services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
–Friday, 8:00 AM–5:00 PM EST. The Case Manager is responsible for delivering high-quality, cost-effective care through the... policy Preferred Qualifications LTSS experience Case management and/or discharge planning experience Managed Care...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
–Friday, 8:00 AM–5:00 PM EST. The Case Manager is responsible for delivering high-quality, cost-effective care through the... policy Preferred Qualifications LTSS experience Case management and/or discharge planning experience Managed Care...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
schedule. The Case Manager will develop, implement, and support health service strategies, policies, and programs that ensure... in Hudson County. Experience in case management or discharge planning. Background in managed care, Medicaid/Medicare, or LTSS...
physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct... and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to face...
Manager- LCSW/LSW/LMSW/LMHC/LMFT (LTSS Service Coordinator- Clinician) Location: Seeking candidate to work in Clark County...-on engagement. The Case Manager- LCSW/LSW/LMSW/LMHC/LMFT (also called the LTSS Service Coordinator - Clinician) has overall...
admission, outpatient precertification, prior authorization, and post service requests. Obtains intake (demographic.... Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. Processes incoming...
, and quality of life through home-care and community based services. The Asset Management Analyst I accurately and timely... service level agreements. Participates in the development of asset management related processes policies and procedures...
Senior (Value-Based Program Specialist) is responsible for and is fully dedicated to delivering on the LTSS commitment... to: This associate will partner with Ohio Department of Medicaid (ODM), other LTSS contractors, and stakeholders to support the...
from LTSS providers. Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care... service coordination functions for a defined caseload of individuals How will you make an impact: Managing incoming calls...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
for Members receiving LTSS. Responsible for education and supporting Care Coordinators and Support Coordinators in identifying..., focusing on homelessness and at-risk populations, and specific accessibility needs as related to LTSS populations...
and his/her family or natural supports, as directed by the member's PCP, Social Worker, or RN Care Manager Attends Care Management Team... meetings and case reviews as scheduled or as requested by Social Worker, RN Care Manager, or PCP Develops and maintains...
, and maintaining high levels of care and service quality Cultivate and sustain strong relationships with members, community groups...At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers...
, and maintaining high levels of care and service quality Cultivate and sustain strong relationships with members, community groups...At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers...
. Growing together. The Private Duty Nurse Care Manager (RN) will be responsible for the overall management of a sub..., assisting with transitions of care, and coordinating HCBS service needs (DME, EM/AT, PC/AC hours, and PDN hours) Serve as lead...
At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers... to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system...
(LTSS) for program Members. As a member of a multidisciplinary team, the Nurse Reviewer II is responsible for assessing..., planning, organizing, reviewing and evaluating the care needs of Members requiring community-based services. This position...