- CVS Health (Chatham, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... heart, each and every day. **Position Summary** This Case Manager RN/LPN position is with Aetna's Long-Term Services &...RN/LPN position is with Aetna's Long-Term Services & Support ( LTSS ) team and is a Field Based role out… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …but not limited to, other HHS business units provider associations, advocacy groups, LTSS providers, managed care plans, members and families/guardians to ensure ... Long-Term Services & Support Policy Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5027897) Apply Long-Term Services & Support… more
- CVS Health (Rantoul, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... position is with Aetna's Long Term Services & Supports ( LTSS ) team and is a field-based position out of...with network management and clinical coverage policies. BH Case Manager is responsible for telephonically and/or face to face… more
- CVS Health (Mchenry, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... each and every day. **Position Summary** This BH Case Manager position is with Aetna's Long-Term Services and Supports... position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of… more
- CVS Health (Pekin, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... all with heart, each and every day. This Case Manager Registered Nurse position is with Aetna's Long-Term Services...Nurse position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of… more
- Elevance Health (Hickory, NC)
- …Families Specialty Plan) and its care management partners assign a dedicated care manager to each client, responsible for: comprehensive care management, ... **Special Program Case Manager II** _We are partnering with North Carolina...so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP),… more
- Molina Healthcare (Hattiesburg, MS)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the ... of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan.… more
- Humana (Springfield, IL)
- …Gold Plus Integrated is seeking Provider Engagement Professionals (Physician and LTSS ) who are responsible for day-to-day, front-line relationship management for ... providers and healthcare systems. The Provider Engagement Professional (Physician and LTSS ) roles and responsibilities include: + Serve as primary relationship … more
- University of Virginia (Charlottesville, VA)
- …medical records, attends rounds, and responds to patients needs. Assists the case manager and/or social worker with implementing continuing care plans. Applies ... the hospital to the most appropriate next level of care . Activities include such things as preparing information to...professional experience. + Under the direction of a Case Manager and/or Social Worker assists in the facilitation of… more