- AmeriHealth Caritas (Dover, DE)
- **Clinical Case Manager DE LTSS (New Castle County Delaware)** Location: Dover, DE Primary Job Function: Medical Management ID**: 31582 Your career starts ... Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS in obtaining… more
- Molina Healthcare (Wytheville, VA)
- …Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically go to member's homes to complete Face to Face assessment. You will participate in interdisciplinary care team… more
- Molina Healthcare (Roanoke, VA)
- …LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically go to member's homes to complete Face to Face assessment. You will participate in interdisciplinary care team… more
- Molina Healthcare (Taylor, MI)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... the Personal Care team. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Molina Healthcare (San Antonio, TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
- Molina Healthcare (Green Bay, WI)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in...Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or… more
- Elevance Health (Cumberland, IN)
- …spend 4-5 days per week in-person with patients, members or providers The **RN Case Manager ** **( LTSS Service Coordinator- RN)** is responsible for overall ... management of member's case within the scope of licensure; provides supervision and...and direction to non-RN clinicians participating in the member's case , as required by the IN PathWays for Aging… more
- Elevance Health (Richmond, IN)
- …associates spend 4-5 days per week in-person with patients, members or providers. The ** Case Manager -LPN** ( ** LTSS SERVICE COORDINATOR - CLINICIAN)** is ... of an RN, with overall responsibility for the member's case , as required by the IN PathWays for Aging...the IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities within the… more
- Elevance Health (New Castle, IN)
- …4-5 days per week in-person with patients, members or providers. The ** LTSS SERVICE COORDINATOR** is responsible for conducting service coordination functions for a ... support and overall management of the individuals physical health (PH)/behavioral health (BH)/ LTSS needs, as required by applicable state law and contract, and… more
- Humana (Annapolis, MD)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management ( LTSS -ABD) who will lead a team of nurses and behavior ... and support compliance with contractual requirements and industry best practices. The Manager , Care Management ( LTSS -ABD) works within specific guidelines and… more
- Centene Corporation (Charlotte, NC)
- …active caseload based on state mandated ratios according to residential setting, case intensity and acuity. + Partners effectively with the PCP, Specialist, member, ... North Carolina Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care...North Caroline Tailored Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care… more
- Centene Corporation (Raleigh, NC)
- …active caseload based on state mandated ratios according to residential setting, case intensity and acuity. + Partners effectively with the PCP, Specialist, member, ... (LCSW) **For North Carolina Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior… more
- AmeriHealth Caritas (Newark, DE)
- **Medical Director, LTSS (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified candidates must ... Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures that organization medical policies… more
- Highmark Health (Dover, DE)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... and other community based setting for individuals enrolled in DSHP Plus LTSS . **ESSENTIAL RESPONSIBILITIES** + Travel to members' homes, nursing facilities, and… more
- CVS Health (Irving, TX)
- …manner. + Strong assessment, writing and communication skills are required. + The Case Manager is responsible for conducting face to face visits in ... enrolled in Long-Term Services and Support programs. + The case manager is responsible for coordinating and...and authorizes services in a cost-effective manner within the LTSS benefit. + The care manager is… more
- Highmark Health (Dover, DE)
- …. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of a ... Case Manager as needed. This is a... Case Manager as needed. This is a full time community...ensure appropriate distribution of workload in compliance with Delaware Case Manager caseload requirements. + Recruit, select,… more
- Child & Family Services of RI (Middletown, RI)
- …of the Office of Healthy Aging and Department of Human Services (DHS). The Case Manager provides in-home visits, monthly calls, and assists with care ... team supports the aging adults and adults with disabling conditions by providing case management, coordinated care, caregiver support, and access to the Long Term… more
- Molina Healthcare (Spokane, WA)
- …Clinical Social Worker (LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education and Promotion (CHEP) ... and medication oversight as required. Works with participating ancillary providers ( LTSS /HCSS, DME), public agencies or other identified service providers to make… more
- Commonwealth Care Alliance (Springfield, MA)
- …care or care management including telephonic based setting, home health or acute care case management. + BH: LCSW/ /LMFT with 3-5 years 3-5 years meaningful clinical ... experience in community case management, EAP, telephonic case management or...CCA requirements + MA/MI only : Demonstrated understanding of LTSS + Demonstrated understanding of how to use CDSTs… more
- Centene Corporation (Wichita, KS)
- …It will involve managing training projects related to the integration of waiver, LTSS , and Behavioral health /physical health Medicaid case management programs ... preferred. Additional Details: * Business Unit: Sunflower Health Plan * Department: MED- Case Management Pay Range: $84,300.00 - $151,700.00 per year Centene offers a… more