- Centene Corporation (San Antonio, TX)
- …a fresh perspective on workplace flexibility. ** Clinical RN Manager - LTSS Clinical Care - manage a team of RNs, Social Workers, Clinical ... Central Texas near Austin and San Antonio,** **Position Purpose:** Manages the care management team of licensed physical and/or behavioral health clinicians that… more
- Elevance Health (South Bend, IN)
- ** Manager II GBD Special Programs, LTSS Care /Service Coordination** **Location:** State of Indiana. Ideal candidate will live in the South Bend area. ... and direct, hands-on engagement. The ** Manager II GBD Special Programs, LTSS Care /Service Coordination** will be responsible for supporting the development,… more
- Fallon Health (Worcester, MA)
- …correction to resolve claim issues Works collaboratively and ensures communication with Clinical Integration Care Teams and LTSS vendors/providers to ... PACE- in the region. **Brief summary of purpose:** The Clinical Integration LTSS Vendor Liaison is an...completeness and accuracy and discusses any discrepancies with the Clinical Integration Care Team; teaching staff when… more
- Elevance Health (Hialeah, FL)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... ** LTSS Service Coordinator** **Schedule:** Monday-Friday 8am-5pm **Location** _:_...healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs… more
- Elevance Health (Independence, OH)
- …and overseeing clinical management functions for members receiving LTSS , including assessments, service planning, care coordination, transition planning, ... and caregiver education and training. + Responsible for monitoring LTSS performance across financial, clinical , LTSS...regulatory requirements within the OH MyCare Program. + Lead Care Coordination and LTSS Provider Relations to… 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...Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care… 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 ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Centene Corporation (Greenville, NC)
- …a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... Nurse (RN) or hold a license as a Licensed Clinical Social Worker (LCSW or LCSW-A), with experience in...North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring… 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...in identifying members for high risk complications. + Obtains clinical data as directed by the responsible RN. Assists… more
- Centene Corporation (Austin, TX)
- …access to competitive benefits including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in Starr County, Roma, TX, Rio ... support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap… more
- Molina Healthcare (Des Moines, IA)
- …professional in Council Bluffs, IA metropolitan area to join Molina as a Case Manager working with our Medicaid members. The service delivery area for this position ... will be given to those candidates with previous experience working with the LTSS population. Mileage is reimbursed as part of our benefits package. Hours are… more
- Elevance Health (Overland Park, KS)
- … clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a ... ** LTSS Medical Director - Kansas Medicaid** Location: This...Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality… more
- Elevance Health (Goshen, IN)
- **RN Case Manager ( LTSS Service Coordinator- RN Clinician)** **Location: Seeking candidates to work in Cass County, Delaware County, Elkhart County, Fulton ... client needs, and direct, hands-on engagement. The **RN Case Manager ** is responsible for overall management of member's case...Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- Elevance Health (Independence, OH)
- …** + Experience in facilitating training preferred. + Previous experience as a LTSS Care /Service Coordinator strongly preferred. + Experience in managed care ... **Training Specialist - LTSS Service Coordination** **Location: Ohio: Columbus, Cincinnati, Mason...but are not limited to general associate, management, sales, clinical , technical and operations training. Training often focuses on… more
- Elevance Health (New York, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables associates ... integration, and ensures essential face-to-face onboarding and skill development. The ** LTSS Service Coordinator - RN Telehealth** is responsible for overall… more
- Molina Healthcare (Northbrook, IL)
- …who lives in Illinois and must be licensed for the state of Illinois Case Manager will work in remote and field setting supporting our Medicaid Population with. Case ... Manager will be required to physically go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (Chicago, IL)
- …Opportunity for Illinois licensed RN to join Molina as a Field Case Manager working with our Medicare members in Cook County. This position will require ... given to applicants who have worked for a managed care organization (MCO) like Molina, we will also consider...we will also consider well-seasoned RNs with a strong clinical background. Hours are Monday - Friday, 8 AM… more
- Molina Healthcare (Houston, TX)
- …who lives in TEXAS and must be licensed for the state of TEXAS Case Manager RN will work in remote and field setting supporting our Medicaid Star Plus population. ... Case Manager will be required to physically go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (IA)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are ... 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 (FL)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are ... 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