- Centene Corporation (Topeka, KS)
- …policies and standards Travel required in Kansas 50% of the time. **Centene is hiring LTSS Service Care Manager - Behavioral Health to cover the Northwest, ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Centene Corporation (Raleigh, NC)
- …Health Counselor (LMHC) **For North Carolina Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care ... **For North Caroline Tailored Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior… more
- Centene Corporation (Raleigh, NC)
- …Social Worker (LCSW) **For North Carolina Standard Plan:** Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management ... on workplace flexibility. **Position Purpose:** **(Location Wake County)** + Provides care coordination and care management and oversees higher acuity… more
- Healthfirst (CT)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... Conducts assessments to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans and recommends… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. ... May develop or assist with developing personalized service care plans/service plans for long-term care members...personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on… more
- Centene Corporation (Phoenix, AZ)
- …to visit members. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most ... enable quality, cost-effective healthcare outcomes. Performs assessments, develops personalized care plans/service plans, and educates members, their families and… more
- Centene Corporation (Phoenix, AZ)
- …to visit members. **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... service needs and develops or contributes to development of care plans/service plans, and educates members, their families and...with mental/behavioral health needs, and recommends a plan of care for the best outcome + Acts as liaison… more
- Molina Healthcare (Taylor, MI)
- …will support our MMP (Medicaid Medicare Population) that is part of the Personal Care team. This position will have a case load and manage members enrolled in ... We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- 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 now. ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS in… more
- CVS Health (Irving, TX)
- …a care plan and authorizes services in a cost-effective manner within the LTSS benefit. The care manager is responsible for documenting accurately and ... facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, direct… more
- Elevance Health (Scottsburg, 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 ... (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care … 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 ... We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about...associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures that… more
- Molina Healthcare (Jarratt, VA)
- …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...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (Roanoke, VA)
- …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...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (Frisco, TX)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Fort Worth, TX)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- CVS Health (Tampa, FL)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Long-Term Services and… more
- Highmark Health (Columbus, OH)
- …as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a ... and other community based setting for individuals enrolled in DSHP Plus LTSS . **ESSENTIAL RESPONSIBILITIES** + Travel to members' homes, nursing facilities, and… more
- BrightSpring Health Services (Hickory, NC)
- …Qualifications: + Years of experience as specified below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred. + ... post-bachelor's degree accumulated experience with the IDD population; and For care managers serving members with LTSS needs: two years of prior LTSS and/or… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Commonwealth Care Alliance's (CCA) Care Partner is primarily responsible for providing comprehensive care coordination ... members from one or more CCA benefit programs. The Care Partner provides care management, and ...Plan that meets CCA requirements + Demonstrated understanding of LTSS + Demonstrated understanding of how to use CDSTs… more