- Molina Healthcare (Houston, 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 (Houston, 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
- Elevance Health (Houston, TX)
- ** LTSS Service Coordinator - RN** **Location:** The location for this position is the Dallas, Mesquite, Rockwall, and Houston, TX. **Field** : This field-based role ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN** is responsible for overall management of...and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Molina Healthcare (Houston, 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 (Houston, 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 (Houston, 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