- Centene Corporation (Orlando, FL)
- …competitive benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Lake County, FL)** ... **Centene is seeking a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports ( LTSS ) team. This hybrid role covers… more
- Centene Corporation (Orlando, FL)
- …enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/ service plans for long-term care ... for the best outcome + Assists with developing ongoing long-term care plans/ service plans and works to identify providers, specialist, and/or community resources… more
- Molina Healthcare (Orlando, FL)
- …Facilitates comprehensive waiver enrollment and disenrollment processes. * Develops and implements care plans, including a waiver service plan in collaboration ... changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and… more
- Molina Healthcare (Orlando, FL)
- …appropriateness of service provided, length of stay and level of care . * Applies appropriate criteria on PAR and Non-PAR (contracted and non-contracted) cases ... services and supports ( LTSS ) issues. * Identifies and reports quality of care issues. * Prepares and presents cases in conjunction with the chief medical officer… more
- Elevance Health (Lake Mary, FL)
- …**Preferred Skills, Capabilities, and Experiences:** + Understanding of managed care or Medicaid/Medicare strongly preferred. + Previous experience in healthcare ... industry and customer service is preferred. + One year of experience working...with authorizations is preferred. + Previous experience working with LTSS members or Medicaid is strongly preferred. For URAC… more