- AmeriHealth Caritas (Dover, DE)
- **Clinical Case Manager DE LTSS (New Castle County Delaware)** Location: Dover, DE Primary Job Function: Medical Management ID**: 31582 Your career starts ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Elevance Health (South Bend, IN)
- ** Manager I, GBD Special Programs LTSS (RN/LCSW)** **Location: This position is an Indiana field-based position.** This role requires face to face interactions ... in the field - mileage reimbursed. (hospitals, clinics, members' homes.) ** Manager I, GBD Special Programs LTSS is** responsible for supporting the development,… more
- Centene Corporation (Raleigh, NC)
- …Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with ... effective coordination of care activities. + Provides care coordination and care management ...years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management… more
- Elevance Health (Scottsburg, IN)
- …Skills, Capabilities and Experiences:** + Experience working with older adults in care management , provider or other capacity, highly preferred + Experience ... management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and...managing a community and/or facility-based care management case load, highly preferred +… more
- Elevance Health (Indianapolis, IN)
- ** Manager II GBD Special Programs, LTSS ** **Location:** **This position is an Indiana field-based position.** This role requires face to face interactions in the ... field - mileage reimbursed. (hospitals, clinics, members' homes.) The ** Manager II GBD Special Programs, LTSS ** is responsible for supporting the development,… more
- Centene Corporation (Raleigh, NC)
- …Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with ... workplace flexibility. **Position Purpose:** **(Location Wake County)** + Provides care coordination and care management ...Wake County)** + Provides care coordination and care management and oversees higher acuity long-term… more
- Molina Healthcare (Taylor, MI)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence ... Term Services & Supports. + 1-3 years in case management , disease management , managed care ...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Healthfirst (CT)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... **Duties/Responsibilities:** + Advocates, informs, and educates beneficiaries on services, self- management techniques, and health benefits. + Conducts assessments to… more
- Centene Corporation (Springfield, IL)
- …evaluates the need for supportive e services and establishes member driven care management objectives. + Responsible for coordination of service authorizations ... and facilities/agencies. + Maintains accurate reports and manages the integrity of care management activities in the electronic care management system,… more
- Centene Corporation (Phoenix, AZ)
- …travel to visit members. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the ... for daily living) + Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system;… more
- AmeriHealth Caritas (Newark, DE)
- …**Responsibilities:** Provides organizational leadership in the operational areas of care management , utilization review, appeals, quality improvement and ... **Medical Director, LTSS (must reside in DE)** Location: Newark, DE...those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty… more
- Centene Corporation (Phoenix, AZ)
- …travel to visit members. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards ... to members + Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare ... member needs are met + Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current… more
- Molina Healthcare (Jarratt, VA)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting...in Nursing **Preferred Experience** + 3-5 years in case management , disease management , managed care … more
- Molina Healthcare (Roanoke, VA)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting...health settings. **PREFERRED EXPERIENCE:** + 3-5 years in case management , disease management , managed care … more
- Molina Healthcare (Frisco, TX)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management , disease management , managed care or medical or behavioral… more
- Molina Healthcare (Huntsville, TX)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... health settings. **PREFERRED EXPERIENCE:** + 3-5 years in case management , disease management , managed care or medical or behavioral health settings. + 1… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- **Long-Term Care Manager II, RN (Miami/Palm Beach/Orlando)** Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 31405 **Job ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager II assists participants in obtaining the… more
- AmeriHealth Caritas (Orlando, FL)
- … Care Supervisor is responsible for the daily oversight of the LTC Care Management unit providing direction, organization, and monitoring of all care ... + Responsible for direct supervisory oversight of staff conducting care management screening, care coordination,...levels, staff experience, and number/request types. + Assist the LTSS Manager in providing oversight for operational… more
- Highmark Health (Columbus, OH)
- …such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health care and service ... contact for members to coordinate all of the member's care needs across the various service delivery systems and...**Preferred** + One year in home clinical or case management experience + Certified Case Manager (CCM)… more