- Molina Healthcare (Waukesha, WI)
- …long-term services and supports ( LTSS ), and 1 year of experience in care management , or experience in a medical and/or behavioral health setting, or ... with My Choice Wisconsin Job Summary Provides support for care management / care coordination long-term services...Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for relationship management with the contracted ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...LTSS , social work, provider relations, healthcare communications, project management , or network management within a health… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is ... Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting...Care experience + 2 or more years of LTSS experience + 2 or more years working in… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA's delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One ... providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads...Abilities & Language (nice to have): - Familiarity with care management and utilization management … 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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports ( LTSS ) team is responsible for relationship management with the contracted ... and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the ...LTSS , social work, provider relations, healthcare communications, project management , or network management within a health… more
- Molina Healthcare (Galena Park, TX)
- …complete the necessary forms and documentation. Job Summary Provides support for care management / care coordination long-term services and supports specific ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care , including at least 1 year experience in care management , managed care , and/or… more
- Centene Corporation (Orlando, FL)
- …benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - LTSS Service Care Manager (Hybrid, Lake County, FL)** **Centene ... is seeking a LTSS Service Care Manager to...**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective… more
- Elevance Health (Darlington, WI)
- **Title** : Manager II GBD Special Programs - LTSS Care /Service Coordination **Location: We are currently seeking people in the following counties:** Durand, ... an accommodation is granted as required by law. The ** Manager II GBD Special Programs** will be responsible for...physical health, behavioral health, social services for Wisconsin Family Care , a long-term service and supports ( LTSS )… more
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