- Centene Corporation (Mcallen, TX)
- …you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ** Care Manager RN - STAR Plus LTSS Comprehensive Care ... to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates… 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 (Dayton, 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 (Waltham, 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
- 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
- Elevance Health (Mason, OH)
- …services and supports, and psychosocial needs._ **Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare Ohio** **Location:** This position ... - 5:00 PM Eastern Time The **Network Relations Consultant Senior ** (Value-Based Program Specialist) is responsible for and is...for and is fully dedicated to delivering on the LTSS commitment to linking provider payment to improved performance.… more
- CVS Health (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 (Detroit, 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
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