- Molina Healthcare (Austin, TX)
- …changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and ... of experience working with persons with disabilities/chronic conditions long-term services and supports ( LTSS ), and 1 year of experience in care management, or… more
- Molina Healthcare (Austin, TX)
- …Hours are M - F, 8 AM - 5 PM. Preferred experience includes Home Health, Care Management either at another MCO like Molina or within a hospital. Candidates should be ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… 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 ... 8 am - 5 pm (CST); no evenings or weekends** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and supporting… more
- Centene Corporation (Austin, TX)
- …no On-Call** **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 (Austin, TX)
- …**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
- Molina Healthcare (Austin, TX)
- … care transitions, behavioral health, long-term services and supports ( LTSS ), and other clinical programs. Leads team responsible for assessing, facilitating, ... (prior-authorization, inpatient review), behavioral health, long-term services and supports ( LTSS ), and other member care focused programs. Demonstrates… more
- Molina Healthcare (Austin, TX)
- …services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction with the chief medical officer ... guidelines. Assesses appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to provide quality and… more
- Molina Healthcare (Austin, TX)
- …and supports ( LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) ... to overarching strategy to provide quality and cost-effective member care . **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective… more