- Centene Corporation (Dover, DE)
- …with up to 40% field based work. _** **Position Purpose:** Supervises the care coordination team that serves long-term care members with physical/medical health ... needs and/or behavioral/mental health needs to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management… 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 ... LTSS , the Supervisor , Medicare LTSS ...services. + Ensures effective daily operation of the Medicare LTSS Care Coordination team complying with all… more
- Molina Healthcare (Spooner, WI)
- … - providing direction and guidance to long-term services and supports ( LTSS ) care coordination team, and ensuring timely delivery of appropriate/quality ... needs or potential for high-risk complications. * Monitors clinical and non- clinical team activities to facilitate an integrated care approach with… more
- Molina Healthcare (Dayton, OH)
- …in-office work is required. + Preferred experience with MyCare Ohio and LTSS . **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible ... with Molina policies/procedures or CMS guidelines/regulations, or to assess the non- clinical quality of customer service provided to Molina members. * Provides… more
- AmeriHealth Caritas (Philadelphia, PA)
- … and services.; + Maintains operational processes, policies, and procedures to support LTSS care delivery + Ensure quality and performance metrics are ... Participants.; + Serves as a subject matter expert for LTSS training for internal care teams and... teams and external audiences.; + Supports coordination of LTSS with other clinical and social services… more
- UPMC (Pittsburgh, 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 ... formfieldid="descriptionInt" UPMC Health Plan is looking for Service Coordinator Supervisor positions to join the Community HealthChoices team in Allegheny… more
- Molina Healthcare (GA)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... JOB DESCRIPTION **Job Summary** The Supervisor , Healthcare Services UM leads and supervises a...care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience.… more
- Molina Healthcare (East Saint Louis, IL)
- …the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports ( LTSS ), and/or other ... care transitions, behavioral health, long-term services and supports ( LTSS ), or equivalent combination of relevant education and experience. r equivalent… 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....quality assurance, and to identify training opportunities. + Apply clinical knowledge to work with facilities and providers for… more
- AmeriHealth Caritas (Detroit, MI)
- …at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages ... LTSS ), and psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid...for Medicare members receiving LTSS and custodial care . + Conduct telephonic and in-person clinical … more