- Centene Corporation (Tucson, AZ)
- …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 (Des Moines, IA)
- …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare ... needs are met + Collects, documents, and maintains long-term care member information and care management...person is hired as a case manager or case management supervisor to serve; or An Iowa… more
- AmeriHealth Caritas (Harrisburg, PA)
- … and services.; + Maintains operational processes, policies, and procedures to support LTSS care delivery + Ensure quality and performance metrics are ... those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty...Participants.; + Serves as a subject matter expert for LTSS training for internal care teams and… more
- UPMC (Philadelphia, 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
- Commonwealth Care Alliance (Boston, MA)
- …CCM (Certified Case Manager) **Required Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting + 2 or more years ... Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer...Care experience + 2 or more years of LTSS experience + 2 or more years working in… more
- BrightSpring Health Services (Greensboro, NC)
- …documentation of billable events that align with minimum contact expectations to the Care Management Supervisor . + Maintains an accurate, up-to-date ... concern, general departmental activities and staffing needs to the Care Management Supervisor . + Completes...years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management… more
- Elevance Health (Wilkinson, IN)
- …services, long term services and supports, Unmet health-related resource needs, and Integrated care management . We envision a North Carolina where all children ... you will work virtually from your home.** The Manager Care Management , Foster Care (Manager...very strongly preferred. + At least 2 years of management / supervisor experience (with direct reports) is needed… more
- CVS Health (Salem, VA)
- …per our company expense reimbursement policy **Preferred Qualifications** + Case management and discharge planning experience + Managed care experience ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Springfield, IL)
- …**%** of the time. The Supervisor is responsible for oversight of LTSS /Waiver healthcare case management staff including the organization and development of ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Services position is with Aetna's Long-Term Services and Supports ( LTSS ) team and is a field-based position out of… more
- CVS Health (Danville, VA)
- …which includes navigating multiple systems and keyboarding. **Preferred Qualifications** - Managed Care experience - Case Management in an integrated model ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...RN/LPN position is with Aetna's Long-Term Services & Support ( LTSS ) team and is a Field Based role out… more