- Centene Corporation (Mcallen, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in Hidalgo County...services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of… more
- Centene Corporation (Austin, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex or high risk/high acuity… more
- Corewell Health (Grand Rapids, MI)
- …LTSS , including critical incident reporting and resolution. + Support integration of LTSS service coordination systems (eg, care management platforms, ... Dual Eligible Special Needs (HIDE-SNP) Long-Term Services and Supports ( LTSS ) is a senior leadership role responsible...MI Health Link, SNP MOC). + Ensure continuity of care during provider or service transitions, per… more
- Molina Healthcare (Cincinnati, OH)
- …SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care setting. * Working familiarity with ... is required. + Preferred experience with MyCare Ohio and LTSS . **Job Summary** Molina Health Plan Network Provider Relations...and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary… more
- Molina Healthcare (Dorchester, MA)
- …appropriate and cost-effective based on the severity of illness and the site of service . This position will support our Senior Whole Health business. Senior ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Greater Lynn Senior Services (Lynn, MA)
- …Health Spending Account + Flexible Spending Accounts (FSA) - Healthcare reimbursement & dependent care assistance + 12 paid holidays each year + 15 sick days per ... starting year 1 and increasing with your years of service + 403b Retirement Savings Plan with an Agency...bonuses of up to $1,000 Position Overview: The Long-Term Service Support Coordinator with be working with a multitude… more
- Humana (Lansing, MI)
- …(primary care , FQHCs, hospitals, nursing facilities, and/or HCBS and LTSS providers). + Monitor compliance and provide targeted support with EVV (Electronic ... caring community and help us put health first** The Senior Claims Research and Resolution Professional reports to the...serve to achieve their best health - delivering the care and service they need, when they… more
- CVS Health (Springfield, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... and every day. **Position Summary:** The ABHIL Chief Psychiatrist ( Senior Medical Director) will serve as a strategic and...and operational partner to the State, CEO, COO, Health Service Officer, and other executive team members in managing… more
- Humana (Lansing, MI)
- … care , FQHCs, hospitals, nursing facilities, and/or HCBS and LTSS providers). + Experience with claims systems, adjudication, submission processes, coding, ... caring community and help us put health first** The Senior Provider Relations Professional is responsible for fostering positive,...serve to achieve their best health - delivering the care and service they need, when they… more
- Mom's Meals (Ankeny, IA)
- …sales team to effectively drive productivity and results + Partner with senior leadership to continuously refresh customer service messaging ensuring consistent ... and/or may have multiple lines of business with Mom's Meals, including Long-term Care (Long-term Services and Supports), Post-discharge and/or Chronic Care meals… more