Current jobs related to LTSS Service Care Manager - Topeka - Sunflower Health Plan
-
LTSS Service Care Manager
1 week ago
Topeka, Kansas, United States Sunflower Health Plan Full timeJob Title: LTSS Service Care ManagerAt Sunflower Health Plan, we're committed to transforming the health of our communities, one person at a time. As a LTSS Service Care Manager, you'll play a vital role in developing and coordinating holistic care management activities for our members with significant mental/behavioral health needs.Key...
-
Manager, Provider Network Management LTSS
2 weeks ago
Topeka, United States Elevance Health Full timeManager, Provider Network Management LTSSLocation: KansasHours: M - F Standard Working hoursTravel: Hybrid (1-2 days onsite) 20% Travel with potential overnight as neededPosition Overview:Directs the activities related to the development and maintenance of the company's Long Term Services and Supports (LTSS) provider delivery system through the provider...
-
Network Relations Consultant
1 month ago
Topeka, United States Elevance Health Full timeNetwork Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations. The Network Relations Consultant, LTSS Provider Representative develops and maintains positive provider...
-
RN Clinician
2 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled RN Clinician to join our team as a LTSS Service Coordinator. In this role, you will be responsible for managing member cases, providing supervision and direction to non-RN clinicians, and developing, monitoring, evaluating, and revising care plans to meet member needs.Key ResponsibilitiesPerform telephonic or...
-
RN Clinician
2 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled RN Clinician to join our team as a LTSS Service Coordinator. This role is responsible for managing member cases, providing supervision and direction to non-RN clinicians, and developing, monitoring, evaluating, and revising care plans to meet member needs.Key ResponsibilitiesPerform telephonic or face-to-face...
-
Network Relations Consultant
4 weeks ago
Topeka, United States Elevance Health Full timeAnticipated End Date: 2024-09-27 Position Title: Network Relations Consultant (LTSS Provider Rep) Job Description: Network Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint...
-
Patient Services Liaison
2 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled and experienced Ombudsman Liaison to join our team at Elevance Health. The successful candidate will be responsible for coordinating services with local community organizations and working with local advocacy organizations to ensure that members receiving supports through the LTSS/HCBS Waiver programs have access to...
-
Network Relations Consultant
3 weeks ago
Topeka, United States Elevance Health Full timeNetwork Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations. The Network Relations Consultant, LTSS Provider Representative develops and maintains positive provider...
-
LTSS Care Coordinator
3 days ago
Topeka, United States UnitedHealthcare Full timeAt 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 of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start...
-
LTSS Care Coordinator
3 days ago
Topeka, United States UnitedHealthcare Full timeAt 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 of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start...
-
Network Relations Consultant
4 weeks ago
Topeka, United States Elevance Health Full timeAnticipated End Date: 2024-09-27 Position Title: Network Relations Consultant (LTSS Provider Rep) Job Description: Network Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations. The...
-
Care Manager
2 weeks ago
Topeka, Kansas, United States Sunflower Health Plan Full timeJob Title: LTSS Service Care ManagerSunflower Health Plan is seeking a highly skilled LTSS Service Care Manager to join our team. As a key member of our care management team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Job Summary:The LTSS Service Care Manager will be responsible for developing, assessing,...
-
LTSS Service Coordinator
2 weeks ago
Topeka, United States Elevance Health Full timeAnticipated End Date: 2024-11-11 Position Title: LTSS Service Coordinator - RN Clinician (Kansas City/Olathe/Topeka) Job Description: Location: Field associates spend 4-5 days per week in-person with patients, members or providers in Kansas City/Olathe/Topeka and surrounding areas. The LTSS SERVICE COORDINATOR - RN CLINICIAN is responsible for overall...
-
Care Manager
2 weeks ago
Topeka, Kansas, United States Sunflower Health Plan Full timeJob Title: LTSS Service Care ManagerJoin Sunflower Health Plan in transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.Job Summary:We're seeking a skilled LTSS Service Care Manager to develop, assess, and...
-
Care Manager
1 week ago
Topeka, Kansas, United States Sunflower Health Plan Full timeJob Title: LTSS Service Care ManagerAt Sunflower Health Plan, we're transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits, including a fresh perspective on workplace flexibility.Job Summary:We're seeking a skilled LTSS Service Care Manager to join our team. In...
-
Healthcare Advocate Coordinator
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled and experienced Ombudsman Liaison to join our team at Elevance Health. The successful candidate will be responsible for coordinating services with local community organizations and working with local advocacy organizations to ensure that members receiving supports through the LTSS/HCBS Waiver programs have access to...
-
LTSS Service Coordinator
2 weeks ago
Topeka, United States Elevance Health Full timeAnticipated End Date:2024-11-11Position Title:LTSS Service Coordinator - RN Clinician (Kansas City/Olathe/Topeka)Job Description:Location: Field associates spend 4-5 days per week in-person with patients, members or providers in Kansas City/Olathe/Topeka and surrounding areas.The LTSS SERVICE COORDINATOR - RN CLINICIAN is responsible for overall management...
-
Care Coordinator
2 weeks ago
Topeka, Kansas, United States UnitedHealthcare Full timeAbout the RoleWe are seeking a skilled Care Coordinator to join our team at UnitedHealthcare. As a Care Coordinator, you will play a critical role in ensuring that individuals receiving Long-Term Services and Supports (LTSS) receive high-quality, person-centered care.Key ResponsibilitiesAssess and develop individualized care plans that address the unique...
-
LTSS Care Coordinator
4 days ago
Topeka, KS, United States UnitedHealthcare Full timeAt 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 of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start...
-
Ombudsman Liaison Specialist
3 weeks ago
Topeka, Kansas, United States Elevance Health Full timeJob SummaryWe are seeking a highly skilled Ombudsman Liaison to join our team at Elevance Health. The successful candidate will be responsible for coordinating services with local community organizations and working with local advocacy organizations to ensure that members receiving supports through the LTSS/HCBS Waiver programs have access to Covered...
LTSS Service Care Manager
3 months ago
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position requires visits in field. Areas include Southern, Southeast, Southwest, Central, and Western Kansas.**
Position Purpose:
Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.
- Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome
- Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
- Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc
- Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required
- Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc
- Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
- Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members
- Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
- Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience.
License/Certification:
- Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMFT, LMHC, LPC and RN with BH experience required.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
