Job Purpose and Summary: The LTSS /SAI National Senior Medical Director , reporting to a Regional ... closely with data analytics team and develops specific actions to manage LTSS related medical cost trends* Develops benchmarks for LTSS clinical staff… more
- CVS Health (Tampa, FL)
- …business strategies are delivered and financial, compliance and quality objectives are met. The LTSS Director will partner closely with the LTSS Executive ... and affordable. Position Summary The Long-Term Services and Support ( LTSS ) Director will partner closely with the...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
- Open Sky Community Services (Worcester, MA)
- …(CCHP/BH) Community Partners Program and CCHP's Long Term Services and Supports (CCHP/ LTSS ) Community Partner Program. The Director will supervise the ... health and wellness a reality, not a dream. The Director of the Central Community Health Partnership will provide...build and enhance relationships with partner agencies along with medical and behavioral health agencies in support of the… more
- CVS Health (Hartford, CT)
- …members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our ... physical, behavioral and socioeconomic needs.* Partner closely with the Executive Director of Duals and other Duals Care Management leadership to collaborate… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical ... as needed. * Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community, state regulatory… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** **Position Summary:** The Director , Quality & Control Assurance reports to the VP of Quality & Control Assurance is responsible ... Medicare Risk Adjustment, HCC, clinical and coding reviews; DRG and medical records reviews; technology/systems and coding upgrade and implementation reviews (eg… more
- Humana (Columbus, IN)
- …+ Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director /Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, ... include: + Administer initial and ongoing long-term services and support ( LTSS ) related assessments through person-centered thinking approaches. + Contacts members… more
- Humana (Indianapolis, IN)
- …of the Provider Services team. The Provider Services Advisor will advise the Director , Provider Services, on the day-to-day and strategic operations of the team, ... significance. The Provider Services Advisor responsibilities include: + Advises Provider Services Director on strategic and day to day operations of the overall… more
- Greater Lynn Senior Services (Lynn, MA)
- …scheduled hours of work you may be eligible for: + Hybrid work schedule + Medical and Dental insurance + Health Spending Account + Flexible Spending Accounts (FSA) - ... referral bonuses of up to $1,000 Position Overview: The LTSS Program Clinical Care Nurse will complete program Comprehensive...The NRLP Clinical Care Nurse will support the Program Director in day to day operations of the program.… more
- Highmark Health (Dover, DE)
- …facilities and providers for care-coordination. + Participate in rounds with the Medical Director . + Review documentation and processes for consistent practice, ... and to promote effective use of resources for members enrolled in DSHP Plus LTSS . Provides direct oversight to Case Managers, meets all of the requirements of a… more