- Commonwealth Care Alliance (Boston, MA)
- …and drive both program-wide and provider -specific performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation ... 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for...+ Serve as the primary liaison for assigned community-based LTSS provider organizations, with a focus on… more
- Molina Healthcare (West Union, IA)
- JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face ... to determine the types of services we need to provide and managing their care until they are discharged...The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina… more
- Molina Healthcare (Warren, MI)
- …. * Identified as contract system lead by developing and maintaining provider contracts in contract management software. * Targets and recruits ... in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and… more
- AmeriHealth Caritas (Detroit, MI)
- …the supervision of the Manager LTSS , the Supervisor, Medicare LTSS Operations is responsible to provide operational oversite and process improvement ... more about us at www.amerihealthcaritas.com. **Responsibilities:** The Supervisor, Medicare LTSS Operations is responsible for ensuring and improving the… more
- Elevance Health (KS)
- **RN Case Manager ( LTSS Service Coordinator- RN Clinician)** Location: Seeking candidates to reside in Montgomery, Elk, Wilson, and/or Chautauqua County Kansas. ... responsiveness to client needs, and direct, hands-on engagement. The **RN Case Manager ** is responsible for overall management of member's case within the scope… more
- Elevance Health (Greenwood, IN)
- ** LTSS Service Coordinator (Case Manager )** **Location:** Seeking candidates to work in Bartholomew County, Delaware County, Daviess County, Dubois County, Grant ... responsiveness to client needs, and direct, hands-on engagement. The ** LTSS Service Coordinator (Case Manager )** is responsible... needs, as required by applicable state law and contract , and federal requirements. **How you will make an… more
- Centene Corporation (Austin, TX)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... . **Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LPC or RN with direct Behavioral Health experience… more
- Centene Corporation (Topeka, KS)
- …on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, ... **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMFT, LMHC, LPC and/or RN with BH… more
- Elevance Health (Columbus, OH)
- ** LTSS Concierge Coordinator (Case Manager )** **Hiring statewide across Ohio** **This position is primarily virtual but may require you to work in the field ... The ** LTSS Transition Concierge Coordinator** is responsible for supporting the LTSS Transition Coordinator (or contracted provider ) in contributing to the… more
- Elevance Health (Marietta, OH)
- …clinical and service coordination requirements as defined by state and federal contracts /rules. + Conduct targeted LTSS Case Management training sessions, ... and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical… more
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