- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Coordinator II Job Category: Clinical Department: Managed Long Term Services and Supports ... net required to achieve that purpose. Job Summary The Managed Long Term Services...ensure members, families, and caregivers have access to a service delivery system that improves the well-being of our… more
- J&J Family of Companies (Raritan, NJ)
- …needs for Pharmacy Benefit Managers (PBM), Managed Care Organizations (MCO) and Long Term Care (LTC) GPOs and pharmacies administered by the Managed ... Sr. Analyst, Managed Markets & Specialty - 2406181693W **Description** Johnson...benefit programs: medical, dental, vision, life insurance, short- and long - term disability, business accident insurance, and group… more
- Healthfirst (NY)
- …via telephonic efforts in support of Healthfirst's Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care Plan (MLTC) Senior Health Partners ... and optimal operational efficiency. + Connects consumers seeking personal care/ long term care services with...knowledge of Complete Care, Senior Health Partners (SHP) or managed long - term care. + Prior… more
- LA Care Health Plan (Los Angeles, CA)
- …management of the Utilization Management (UM), Case Management (CM), and Managed Long Term Supportive Services (MLTSS) teams alongside a clinical dyad ... Responsible for internal health plan operations in care management, utilization management, and managed long - term supportive services , among other… more
- Healthfirst (New York, NY)
- The Entitlement Advocate provides Healthfirst's Medicare Advantage Plan(MAP), Managed Long - Term Care Plan(LTC), Dual eligible Medicare Plan and Nursing Home ... requirement for enrollment. + Transfer and connect consumers seeking Long Term Care services with...sub-acute, long - term care setting, or managed - long term care + Have… more
- CVS Health (Albany, NY)
- …personal, convenient and affordable. Position Summary: Join our Aetna Better Health MLTC ( Managed Long - Term Care ) Assessment Team! The Associate Manager ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more
- Elderwood (Monroe County, NY)
- …$68,640 - $93,600 Overview Elderwood Health Plan is seeking an RN Care Manager - MLTC ( Managed Long Term Care) to join our incredible growing team of ... services , providing referrals and coordinating other medical services in support of their member centric service...the Member's home to assess potential enrollees' appropriateness for Managed Long - Term Care (MLTC), or… more
- Public Consulting Group (NY)
- …assure appropriate access and delivery of health services to Medicaid members receiving long term care service and supports. The incumbent will interact ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services . SSO...Assist Division of Health Plan Contract Oversight, Bureau of Managed Long Term Care (BMLTC),… more
- CVS Health (Trenton, NJ)
- …visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long - Term Services and Supports program (MLTSS). ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more
- CVS Health (Albany, NY)
- …for up to a $5,000 sign on bonus upon hire. Join our Aetna Better Health MLTC ( Managed Long Term Care ) Assessment Team! We're looking for an experienced RN ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more
- State of Indiana (Indianapolis, IN)
- …the Healthy Indiana Plan (HIP), Hoosier Healthwise (HHW), Hoosier Care Connect (HCC) and managed Long - Term Service and Supports programs. You will ... functions of a role. About the Family & Social Services Administration: The Office of Medicaid Policy and Planning...serve as a subject matter expert on managed care programs and contract compliance within the Indiana… more
- Mom's Meals (Ankeny, IA)
- …degree or equivalent experience + 5 years' healthcare sales experience in areas such as managed care, long - term care, home health, home care, hospital or ... is recognized as an industry leader in quality, customer service , and nutritional support for high-risk Medicaid and LTSS...services to a variety of key stakeholders within managed care organizations such as C-suite, clinical team, case… more
- City of New York (New York, NY)
- …for or in receipt of services through one of the CASA offices, the Managed Long - Term Care (MLTC) Program, the Assisted Living Program (ALP), and the ... MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Home Care Services Program...daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC)… more
- CDS Life Transitions (Webster, NY)
- …out more! OVERVIEW: Assess applicants in the community for eligibility and enrollment in our Managed Long Term Care program. Provide an overview of program ... iCircle is a licensed non-profit Managed Care Organization offering a health plan to...UAS-NY and paraprofessional time tasking tool. + Utilize iCircle Services designated criteria along with clinical knowledge and expertise… more
- New York Health Care (Valley Stream, NY)
- …information and financial reimbursement information. + Contact patients and educate them on the Managed Long Term Care Program + Entry of referral on ... websites available and direct phone calls to Insurance companies. + Contacts service representatives at Managed Care Insurance companies to verify eligibility… more
- Amazon (Herndon, VA)
- …in April 2023, with the objective to reduce operational load and toil through long - term engineering projects. Managed Operations (MO) is building the ... balance the day-to-day operations of AWS' software systems with long - term software engineering to reduce operational toil....feedback from your team. On Wednesday you investigated a Service Level Objective (SLO) that recently became less than… more
- Outagamie County (Appleton, WI)
- …and Disenrollment counseling to consumers seeking enrollment or disenrollment from Wisconsin's managed long - term care options: Family Care, Family Care ... resources. + Make referrals to other agencies for additional services as requested or as appropriate. + Maintain working...turning 18 years old. + Certification as an adult Long Term Care Functional Screener is required… more
- City of New York (New York, NY)
- …with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living ... YOU MUST BE PERMANENT IN THE CLERICAL ASSOCIATE CIVIL SERVICE TITLE. IF YOU ARE HIRED PROVISIONALLY IN THE...Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and… more
- City of New York (New York, NY)
- …with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living ... a member of a team, identifies, develops, and implements service plans for New York City residents who demonstrate...Title XIX, which provides coverage for long term care and home care services to… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …Human Resources Administration (HRA), Managed Care Organization (MCO), and Managed Long - Term Care (MLTC) guidelines. Additionally, the Registered ... works under the supervision of the Direction of Patient Services and Nursing Supervisor with the understanding that work...with appropriate agency and/ or MD regarding recommendations for service changes + Report any patient incident or complaint;… more