- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION **Job Summary** The Care Manager , LTSS provides support for care management/care coordination long-term services and supports specific activities ... toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will...will be supporting our Florida state plan. The Care Manager will be conducting home visits to our members… more
- Molina Healthcare (Des Moines, IA)
- JOB DESCRIPTION Opportunity for five experienced Care Managers to join the LTSS team in Iowa for several service delivery areas. Counties in need of a Care ... Manager : + Linn County - one needed + Union,...to determine the types of services we need to provide and managing their care until they are discharged… more
- Molina Healthcare (Jackson, MI)
- …and experience. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management experience in a managed ... matrix team environmental support including, but not limited to: New Markets Provider / Contract Support Services, PCRP & CSST resolution support, and National… more
- Humana (Indianapolis, IN)
- …caring community and help us put health first** The Strategy Advancement Advisor LTSS Program Manager provides data-based strategic direction to identify and ... regulator, plan leadership, and the enterprise to ensure the execution of contract deliverables and operational changes when requested by regulator or deemed… more
- Elevance Health (Gary, IN)
- ** LTSS Service Coordinator (Case Manager )** **Location:** Seeking candidates located in Lake County Indiana. **_Please note that per our policy on hybrid/virtual ... responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator (Case Manager )** is responsible... needs, as required by applicable state law and contract , and federal requirements. **How you will make an… more
- Centene Corporation (Mcallen, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LPC, or RN with Behavioral...advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN, or Social Worker in community mental… more
- Centene Corporation (Topeka, KS)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LMHC, LPC and/or RN with BH… more
- Elevance Health (Viroqua, WI)
- ** LTSS Service Coordinator (Case Manager )** **$5,000 Sign-on Bonus** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, ... independent living, employment, and contributing to their communities. The ** LTSS Service Coordinator** is responsible for conducting service coordination functions… more
- System One (Las Vegas, NV)
- Job Title: LTSS Coordinator - Nevada Location: Nevada Type: Contract Compensation: $33/Hour Contractor Work Model: Remote Title: LTSS Coordinator - Nevada ... Functions: + Serve as point of contact with the Primary Care Manager , Medical Director, Provider , or other internal/external stakeholders. + Collaborate… more
- Elevance Health (Largo, FL)
- …responsibility for the member's case, as required by applicable state law and contract , contributes to the LTSS care coordination process by performing ... ** LTSS Service Coordinator-Clinician** **Location** _:_ This is primarily...or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted LPN/LVN, LSW,… 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 associates ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is responsible for...member's case in accordance with applicable state law and contract ; develops , monitors, evaluates, and revises the member's… more
- Elevance Health (Odessa, TX)
- ** LTSS Service Coordinator - RN** **Location:** Candidate should reside in Ector, Fredericksburg or Midland TX. **Field** : This field-based role enables associates ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN** is responsible for overall management of member's case within… more
- Molina Healthcare (Columbus, OH)
- …management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. Ensures members reach desired outcomes ... of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Responsible for… more
- Commonwealth Care Alliance (Boston, MA)
- …and utilization management systems and workflows. * Experience managing delegated provider contracts and oversight programs. * Project management skills ... 011230 CA- Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the… more
- Elevance Health (Mason, OH)
- …Program Specialist) is responsible for and is fully dedicated to delivering on the LTSS commitment to linking provider payment to improved performance. This role ... core set of measures to be included in all provider feedback reports, standardized across all LTSS ...feedback reports. + May be responsible for coordinating negotiated contracts for new and existing providers as needed. +… more
- Elevance Health (Wilmington, NC)
- ** Manager Care Management, Foster Care ( Manager I GBD Special Programs)** **$5,000 SIGN ON BONUS** **LOCATION** **:** Cumberland County, NC. This field-based ... families thrive in safe, stable, and nurturing homes._ The ** Manager Care Management, Foster Care** ( Manager I...complex health and social needs. + Ensure care managers provide Trauma-Informed Care and recognize the impact of ACEs… more
- Molina Healthcare (Yonkers, NY)
- …overarching strategy to provide quality and cost-effective member care. The Care Manager will be supporting our New York HARP Adult Behavioral Health program. We ... JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/care coordination...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Molina Healthcare (Covington, KY)
- …in Kentucky and must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid/Medicare population providing telephonic case management support. ... member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Completes… more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/care coordination activities and collaborates with multidisciplinary team ... member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting… more
- Molina Healthcare (Las Vegas, NV)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/care coordination activities and collaborates with multidisciplinary team ... member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. This position will be supporting… more