- Elevance Health (Ashburn, VA)
- …with department guidelines and consistent with the members eligibility, benefits and contract . + May process a medical necessity denial determination made by a ... is required. **Preferred Qualifications** + Prior experience in Medicaid, FIDE, and LTSS markets. + Systems experience with ACMP, facets, HIP, PPL, and Total… more
- Molina Healthcare (Sacramento, CA)
- …management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. Ensures members reach desired outcomes ... of care across the continuum, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assists in… more
- Elevance Health (Newton, NC)
- …law and contract . **How you will make an impact:** + Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination ... across physical health, behavioral health, I/DD, LTSS , pharmacy, and unmet health-related needs. + Offer Trauma-Informed Care by recognizing the role of ACEs in the… more
- Elevance Health (Murphy, NC)
- …Carolina, in accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires MS/MA in social work, counseling, or ... disorder treatment; or any combination of education and experience, which would provide an equivalent background. + Requires an active, current and valid license… more