- Centene Corporation (Phoenix, AZ)
- …**_ Candidate must reside in the state of AZ _** **Position Purpose:** Manages the care management team that serves long-term care members to develop and ... assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees and reviews… more
- Fallon Health (Worcester, MA)
- …Clinical Integration LTSS Vendor Liaison is an integral part of Fallon Health's care coordination and care management and improves access to quality of ... Care Attendant (PCA) issues with the Personal Care Management (PCM) Agencies and Fiscal Intermediaries...issues Works collaboratively and ensures communication with Clinical Integration Care Teams and LTSS vendors/providers to ensure… more
- Elevance Health (OH)
- ** Manager II GBD Special Programs - LTSS **...program operations in support of corporate and health plan management . + Mentors Manager I team to execute ... long term services and supports, and psychosocial needs._ The ** Manager II GBD Special Programs - LTSS **...oversight and program strategy and implementation of OH My Care comprehensive health care program in which… more
- Elevance Health (Hialeah, FL)
- …and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal ... for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS /IDD), and… more
- AmeriHealth Caritas (Winston Salem, NC)
- …the field up to 75% of the time. ;RN or LCSW required. ;; **Responsibilities** The LTSS Care Manager II is responsible for managing and coordinating care ... and/or behavioral health conditions and other health needs. The LTSS Care Manager is responsible...Member's health status, compliance with treatment plans and promote self- management . The Care Manager II… more
- Molina Healthcare (Irving, TX)
- **JOB DESCRIPTION** Opportunity for TX licensed RN interested in joining our LTSS Team as a Case Manager working with our Medicaid members in the Irving, TX ... Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our...Term Services & Supports. + 1-3 years in case management , disease management , managed care … more
- Elevance Health (Columbus, OH)
- ** Manager I GBD Special Programs - LTSS...of Ohio is strongly preferred. * Service Coordination or Care Management experience is strongly preferred. * ... long term services and supports, and psychosocial needs. The ** Manager I GBD Special Programs - LTSS **...overseeing a team responsible for coordination of OH My Care comprehensive health care program in which… more
- Elevance Health (Columbus, OH)
- **Vendor Operations Management Consultant - LTSS ** **Location:** This position is based in Ohio with a strong preference for Columbus, OH. **Hybrid Workforce ... and adaptable workplace. Alternate locations may be considered. The **Vendor Operations Management Consultant - LTSS ** is an individual contributor role… more
- Centene Corporation (Rocky Mount, NC)
- …a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with… more
- Elevance Health (Hialeah Gardens, FL)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location: This is...or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Molina Healthcare (New York, NY)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... Medicaid and Medicare. We are looking for a Case Manager with a LMSW or LCSW licensure. Experience with...health settings. **PREFERRED EXPERIENCE:** + 3-5 years in case management , disease management , managed care … more
- Molina Healthcare (Des Moines, IA)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery...health settings. **PREFERRED EXPERIENCE:** + 3-5 years in case management , disease management , managed care … more
- Centene Corporation (Austin, TX)
- …visits 3 days per week (mileage reimbursement is provided)** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of ... including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in...care plans / service plans and collaborates with care management team to identify providers, specialists,… more
- Elevance Health (Cincinnati, OH)
- **Director of LTSS Provider Relations** **Preferred Location: Ohio. This position is hybrid and will require the associate to report to 1 of the 4 Ohio office ... term services and supports, and psychosocial needs._ The **Director of LTSS (Long-Term Support Services) Provider Relations** will be responsible for spearheading… more
- Elevance Health (Goshen, IN)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... **RN Case Manager ( LTSS Service Coordinator- RN Clinician)**...as necessary. + Experience working with older adults in care management , provider or other capacity, highly… more
- Molina Healthcare (Cleveland, TX)
- …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 Texas. 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 (Northbrook, IL)
- …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 Illinois 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 (Chicago, IL)
- …disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management , disease management , managed care or medical or behavioral ... licensed RN to join Molina as a Field Case Manager working with our Medicare members in Cook County....in Nursing **Preferred Experience** + 3-5 years in case management , disease management , managed care … more
- Elevance Health (New York, NY)
- …with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. + May also assist in problem ... ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate...Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure;… more
- Molina Healthcare (TX)
- …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