- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports ... and to support the safety net required to achieve that purpose. Job Summary The Managed Long Term Services and Supports (MLTSS) Nurse Specialist RN II… more
- Molina Healthcare (Bronx, NY)
- …health settings.** + **1 year experience working with population who receive waiver services .** + ** Managed Long - Term Care (MLTC) experience.** ... Health business.** **_Senior Whole Health by Molina_** **is a Managed Long - Term Care (MLTC), and...Advantage (MAP) plan. These plans streamline the delivery of long - term services to chronically ill… more
- Molina Healthcare (Bronx, NY)
- …or behavioral health settings. + 1 year experience working with population who receive waiver services . + ** Managed Long - Term Care (MLTC) experience.** + ... Health business.** **_Senior Whole Health by Molina_** **is a Managed Long - Term Care (MLTC), and...services for members including behavioral health care and long term services and supports,… more
- Healthfirst (NY)
- …to maximize productivity and optimal operational efficiency. + Connects consumers seeking personal care/ long term care services with the State broker to ... customers to address their needs while adhering to internal Service Levels standards. + Creates and/or follow ups for...knowledge of Complete Care, Senior Health Partners (SHP) or managed long - term care. + Prior… more
- VNS Health (Manhattan, NY)
- …accordance with Health Plans Community Care standards and Managed Long Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations. + ... plan of care. + Coordinates, facilitates and arranges for long term care services in...as determined by operational needs. Clinical expertise in geriatrics, Long Term care and Managed … more
- VNS Health (Manhattan, NY)
- …accordance with Health Plans Community Care standards and Managed Long Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations. * For ... plan of care. * Coordinates, facilitates and arranges for long term care services in...as determined by operational needs. Clinical expertise in geriatrics, Long Term care and Managed … more
- VNS Health (Manhattan, NY)
- …and external reviews for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. ... managed care organizations, Medicaid, home health care, managed long term care as...primarily on issues of medical necessity, quality of care, long term services and supports,… more
- CVS Health (Trenton, NJ)
- …for conducting face to face visits using comprehensive assessments of members enrolled in Managed Long - Term Services and Supports program (MLTSS) and/or ... EST. **Job description:** Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the...Care experience + Crisis intervention skills + Experience with long term services , geriatric, or… more
- VNS Health (Manhattan, NY)
- …of grievances and appeals for one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA) or Select Health. ... of the following VNS Health Plans product lines - Managed Long Term Care (MLTC),...inquires requiring clinical review for medical necessity, appropriateness of service or clinical quality. + Acts as subject matter… more
- CVS Health (Trenton, NJ)
- …visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long - Term Services and Supports program (MLTSS) ... sends a personal message that how we deliver our services is just as important as what we deliver....term life insurance plan to eligible employees, and short- term and long term disability… more