of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers.... Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state...
improvement supporting Medicare LTSS Operations including clinical direction and monitoring of Medicare LTSS case management... more about us at www.amerihealthcaritas.com. Responsibilities: The Supervisor, Medicare LTSS Operations is responsible for ensuring...
clinical or case management experience Medicare and Medicaid experience Managed care experience SKILLS Leadership... assurance, and to identify training opportunities. Apply clinical knowledge to work with facilities and providers for care...
assurance, and to identify training opportunities. Apply clinical knowledge to work with facilities and providers for care... management experience Medicare and Medicaid experience Managed care experience SKILLS Leadership skills and be able...
. And we do it all with heart, each and every day. The Supervisor is responsible for oversight of LTSS/Waiver healthcare case... colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach...
) Supervisor, the LTSS Reviewer is responsible for completing care and service needs reviews. Using evidence-based LTSS needs..., we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare...
) is Pennsylvania's managed care long-term services and supports (LTSS) program serving seniors and individuals with physical...UPMC Health Plan is looking for Service Coordinator Supervisor positions to join the Community HealthChoices team...
expert for LTSS training for internal care teams and external audiences. Supports coordination of LTSS with other clinical..., outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management...
department of LTSS with other clinical and social services across the continuum of care striving to enhance the quality... more about us at . Responsibilities: Under the supervision of the LTSS Manager for Utilization Management, this position is responsible for providing...
.amerihealthcaritas.com. Role Overview: Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator... coordination for Medicare members receiving LTSS and custodial care. Conduct telephonic and in-person clinical assessments...
and programs are comprised of network management and clinical coverage policies. Through the use of clinical tools... - Case Management in an integrated model preferred - Bilingual preferred - 5 years clinical practice experience Ability...
(SCO) RN Case Manager Department: Senior Care Options Supervisor: SCO Clinical Coordinator Status/Hours per week: Non.... Responsibilities are focused on providing individualized clinical case management services to SCO patients. (Including: comprehensive...