- A-Line Staffing Solutions (Tampa, FL)
- …Concurrent Review, Retrospective Review, CCM, InterQual, ICD-10, URAC, CMS, Medicare, Medicaid, Case Management, Certified Case Manager , Medical Coding, BSN, ... travel in Hillsborough County, Florida conducting member-facing visits**Job Summary: Managing a case load for healthcare members with long term care needs. Monthly… more
- Molina Healthcare (Dallas, 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 (Dallas, TX)
- …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
- AmeriHealth Caritas (Dover, DE)
- **Clinical Case Manager DE LTSS (New...He or she contributes to the LTSS case management process by performing telephonic and/or face-to-face ... Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS in obtaining… more
- Centene Corporation (Topeka, KS)
- …and standards Travel required in Kansas 50% of the time. **Centene is hiring LTSS Service Care Manager - Behavioral Health to cover the Northwest, Southwest, ... behavioral health and social determinant needs + May perform telephonic , digital, home and/or other site visits outreach to...visits. The ideal candidate will have knowledge of the case management process in a managed care or clinical… more
- Highmark Health (Columbus, OH)
- …+ 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
- Commonwealth Care Alliance (Springfield, MA)
- …BH: LCSW/ /LMFT with 3-5 years 3-5 years meaningful clinical experience in community case management, EAP, telephonic case management or primary care ... and appropriate scope of practice. + Provide regularly scheduled telephonic calls to support the management of chronic disease...CCA requirements + MA/MI only : Demonstrated understanding of LTSS + Demonstrated understanding of how to use CDSTs… more
- Elevance Health (Brazil, IN)
- …per week in-person with patients, members or providers. The ** Case Manager - LCSW/LSW/LMSW** (also called the ** LTSS Service Coordinator - Clinician)** has ... 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 (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...you will make an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation,… more
