- Commonwealth Care Alliance (Boston, MA)
- …and communication with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points ... 024040 Clin Alli-HICM **Position Summary:** Commonwealth Care Alliance's (CCA) Community Intensive Care ...locations. This position reports to the CIC APC Clinical Manager . **Supervision Exercised:** No, this position does not have… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (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
- Elevance Health (Waukesha, WI)
- **Title:** Manager II Utilization Management **Hybrid 2:** This role requires associates to be in-office **3** days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Manager II Utilization Management** is responsible for overseeing workflow...or LCSW license preferred. + 3 years of health care UM experience is highly preferred. + Prior experience… more
- Molina Healthcare (Iowa City, IA)
- JOB DESCRIPTION Job SummaryProvides support for care management/ care coordination activities and collaborates with multidisciplinary team coordinating integrated ... delivery of member care across the continuum. Strives to ensure member progress...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- CVS Health (Manville, NJ)
- …individuals with disabilities and older adults. MLTSS integrates the principles of managed care with Long-Term Services and Supports ( LTSS ), aiming to enhance ... satisfaction, and cost-effective service delivery. **Ideal Candidate** + Knowledge of managed care principles and LTSS . + Strong interpersonal and communication… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** The Manager will focus on departmental integrity, learning, and data management. They will also be the Community HealthChoices Long-Term Service ... + Remote **Responsibilities** + Conduct audits related to departmental compliance with LTSS policies + Assists in the day-to-day management of the department and… more
- CVS Health (Richmond, VA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... Job Description** The Supervisor is responsible for oversight of LTSS /Waiver healthcare case management staff including the organization and development… more
- Molina Healthcare (Bellevue, NE)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. r equivalent… more
- Molina Healthcare (GA)
- … care services functions: care management, utilization management, care transitions, long-term supports and services ( LTSS ), behavioral health, nurse ... management, care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. * At… more
- Commonwealth Care Alliance (Springfield, MA)
- …and communication with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points ... 024040 Clin Alli-HICM **Position Summary:** Commonwealth Care Alliance's (CCA) Community Intensive Care ...needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not… more