- Amergis (Augusta, ME)
- …communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based ... Business Analyst - LTSS Data Systems Overview: This is business analyst/ project manager hybrid role: the candidate will need to help solicit and document… more
- AmeriHealth Caritas (Newark, DE)
- …their providers: + Identifying and implementing evidence-based practice guidelines throughout the provider network . + Overseeing the quality of clinical care for ... **Medical Director, LTSS (must reside in DE)** Location: Newark, DE... and non- network providers. + Engaging the provider network in Continuous Quality Improvement through… 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...physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. +… more
- Molina Healthcare (Green Bay, WI)
- …member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. + Performs ongoing ... or social work OR any combination of education and experience that would provide an equivalent background **REQUIRED EXPERIENCE:** + At least 1 year of experience… more
- Elevance Health (Overland Park, KS)
- …of one of our Kansas Elevance Health PulsePoint locations. The **Workforce Development Manager ** is responsible for provider support and oversight as it relates ... **Workforce Development Manager ** **Location: Kansas.** This position will work a...provider experience strongly preferred. + Working knowledge of LTSS preferred. + Strong written and oral communication skills,… more
- CVS Health (Irving, TX)
- …care manager will be responsible for, care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. ... and programs are comprised of utilization management, quality management, network management, clinical coverage, and policies. + The position...and authorizes services in a cost-effective manner within the LTSS benefit. + The care manager is… more
- Molina Healthcare (Spokane, WA)
- …of the member with hospitalists, outpatient providers, facility staff, and family/support network . + Ensures member transitions to a setting with adequate caregiving ... and medication oversight as required. Works with participating ancillary providers ( LTSS /HCSS, DME), public agencies or other identified service providers to make… more
- Centene Corporation (Wichita, KS)
- …needed including action items, issues lists and risk mitigation plans + Provide leadership and effectively communicate project status to all stakeholders, including ... areas to meet overall stakeholder expectations and company's objectives + Provide functional and technical knowledge regarding overall program requirements and… more