- Centene Corporation (New York, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical ... and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health...primary medical/physical health needs to promote quality, cost effective care . Develops a personalized care plan /… more
- Elevance Health (Middletown, NY)
- ** LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables associates ... an accommodation is granted as required by law._ The ** LTSS Service Coordinator - RN Telehealth** is responsible for...contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
- MVP Health Care (Rochester, NY)
- …health and/or improved functional capability through the coordination of quality cost effective care . + The Case Manager will also monitor and review cases ... concurrent, and retrospective reviews to determine medical necessity and appropriateness of LTSS services. + Care Coordination: Collaborate with case managers, … more
- Molina Healthcare (Yonkers, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager RN provides support for care management/ care coordination activities and collaborates with ... concerns. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care management/ care coordination activities and collaborates with ... to overarching strategy to provide quality and cost-effective member care . The Care Manager will...for members including behavioral health, long-term services and supports ( LTSS ), and home and community resources to enhance continuity… more
- Molina Healthcare (NY)
- JOB DESCRIPTION **Job Summary** The Care Manager provides support for care management/ care coordination activities and collaborates with ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral health care … more
- Molina Healthcare (Albany, NY)
- …and supports ( LTSS ) issues. + Identifies and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) ... Contributes to overarching strategy to provide quality and cost-effective member care . This position will be supporting our Appeals and Grievances department.… more