- Centene Corporation (Dallas, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... benefits including a fresh perspective on workplace flexibility. **RN LTSS Case Manager - must reside in Dallas County...services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of… more
- Commonwealth Care Alliance (Boston, MA)
- …Long-Term Services and Supports ( LTSS ) provider organizations that serve One Care and Senior Care Options (SCO) members across Massachusetts. ... and drive both program-wide and provider-specific performance improvement. The LTSS Program Manager reports to the Senior ...program updates, and address operational challenges. + Represent CCA's LTSS model of care and ensure provider… more
- Molina Healthcare (Boston, MA)
- …is medically appropriate and cost-effective based on the severity of illness and the site of service . The Care Manager, LTSS provides support for care ... to overarching strategy to provide quality and cost-effective member care . This position will support our Senior ...waiver enrollment and disenrollment processes. * Develops and implements care plans, including a waiver service plan… more
- Molina Healthcare (La Crosse, WI)
- …supervisor - providing direction and guidance to long-term services and supports ( LTSS ) care coordination team, and ensuring timely delivery of ... * Monitors clinical and non-clinical team activities to facilitate an integrated care approach with individualized service plans. * Participates in internal… 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
- Molina Healthcare (Brockton, 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 ,… more
- Centene Corporation (Dover, DE)
- … care management staff experience, and member needs + Works with long-term care senior management on escalated and complex care cases related ... team and providers to ensure members are receiving high quality care and information regarding service / care plan options, procedures, referrals, and… more
- Commonwealth Care Alliance (Springfield, MA)
- …including but not limited to Primary Care staff, specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, ... complexities that require intensive care management and care delivery. Within the CIC Program, The Senior...and MDS/BH support is needed. + Demonstrates understanding of LTSS . + Demonstrates ability to use SBAR Communication Tool.… more
- Commonwealth Care Alliance (Boston, MA)
- …and supporting operational excellence to enhance provider satisfaction and member access to care . Reporting to the Senior , Director of Delegation Partnerships., ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening… more
- Commonwealth Care Alliance (Boston, MA)
- …leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role ... that enhance operational engagement, member access, provider satisfaction, and value-based care outcomes, while serving as the primary liaison for escalated provider… more
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