- Molina Healthcare (Jackson, MS)
- …Pillars): medication management , use of personal health record, follow up care , signs and symptoms of worsening condition, nutrition, functional needs and or ... gerontology, public health or social work. **Required Experience** + 1-3 years in case management , disease management , managed care or medical or behavioral… more
- Beth Israel Lahey Health (Wakefield, MA)
- …natural supports, as directed by the member's PCP, Social Worker, or RN Care Manager + Attends Care Management Team meetings and case reviews as ... Behavioral Health (BH) and Long Term Services and Supports ( LTSS ), Health Related Social Needs (HRSN) Providers/Community Based Organizations... manager + Works closely with PCP's, patient care management teams, CP/SSO's and other ACO… more
- Elevance Health (NC)
- …services, long term services and supports, Unmet health-related resource needs, and Integrated care management . We envision a North Carolina where all children ... case management activities in support of specialty programs, such as Foster Care . Serves as a coach. Performs case management telephonically and/or by home… more
- Commonwealth Care Alliance (Boston, MA)
- …* 8-10 years of progressively responsible experience in provider relations, network management , or healthcare operations within a managed care organization, ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Molina Healthcare (El Paso, TX)
- …Pillars): medication management , use of personal health record, follow up care , signs and symptoms of worsening condition, nutrition, functional needs and or ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- Commonwealth Care Alliance (Boston, MA)
- …+ Collaborate with cross-functional teams (eg, Claims, Credentialing, Clinical Care Management , Member Services, Provider Services, Regulatory Affairs, ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- CVS Health (Kewanee, IL)
- … care coordination, support and education for members through the use of care management tools and resources. **Evaluation of Members:** -Through the use of ... Coordinator position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of... care management tools and information/data review, conducts… more
- Molina Healthcare (GA)
- …of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care ... care management , utilization management , behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs.… more
- Humana (Springfield, IL)
- …and LTSS ) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, ... 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)
- …party payer requirements. + Places referrals to multiple agencies reflecting the recommended level of care from the Care Management team. + Assists with a ... rounds, and responds to patients needs. Assists the case manager and/or social worker with implementing continuing care...community members to ensure continuity of services after an LTSS (UAI) screening has been completed + Determine financial… more