- Centene Corporation (Mcallen, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex or high risk/high acuity… more
- State of Massachusetts (Boston, MA)
- …Day Habilitation, Nursing Facilities, Chronic-Disease Rehabilitation Hospitals as well as two coordinated care programs, Senior Care Options (SCO) and the ... data and analysis in driving system change. * Knowledge of the Massachusetts health care industry and market dynamics related to LTSS . * Proficiency in Microsoft… more
- State of Massachusetts (Boston, MA)
- …across five PCA Program Coordinators and reporting issues up to the PCA Senior Manager and the Director of Fee-for- Service Community-Based Programs. The person ... Program Implementation Manager will reside in the Fee For Service Community-Based Program Team in a unit dedicated to...ensuring contract compliance. * Knowledge of the Massachusetts health care industry and market dynamics related to LTSS… more
- Fairview Health Services (Princeton, MN)
- …long-term services and supports, Medicare and Medicaid benefits and senior care industry **License/Certification/Registration** Current Minnesota Social Work ... of case management which include, but are not limited to: assessment, care planning, service coordination and referral, transition management, utilization… more
- Humana (Indianapolis, IN)
- …primary care , FQHCs, hospitals, nursing facilities, and/or HCBS and LTSS providers. + Proficiency in analyzing, understanding, and communicating complex issues. ... + Experience working with Availity. + Experience working with LTSS providers to include home- and community-based service...serve to achieve their best health - delivering the care and service they need, when they… more
- NorthWest Senior & Disability Services (Salem, OR)
- …among community, including Non-English speaking consumers + Lead Others + Promote Person-Centered Care + Provide Excellent Customer Service 1. Manage Programs + ... management skills to work in a mission-driven environment. Northwest Senior and Disability Services is seeking an exceptional individual...that translates to direct services, or support of direct service units, and area of management and care… more
- Molina Healthcare (Tucson, AZ)
- …Clinical Center of Excellence and to deliver value through highly efficient shared service . To achieve this objective, this role will support a specific Clinical ... Collaborate with other COE leaders across the enterprise UM, LTSS , BH, Quality, Office of the CMO, Network, Government...implementation, compliance, and/or program performance to AVP, VP and senior management. + May supervise one or more Program… more