- Centene Corporation (Tallahassee, FL)
- …that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management ... related to members or providers. + Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and… more
- Centene Corporation (Dover, DE)
- …health needs and/or behavioral/mental health needs to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care ... related to members or providers. + Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and… more
- AmeriHealth Caritas (Detroit, MI)
- …for ensuring and improving the performance, productivity and efficiency of Medicare LTSS Care Coordination Operations. Under the supervision of the Manager ... those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty...services. + Ensures effective daily operation of the Medicare LTSS Care Coordination team complying with all… more
- Molina Healthcare (Dayton, OH)
- …such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care , and correct coding. * Independently ... in-office work is required. + Preferred experience with MyCare Ohio and LTSS . **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible… more
- UPMC (Camp Hill, PA)
- …working from home and in office. Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and supports ( LTSS ) program serving seniors and ... UPMC Health Plan is looking for Service Coordinator Supervisor positions to join the Community HealthChoices team...information. + Responsible for the operational functions of the LTSS Team primarily focused on the service coordination model… more
- Centene Corporation (Topeka, KS)
- …that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management ... candidate will have a Bachelor's degree and previous case management experience, preferably working with the LTSS ...to members or providers. + Monitors and reviews long-term care management required documentation to maintain and… more
- Molina Healthcare (GA)
- … care management , utilization management , behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. ... MUST reside in Georgia **Essential Job Duties** + Assists in implementing health management , care management , utilization management , behavioral health… more
- Molina Healthcare (Los Angeles, CA)
- … care management , utilization management , behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. ... member care . **Essential Job Duties** * Assists in implementing health management , care management , utilization management , behavioral health… more
- Molina Healthcare (Chicago, IL)
- … care management , utilization management , behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other special programs. ... member care . Essential Job Duties * Assists in implementing health management , care management , utilization management , behavioral health… more
- Highmark Health (Dover, DE)
- …and to promote effective use of resources for members enrolled in DSHP Plus LTSS . Provides direct oversight to Case Managers, meets all of the requirements of a ... the day to day activities as needed. + Ensure care is medically appropriate, high quality, and cost effective....population + Two years in home clinical or case management experience + Medicare and Medicaid experience + Managed… more