- Centene Corporation (Phoenix, AZ)
- …**_ Candidate must reside in the state of AZ _** **Position Purpose:** Manages the care management team that serves long-term care members to develop and ... assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees and reviews… more
- Fallon Health (Worcester, MA)
- …Clinical Integration LTSS Vendor Liaison is an integral part of Fallon Health's care coordination and care management and improves access to quality of ... Care Attendant (PCA) issues with the Personal Care Management (PCM) Agencies and Fiscal Intermediaries...issues Works collaboratively and ensures communication with Clinical Integration Care Teams and LTSS vendors/providers to ensure… more
- Elevance Health (OH)
- ** Manager II GBD Special Programs - LTSS **...program operations in support of corporate and health plan management . + Mentors Manager I team to execute ... long term services and supports, and psychosocial needs._ The ** Manager II GBD Special Programs - LTSS **...oversight and program strategy and implementation of OH My Care comprehensive health care program in which… more
- Elevance Health (Hialeah, FL)
- …and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and federal ... for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS /IDD), and… more
- Elevance Health (Independence, OH)
- …and overseeing clinical management functions for members receiving LTSS , including assessments, service planning, care coordination, transition planning, ... integrating new regulatory requirements within the OH MyCare Program. + Lead Care Coordination and LTSS Provider Relations to execute initiatives/innovations and… more
- AmeriHealth Caritas (Winston Salem, NC)
- …the field up to 75% of the time. ;RN or LCSW required. ;; **Responsibilities** The LTSS Care Manager II is responsible for managing and coordinating care ... and/or behavioral health conditions and other health needs. The LTSS Care Manager is responsible...Member's health status, compliance with treatment plans and promote self- management . The Care Manager II… more
- Elevance Health (Columbus, OH)
- ** Manager I GBD Special Programs - LTSS...of Ohio is strongly preferred. * Service Coordination or Care Management experience is strongly preferred. * ... long term services and supports, and psychosocial needs. The ** Manager I GBD Special Programs - LTSS **...overseeing a team responsible for coordination of OH My Care comprehensive health care program in which… more
- Molina Healthcare (Irving, TX)
- **JOB DESCRIPTION** Opportunity for TX licensed RN interested in joining our LTSS Team as a Case Manager working with our Medicaid members in the Irving, TX ... Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our...Term Services & Supports. + 1-3 years in case management , disease management , managed care … more
- Centene Corporation (Rocky Mount, NC)
- …a fresh perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health ... Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with… more
- Elevance Health (Hialeah Gardens, FL)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... ** LTSS Service Coordinator - Clinician** **Location: This is...or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more