- 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 (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 (Peoria, IL)
- **JOB DESCRIPTION** **Opportunity for Bachelors or Masters trained Case Manager in the Peoria, IL area to work as a Field Case Manager for our Medicare ... services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
- Molina Healthcare (Peoria, IL)
- …for an IL licensed RN in the Peoria, IL area to work as a Field Case Manager for our Medicare members in this area. Position will require making face-to-face ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… 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
- Elevance Health (Portage, IN)
- ** Manager I, GBD Special Programs LTSS (RN/LCSW)** **Location: This position is an Indiana field-based position.** This role requires face to face interactions ... in the field - mileage reimbursed. (hospitals, clinics, members' homes.) ** Manager I, GBD Special Programs LTSS is** responsible for supporting the development,… 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
- Iowa Department of Administrative Services (State Of Iowa, IA)
- NW Regional Community Integration Manager - Medicaid LTSS Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4503716) Apply NW Regional Community ... Integration Manager - Medicaid LTSS Salary $53,164.80 -...quality assurance approaches strategically. Candidates with experience in Medicaid LTSS /HCBS, Targeted Case Management, State Plan Habilitation,… 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
- ACI Federal (Chesapeake, VA)
- …also provide resources and referrals to at-risk clients and serves as a limited case manager for screening follow up needs. The successful applicant works ... Registered Nurse ( LTSS ) EOE Statement We are an equal employment...analyze situations and problem. Experience in home visiting and case management is needed. Working experience in use of… 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, ... 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
- AmeriHealth Caritas (Newark, DE)
- **Medical Director, LTSS ** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified candidates must reside in the state of ... Enrollees by associates and Providers. + Serves as medical advisor and manager for all clinically related activities. + Assures that organization medical policies… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …language and reimbursement methodologies, managed care business processes, case \-mix adjustment, medical terminology, utilization management and applications for ... claims payment, required\. _License_ + Valid Driver's License **Job Specific Requirements:** + Needs to be located in the Johnson City OR Knoxville area OR in between these two cities\. + Able to travel to provider offices\. + Preferred facets 6 months +… 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
- 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
