- Molina Healthcare (San Antonio, 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 (San Antonio, 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
- Molina Healthcare (San Antonio, TX)
- …with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our benefits package. ... 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 (San Antonio, TX)
- …**Hybrid Position: Field visits and work from home** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical and ... supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health...primary medical/physical health needs to promote quality, cost effective care . Develops a personalized care plan /… more
- Elevance Health (San Antonio, TX)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-Clinician** is responsible for working under the...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
- Molina Healthcare (San Antonio, TX)
- …concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity...regimens. * Care manager RNs may conduct medication reconciliation… more
- Molina Healthcare (San Antonio, TX)
- …health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager ... to candidates with experience working as a Transition of Care Coach with another MCO like Molina. Additional pluses...MCO like Molina. Additional pluses - experience with the LTSS or Behavioral Health populations. Bilingual is also a… more
- Molina Healthcare (San Antonio, 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