- Molina Healthcare (Louisville, KY)
- …QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health care management . * Field-based care management or home ... active unrestricted license in the state of KY Case Manager will work remotely supporting Medicaid Behavioral health population....needs of the business) **Job Summary** Provides support for care management / care coordination activities and… more
- Molina Healthcare (Midvale, UT)
- …Preferred Qualifications * Certified Case Manager (CCM). * Experience in behavioral health care management . * Field-based care management or home ... Licensed Social Worker Case Manager residing in the state of UT, will...weekends or Holiday JOB DESCRIPTION Job SummaryProvides support for care management / care coordination activities and… more
- Molina Healthcare (Boston, MA)
- …QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health care management . * Field-based care management or home ... **Job Description** **Job Summary** Provides support for care management / care coordination activities...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Highmark Health (Dover, DE)
- …and to promote effective use of resources for members enrolled in DSHP Plus LTSS . Provides direct oversight to Case Managers, meets all of the requirements of a ... Case Manager and be able to assist in the day...the day to day activities as needed. + Ensure care is medically appropriate, high quality, and cost effective.… more
- Molina Healthcare (Albuquerque, NM)
- …Bernalillo, or Curry County.** JOB DESCRIPTION Job Summary Provides support for care management / care coordination activities and collaborates with ... per regulated timelines and determines who may qualify for care coordination/ care management based on...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- CVS Health (Chicago, IL)
- … care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members: - Through the use ... offers a $5,000 New Hire Bonus!** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services...of care management tools and information/data review, conducts… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing ( LTSS Utilization Management Leader) ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines… 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
- Commonwealth Care Alliance (Springfield, MA)
- … Alliance's (CCA) Community Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high ... significant medical, behavioral, and social complexities that require intensive care management and care delivery....with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging… more
- Commonwealth Care Alliance (Springfield, MA)
- … Alliance's (CCA) Community Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high ... significant medical, behavioral, and social complexities that require intensive care management and care delivery....with external providers, including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging… more