- Molina Healthcare (Albany, NY)
- …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
- Elevance Health (Latham, 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...contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- MVP Health Care (Schenectady, NY)
- …health and/or improved functional capability through the coordination of quality cost effective care . + The Case Manager will also monitor and review cases ... concurrent, and retrospective reviews to determine medical necessity and appropriateness of LTSS services. + Care Coordination: Collaborate with case managers, … more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (RN) provides support for care management/ care coordination activities and collaborates with ... concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/ care coordination activities and collaborates with ... to overarching strategy to provide quality and cost-effective member care . The Care Manager will...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/ care coordination activities and collaborates with ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral health care … more
- Molina Healthcare (Albany, NY)
- …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 (Albany, NY)
- …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