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Work involves frequent contact with case managers in Community Care Services Eligibility (CCSE), individuals enrolled in or applying for 1915(c) waiver services, service providers, LTSS MCOs, relocation specialists, nursing facility staff, the public, Health and Human Services Commission, Managed Care Compliance and Operations, Health Plan Management, and Medicaid for the Elderly and People with Disabilities (MEPD) staff.
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The state calls this role LTSS Program Manager at Humana the role is leveled as a Regional VP, Operations. The LTSS Program Manager (aka RVP, Operations/ COO) is dedicated full-time to the Indiana Pathways Program.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Participate in and/or represent SCFHP at off-site regulatory, association, community meetings, and events relevant to CBP, SDOH, HCBS. (e.g. County LTSS Integration Committee, In-Home Support Services Advisory Board), and other local convening’s and initiatives.
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For this position we are seeking a Licensed Social Worker (LMSW) who lives in Michigan and must be licensed for the state of Michigan.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Accountable for administering Presbyterians LTSS Value Based Payment (strategic provider contracting and progressive reimbursement methodologies to drive quality health and financial *capability/interests.
$23.9 - $36.48 an hourFull-timeExpandUpdated 12 days ago - UpvoteDownvoteShare Job
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Performs initial and annual home assessments for MediCal/Medicare dually eligible members referred to Care Coordination to determine eligibility for Long-Term Services and Supports (LTSS). Assists Registered Nurse in determining Nursing Facility Level of Care. Assesses for unmet LTSS needs and develops and mails corresponding service plans.
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The Care Management Comprehensive Assessment will help to consolidate information across physical health, behavioral health, I/DD, TBI, LTSS, pharmacy, unmet healthrelated resource needs, and other needs and inform the care plan or ISP. Care Managers will complete Care Management Comprehensive Assessments in accordance with methods, timelines, and other details in the Tailored Care Management Provider’s Manual.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The LTSS Care Coordinator employs a variety of strategies, approaches and techniques to manage a member's health issues. Become a part of our caring community and help us put health first. Licensed Social Worker (LSW.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Maintain accountability for reporting, submission, compliance, integration, and coordination of care for LTSS, ECM, HCBS, and PHM requirements for Transitional Care Services (TCS). Director shall also ensure integrated care delivery of Home and Community Based Services (HCBS) and resources including Long-Term Services & Support (LTSS) benefits.
$143,972 - $223,156 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Will support Behavioral Health /Substance Abuse needs for LTSS membership and additional programs for Housing, Justice, and Substance Abuse - participate in ICT meetings and support SDOH initiatives and community supports.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Long Term Support Services (LTSS) or Managed Long-Term Care (MLTC) UAS field RN experience preferred. including financial, psychosocial, community and state supportive services available to augment the need for LTSS services.
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20%) Leads advanced research, analysis, and evaluation of complex policy issues and initiatives related to LTSS, including the HCBS Settings Rule and CFC.? (25%) Develops, implements, and manages projects or special initiatives related to LTSS, including the HCBS Settings Rule, and CFC.
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The LTSS Service Authorization Specialist provides accurate, prompt, and appropriate medical authorizations to requests from CCA Clinicians, Vendors and Providers for LTSS. The LTSS Service Authorization Specialist reports to the LTSS Service Authorization Team Lead.
TemporaryExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Identifies social service programs; including financial, psychosocial, community and state supportive services available to augment the need for LTSS services. This is accomplished by utilizing required NYS UAS Assessment Tools to determine functional status, medical, behavioral, psychological, and community resource needs for coordinating, integrating, and monitoring the use of medical and health care services for members; The SN UAS Nurse may also perform other technical and administrative tasks essential to the efficient operation of the department.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The LTSS Service Coordinator - RN Telehealth is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.
ExpandApply NowActive JobUpdated 2 days ago
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