- Molina Healthcare (San Antonio, 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 (San Antonio, 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
- Molina Healthcare (San Antonio, TX)
- …with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our benefits package. ... 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
- Centene Corporation (San Antonio, TX)
- …**Hybrid Position: Field visits and work from home** **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 (San Antonio, TX)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator-Clinician** is responsible for working under the...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
- Molina Healthcare (San Antonio, 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 (San Antonio, 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 (San Antonio, 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