- A-Line Staffing Solutions (Tampa, FL)
- Bilingual Long-Term Care Coordinator openings with a major health insurance company in Hillsborough County, Florida! Starting ASAP!! Apply now with Luke H. at ... a case load for healthcare members with long term care needs. Monthly and quarterly member contact and will...week Competitive Pay Rate Keywords: Long Term Support Services, LTSS , LCSW, LCPC, LSW, LPC, Concurrent Review, Retrospective Review,… more
- Centene Corporation (Charlotte, 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)
- …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
- Humana (Annapolis, MD)
- …community 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 support compliance with contractual requirements and industry best practices. The Manager , Care Management ( LTSS -ABD) works within specific guidelines… 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
- 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 -...to oversee performance and compliance of the Medicaid Managed Care program Under the general supervision of the Iowa… 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 (Indianapolis, IN)
- ** Manager II GBD Special Programs, LTSS ** **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.) The ** Manager II GBD Special Programs, LTSS ** is responsible for supporting the development,… 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 ... (PCSP) and backup plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated care … more
- Amergis (Augusta, ME)
- Business Analyst - LTSS Data Systems Overview: This is business analyst/ project manager hybrid role: the candidate will need to help solicit and document ... solution could provide, relating to Maine Long Term Services and Supports ( LTSS ) programs. This person will collaborate with Subject Matter Experts (SMEs) and… more
- ACI Federal (Chesapeake, VA)
- Registered Nurse ( LTSS ) EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without ... Federal government agencies in classified and non-classified positions and health care staffing. Description The primary focus of this position involves performing… 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 ... 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 (Wytheville, 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 (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 members ... to those applicants with case management experience, especially with another managed care organization, or nurses with experience working with the elderly and/or… more
- Molina Healthcare (Peoria, IL)
- …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 visits with ... to those applicants with case management experience, especially with another managed care organization, or nurses with experience working with the elderly and/or… more
- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …+ Knowledge of contract language and reimbursement methodologies, managed care business processes, case\-mix adjustment, medical terminology, utilization management ... to travel to provider offices\. + Preferred facets 6 months + Preferred care advance 6 months **Preferred Skills:** **Number of Openings Available:** 1 **Worker… more
- CDPHP (Albany, NY)
- …clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Care Manager is responsible and accountable for coordinating requests for ... initial and reassessments for members enrolled in a Medicaid LTSS program using the Uniform Assessment System (UAS). The...line, fax machine and mail. The Medicaid Special Programs Care Manager typically works in the telephonic… more
- Highmark Health (Dover, DE)
- …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 (Morganton, 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
