- Molina Healthcare (Santa Fe, NM)
- …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 (Santa Fe, NM)
- …or Curry County.** JOB DESCRIPTION Job Summary Provides support for care management/ care coordination activities and collaborates with multidisciplinary team ... coordinating integrated delivery of member care across the continuum. Strives to ensure member progress...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Molina Healthcare (Santa Fe, NM)
- …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 (Santa Fe, NM)
- …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