- Molina Healthcare (Yonkers, 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
- Centene Corporation (Bronx, NY)
- …M-F 8:30 am - 5:00pm. 2-4 Assessments/Reassessments Daily. **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 (Newark, NJ)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location:** The location...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
- Elevance Health (New York, 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
- Molina Healthcare (Bronx, 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 (Yonkers, 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 (Bronx, 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
- CVS Health (Newark, NJ)
- …in **case management** or **discharge planning** . + Background in **managed care ** , **Medicaid/Medicare** , or ** LTSS ** . **Education** + **Associate ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...day. **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in… more
- Molina Healthcare (Yonkers, 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 (Yonkers, 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