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$25.2 - $49.15 per hour
...Apply Job Description Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum...SuggestedHourly payFull timeContract workWork experience placementWork at officeLocal area- ...their families/caregivers on services and benefits available to meet member needs Manage a case load for healthcare members with LTSS (Long Term Support/Services) needs Conduct monthly and quarterly member contact Complete assessments with members, caregivers,...SuggestedPermanent employmentWork at officeShift work
$26.82 per hour
Job Description Job Description Job Position: Care Coordinator Location: Des Plaines, IL Candidates must reside within area to support Pay Rate: $26.82/hr Position Purpose: Assists in developing, assessing, and coordinating holistic care management...SuggestedLocal area- ...LTSS Service Coordinator The candidate should reside in Monroe County, IA. Field : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance...SuggestedFull timeContract workTemporary workWork at officeLocal area1 day per week
- ...Job Description Job Description LTSS Appeals Nurse (Remote) We are seeking a detail-oriented, self-motivated Registered Nurse to join our team as an LTSS Appeals Nurse. In this role, you will perform high-volume clinical reviews within the appeals process, evaluating...SuggestedRemote jobLocal areaMonday to FridayFlexible hoursShift work
- ...eligible for Tailored Care Management, Intellectual Developmental Delays/Traumatic Brain Injury (I/DD/TBI), Long Term Service or Supports (LTSS) or those who are in the Children and Families Specialty Program (CSFP). Members require assistance to help them gain access to...SuggestedWork at officeLocal areaRemote workTrial periodFlexible hoursNight shift
- ...LTSS Service Coordinator - RN Clinician The candidate should reside in Lake County, IN. Field : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional...SuggestedFull timeContract workTemporary workWork at officeLocal area1 day per week
- ...LTSS Service Coordinator Clinician The candidate should reside in Johnson County IN and Shelby County, IN. Field : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires...SuggestedFull timeContract workTemporary workWork at officeLocal area1 day per week
- ...in multiple states \n ~2+ years of clinical experience treating complex chronic conditions and high-needs patients, Medicare and LTSS experience preferred \n ~ Excellent verbal, written, presentation, and group facilitation skills; ability to clearly articulate and...SuggestedTemporary workLive inWork at officeLocal areaRemote workWeekend workAfternoon shift
Cinqcare
Atlanta, GA10 days ago $25.1 - $28.68 per hour
...Requirements ~ Bachelor’s Degree; or ~ Five (5) years of experience in the field of Long-Term Services and Supports; or ~(LTSS), which includes Developmental Disabilities; ~ or Some combination of education and relevant experience appropriate to the requirements...SuggestedHourly payTemporary workWork at officeRemote workWork from homeMonday to FridayFlexible hoursDevelopmental Pathways
Aurora, CO12 days ago- ...providers based on identified network adequacy gaps (high complexity). Support contracting for multiple product lines, including LTSS, Exchange, DSNP could be asked to complete straightforward FFS contracts. Support of VBC relationships and negotiations where needed...SuggestedRemote workFlexible hours
- ...Management when a client is hospitalized and send a 'get well' card. Update Caregivers' change of address/phone number on Gmail and LTSS. Update the clients' change of address on Axis, Gmail, and file. Update staff credentials, certifications, and licenses. Able to access...SuggestedWork at office
- ...payment integrity, provider data, credentialing, appeals disputes etc. Support contracting for multiple product lines, including LTSS, Exchange, DSNP adequacy gaps (high complexity). Assist with recruiting providers based on identified network adequacy gaps (high...SuggestedContract workFor subcontractorRemote workFlexible hours
- ...healthcare, human services, self-direction programs, financial management services (FMS), Medicaid, long-term services and supports (LTSS), or related industries preferred. ~ Strong understanding of project management methodologies including Agile, Waterfall, Hybrid...SuggestedWork experience placementWork at officeRemote workWork from home
Palco
Toledo, OH4 days ago - ...when necessary, as needed for job opportunities and coaching. Completion of CPR & first aid training, infection control, MANDT, ICM/LTSS training, ACRE training within 3months of hire, and all other required trainings and maintenance of certifications as required by...SuggestedContract workApprenticeshipWork experience placementFlexible hoursWeekend workAfternoon shift
$27.4 - $28.36 per hour
...document sufficient level of client services to meet agency billing standards within State of Maryland's Long-Term Services and Supports (LTSS) system and The Coordinating Center's internal system. Attend and actively participate in all external and internal required...Hourly payFull timeContract workTemporary workWork experience placementLocal area- ...management that addresses all their needs, spanning physical health, behavioral health, pharmacy, long-term services and supports (LTSS), and unmet health related resource needs. The Care Manager Extender will assist in meeting the needs of the member, create additional...Work at office
Epiphany Family Services, LLC
Charlotte, NC7 days ago $67k
..., and organizing required documentation when necessary. Verify submission through available sources including CCS confirmations, LTSS records, EDD communications, and supporting documentation. To the extent possible, maintain oversight of cases until eligibility...Local area- ...Psychology, Education, Human Services, or a related field. ~ Knowledge of Medicaid Waiver programs, Long-Term Services and Supports (LTSS), and Home and Community-Based Services (HCBS) strongly preferred. Skills and Knowledge: Experience working with individuals...Hourly payLive inWork at officeImmediate startRemote workWork from homeFlexible hours
- ...Ideal Candidate: Experienced Care Manager or Home Health Nurse with strong care coordination experience. Preferred Experience LTSS and Dual-Eligible populations Medicare/Medicaid managed care Population health or community health Behavioral health...Local area
- ...well independently and within a team Technical Skills: Software proficiency in Microsoft Office suite, GDrive, Sandata EVV, LTSS, PCIS, Technical writing (quarterlies, PCPs, etc) Project management Data analysis to include but not limited to Progress...Work at officeWork from homeFlexible hours
- ...individuals with behavioral health conditions (if serving members with behavioral health needs). #*For care managers serving members with LTSS needs: Two years of prior LTSS and /or HCBS coordination, care delivery monitoring, and care management experience, in addition to...Full timeWork at officeLocal areaFlexible hours
- ...experience and/or experience working with individuals in the aging and disabilities community. Ability to learn and utilize Maryland LTSS (Long Term Services and Supports) for day-to-day operations. Proficiency with Microsoft Word and Access. Strong client...Full timeImmediate startRemote workMonday to Friday2 days per week
- ...Senior Care Options (SCO) Aging Services Access Points (ASAPs) Community-based healthcare Long-term services and supports (LTSS) Care coordination and interdisciplinary team models Older adults and individuals with disabilities Community resources and...Part time
- ...in the correct period, accurately and timely. # Revenue tracking and reconciliation: Utilize internal and external systems (CIMS/LTSS/Quick Books) to ensure that each invoice/claim is paid through internal reconciliation processes. Cross check for both initial and ongoing...
- ...primary mental health diagnosis, and may be accumulated before or after degree completion. For care managers serving members with LTSS needs: Two years of prior LTSS and /or HCBS coordination, care delivery monitoring, and care management experience, in addition to...Full timeWork at officeLocal areaImmediate startFlexible hours
- ...outreach strategies and continuously improve close rates. Experience and Qualifications: ~3-4 years specifically in Medicaid, LTSS, or government‑facing healthcare markets, and Business Development ~ Experience in self‑directed Medicaid services, LTSS, FMS, or...Contract workRemote workWork from home
- ...Preferred Skills: State Healthcare Programs Federal Healthcare Programs Medicaid Managed Care Long-Term Services and Supports (LTSS) Waiver Programs Azure AWS Machine Learning Predictive Analytics Advanced Statistical Modeling Cloud Data...
$25.49 per hour
...and flexible schedule. Wage is $25.49/hour. Must hold a bachelor’s degree; or Five (5) years of relevant experience in the field of LTSS, which includes individuals with Disabilities; or some combination of education and relevant experience appropriate to the...Hourly payFull timeWork at officeLocal areaRemote workFlexible hours$45 per hour
...NaviCare case management program. Conducts telephonic assessments when appropriate. Collaborates with Care Team. Completes LTSS evaluations and collaborates with UM. Member Assessment, Education & Advocacy Conducts in-home assessments with motivational and...Contract workTemporary workWork experience placementWork from homeShift workDay shift
