- Molina Healthcare (Cleveland, OH)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Elevance Health (OH)
- ** LTSS Service Coordinator (Case Manager )** **Candidates should live in one of the following counties:** Auglaize, Coshocton, Defiance, Gallia, Harrison, Holmes, ... behavioral health, long term services and supports, and psychosocial needs. The ** LTSS Service Coordinator** is responsible for managing service coordination for a… more
- Elevance Health (Marietta, OH)
- ** LTSS Service Coordinator - RN Clinician (Case Manager )** **Hiring in the following counties: Athens, Hocking, Meigs, Monroe, Morgan, Noble, Perry, Washington** ... employment, unless an accommodation is granted as required by law._ The ** LTSS Service Coordinator-RN Clinician** is responsible for overall management of member's… more
- Elevance Health (Columbus, OH)
- …As required by applicable state law and contract, the Clinician contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician (Case Manager...members that would benefit from an alternative level of care or other waiver programs. + Provides all information… more
- Molina Healthcare (Bellevue, OH)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS )...regimens. * Care manager RNs may conduct medication reconciliation… more
- Elevance Health (Mason, OH)
- ** Manager I GBD Special Programs - LTSS **...overseeing a team responsible for coordination of OH My Care comprehensive health care program in which Ohio ... long term services and supports, and psychosocial needs. The ** Manager I GBD Special Programs - LTSS **...service delivery of assigned team to include member assessments, care planning, and ongoing contacts. * Participates in cross-functional… more
- Molina Healthcare (Cincinnati, OH)
- …changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports ( LTSS ) and home and ... of experience working with persons with disabilities/chronic conditions long-term services and supports ( LTSS ), and 1 year of experience in care management, or… more
- Elevance Health (Mason, OH)
- **Program Manager Long Term Care - Self-Direction Program - OH** **_Location:_** _ This role requires associates to be in-office_ **_1 - 2 days per week_** _, ... accommodation is granted as required by law._ The **Program Manager Long Term Care - Self-Direction Program...client facing projects or initiatives. + Collaborate with the LTSS COE as part of the larger enterprise/regional external… more
- Molina Healthcare (Dayton, OH)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. r equivalent… more
- Molina Healthcare (OH)
- …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