• Supervisor , Care Management

    Centene Corporation (Harrisburg, PA)
    …that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management ... related to members or providers. + Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and… more
    Centene Corporation (09/21/24)
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  • Associate Director, Care Management

    Humana (Richmond, VA)
    …Collaborates with other Humana leadership to identify the clinical tools and systems to support LTSS Care Management activities. **Use your skills to make an ... Healthy Horizons in Virginia is seeking an Associate Director, Care Management ( LTSS /ABD) who will...supervisor level experience. + Previous experience leading managed care field/remote staff. + Case Management Certification… more
    Humana (08/29/24)
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  • LTSS Service Care Coordinator

    Centene Corporation (Des Moines, IA)
    …Tama **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare ... needs are met + Collects, documents, and maintains long-term care member information and care management...person is hired as a case manager or case management supervisor to serve; or An Iowa… more
    Centene Corporation (08/21/24)
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  • LTSS Service Care Coordinator

    Centene Corporation (Des Moines, IA)
    …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare ... needs are met + Collects, documents, and maintains long-term care member information and care management...person is hired as a case manager or case management supervisor to serve. **OR** An Iowa… more
    Centene Corporation (07/18/24)
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  • Health Care Coordinator 3 - Nurse - Carson…

    State of Nevada (NV)
    HEALTH CARE COORDINATOR 3 - NURSE - Carson City or Reno APPROXIMATE ANNUAL SALARY - $70,282.08 to $104,713.20 PAY GRADE: 37 For more information on benefit and ... occur Statewide. Department: Health and Human Services (http://dhhs.nv.gov/) Division: Health Care Financing & Policy Job Class Code: 12.333 RECRUITMENT INFORMATION… more
    State of Nevada (09/21/24)
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  • Senior Coordinator, Person-Centered Services

    Opportunity Builders (Millersville, MD)
    …as part of a team + Experience in using a client management system; I Care Manager preferred. + Experience in LTSS and a knowledge of the DDA service ... The senior coordinator, person-centered services will provide case management and advocacy for individuals with disabilities supported by OBI and/or interested in… more
    Opportunity Builders (08/31/24)
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  • Care Manager

    BrightSpring Health Services (Charlotte, NC)
    …documentation of billable events that align with minimum contact expectations to the Care Management Supervisor . + Maintains an accurate, up-to-date ... concern, general departmental activities and staffing needs to the Care Management Supervisor . + Completes...years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management more
    BrightSpring Health Services (08/07/24)
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  • RN Utilization Management Reviewer

    Commonwealth Care Alliance (Boston, MA)
    **Why This Role is Important to Us:** Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of ... the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan.… more
    Commonwealth Care Alliance (09/06/24)
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  • Temporary RN Utilization Nurse Reviewer (Per Diem)

    Commonwealth Care Alliance (Boston, MA)
    **Why This Role is Important to Us:** Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of ... the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan.… more
    Commonwealth Care Alliance (09/04/24)
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  • Associate Manager Clinical Health Services

    CVS Health (Springfield, IL)
    …the Chicago area.** The Supervisor is responsible for oversight of LTSS /Waiver healthcare case management staff including the organization and development of ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (09/13/24)
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