- Commonwealth Care Alliance (Boston, MA)
- …Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care and Senior Care Options (SCO) members across Massachusetts. ... and drive both program-wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior ...program updates, and address operational challenges. + Represent CCA's LTSS model of care and ensure provider… more
- Commonwealth Care Alliance (Springfield, MA)
- …including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, ... complexities that require intensive care management and care delivery. Within the CIC Program, The Senior...and MDS/BH support is needed. + Demonstrates understanding of LTSS . + Demonstrates ability to use SBAR Communication Tool.… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Commonwealth Care Alliance (Boston, MA)
- …and supporting operational excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation Partnerships., ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement… more
- Centene Corporation (Dallas, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... benefits including a fresh perspective on workplace flexibility. **RN LTSS Case Manager - must reside in Dallas County...services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of… more
- Molina Healthcare (Boston, MA)
- …is medically appropriate and cost-effective based on the severity of illness and the site of service . The Care Manager, LTSS provides support for care ... to overarching strategy to provide quality and cost-effective member care . This position will support our Senior ...waiver enrollment and disenrollment processes. * Develops and implements care plans, including a waiver service plan… more
- Molina Healthcare (Dorchester, MA)
- …appropriate and cost-effective based on the severity of illness and the site of service . This position will support our Senior Whole Health business. Senior ... 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 (Brockton, MA)
- …appropriate and cost-effective based on the severity of illness and the site of service . This position will support our Senior Whole Health business. Senior ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Fallon Health (Worcester, MA)
- …relationships * Partnering and participating in relationships with State Agencies such as Aging Service Access Points, Adult Day Health Care , Group Adult Foster ... among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences,...Care , Adult Foster Care , Long Term Care Providers, … more
- Greater Lynn Senior Services (Lynn, MA)
- …challenges *Employee referral bonuses of up to $1,000 Position Overview: The LTSS Program Clinical Care Nurse will complete program Comprehensive Assessments, ... Planning and Development | Full Time | Greater Lynn Senior Services offers comprehensive medical and dental plans, flexible...Flexible Spending Accounts (FSA) - Healthcare reimbursement & dependent care assistance + 12 paid holidays each year +… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement… more
- Molina Healthcare (Rockford, IL)
- …Bilingual, Spanish, Spanish Speaking, MCO, Medicare Advantage, Waiver, healthcare, Health Care , LTSS , IPA, Salesforce, Data, Analysis, Reporting, Enrollment, ... expert" (SME) by community and influencers on the health care delivery system and wellness topics. + Delivers presentations,...**PREFERRED EXPERIENCE:** + Prior related work experience in a senior or lead capacity. + Solid understanding of Health… more
