- Humana (Tallahassee, FL)
- …for the Long Term Care Services and Supports ( LTSS ) program. The Manager , Process Improvement works within specific guidelines and procedures, applies ... first** Humana Healthy Horizons in Florida is seeking a Manager , Process Improvement who will...Oversees the development of policies and processes for the LTSS market, ensuring that clear and documented market policies,… more
- Elevance Health (Gainesville, FL)
- …in the formal training of associates, and may be involved in process improvement initiatives. + Submits utilization/authorization requests to utilization ... ** LTSS Service Coordinator (Bilingual in Spanish/English)** **Schedule:** Monday-Friday...with the person supported, facilitates the Person Centered Planning process that documents the member's preferences, needs and self-identified… more
- Elevance Health (Fresno, CA)
- …in the formal training of associates, and may be involved in process improvement initiatives. + Submits utilization/authorization requests to utilization ... responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator** is responsible for conducting service coordination functions… more
- Elevance Health (Cincinnati, OH)
- …experience in a managed care setting with operations, budgeting and forecasting, process improvement , or planning experience; or any combination of education ... ** LTSS Care Coordination (Dir GBD Special Programs)** _Preferred...collaboration with medical management staff to identify gaps in process and implement improvements for effective care coordination and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Accountabilities) + Handles all member clinical condition management programs. + Offers process improvement suggestions and participates in the solutions of more ... procedures per corporate and departmental policy. + Implements the Case Management Process per department policies, procedures and guidelines. The process … more
- Beth Israel Lahey Health (Exeter, NH)
- …standards of social work case management practice and reports to the Manager of Care Management **Job Description:** Essential Duties & Responsibilities (including ... the patient's strengths and support systems. -Participates in quality improvement activities aimed to improve patient-population outcomes and associated processes.… more
- BrightSpring Health Services (Greensboro, NC)
- …to promote positive relationships with stakeholders. + Participates in quality improvement and measurement activities to achieve identified targets and outcomes. + ... below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred....IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS … more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
- AmeriHealth Caritas (West Chester, PA)
- …System platform for a state government market product, Long Term Services & Support ( LTSS ). In this role you will lead a technical production support team focused on ... performance, and providing coaching and mentorship. Leads and drives continuous improvement initiatives, and implements strategic plans to enhance productivity while… more
- Fallon Health (Worcester, MA)
- …implementation - active participant in Clinical Integration Rounds * Implementing quality improvement projects and strategies to support the Program in quality and ... Group Adult Foster Care, Adult Foster Care, Long Term Care Providers, LTSS Providers, Provider groups, and other vendors and providers fostering collaborative… more