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Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing, Case Management, Interdisciplinary Team Collaboration, Medical Necessity Assessment, Community Resource Knowledge, Time Management, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Crisis Intervention, Waiver Enrollment
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Ltss, Member Assessment, Care Planning, Waiver Enrollment, Motivational Interviewing, Interdisciplinary Care Team Facilitation, Case Management, Community Resource Knowledge, Microsoft Office, Problem Solving, Time Management, Written Communication, Verbal Communication, Clinical Licensure
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)
Disability Support Worker - EOI at Unidex Healthcare
South Australia, South Australia, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Aged Care at Medacs Healthcare
Sydney, South Australia, Australia - Full Time
Skills Needed
N/A
Cath Lab Nurse at Medacs Healthcare
dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Personal Care Workers at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Digital Marketing Coordinator at Ontime Healthcare
Lowa, Bremen, United Arab Emirates - Full Time
Skills Needed
N/A
Entry-Level Healthcare Position - Training Provided at Care Advantage Inc
Harrisonburg, Virginia, United States - Full Time
Skills Needed
In Home Care, Patient Care, Compassion, Respect, Commitment To Excellence, Professionalism
Specialization
Applicants must be eligible to work in the US without sponsorship and possess reliable transportation. Two satisfactory professional references and a positive, respectful attitude are required.
Healthcare Configuration and Data Integrity Manager at Provider Network Solutions
Doral, Florida, United States - Full Time
Skills Needed
Claims Processing, Healthcare Data Management, Medical Terminology, Microsoft Excel, Microsoft Access, Microsoft Outlook, Microsoft Word, Benefit Configuration, Provider Database Management, Data Integrity, Contract Rate Loading, Unit Testing, Quality Control, Resource Management, Coordination Of Benefits, Diagnosis Coding
Specialization
Candidates must have 3-5 years of claims processing experience and 1-2 years of healthcare data management experience. Proficiency in Microsoft Office applications and a broad knowledge of medical terminology and diagnosis coding are required.
Experience Required
Minimum 2 year(s)
Business Development Representative - Healthcare IT at Digacore Technology LLC
Lakewood Township, New Jersey, United States - Full Time
Skills Needed
Outbound Prospecting, Lead Qualification, Hubspot Crm, Linkedin Sales Navigator, Relationship Building, Market Research, Communication Skills, Objection Handling, Pipeline Management, Healthcare It Sales, Cybersecurity Knowledge, Cloud Solutions Sales
Specialization
Requires 1-3 years of experience in sales, recruiting, or customer-facing roles with strong communication skills. Preference is given to candidates with BDR experience in healthcare, technology, or cybersecurity sectors.
Experience Required
Minimum 2 year(s)
Account Director - Pharma, Healthcare & Life Sciences at Version 1 Cedar
Newcastle upon Tyne, England, United Kingdom - Full Time
Skills Needed
Account Management, Sales Strategy, Relationship Management, Contract Management, Financial Performance Tracking, Customer Satisfaction (Csat), Net Promoter Score (Nps), Pipeline Management, Leadership, Commercial Awareness, Stakeholder Collaboration, Industry Trend Analysis, Business Development, Strategic Planning, Coaching, Reporting
Specialization
Requires extensive experience in technology services sales with a proven track record of meeting targets and acquiring new logos. Must possess strong leadership skills and specific industry experience in Pharmaceutical, Private Healthcare, or Life Sciences.
Experience Required
Minimum 10 year(s)
Professional Healthcare Representative (CV in Cebu) at Organon
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Pharmaceutical Sales, Communication Skills, Interpersonal Skills, Presentation Skills, Negotiation Skills, Product Knowledge, Medical Terminology, Time Management, Crm Tools, Digital Sales Tools, Customer Engagement, Market Trends Analysis, Sales Performance Tracking, Relationship Building, Healthcare Professional Engagement, Training Participation
Specialization
Candidates must have a minimum of 3 years of experience in cardiovascular sales and a bachelor's degree in a relevant field. Strong communication, presentation, and negotiation skills are essential, along with in-depth product knowledge and familiarity with CRM tools.
Experience Required
Minimum 5 year(s)
Healthcare IT Installation and Support Technical Lead at TOGA Technology
New York, New York, United States - Full Time
Skills Needed
Pc Imaging, Servicenow, Printer Installation, Bomgar, Rdp, Hardware Installation, Windows, Macos, Cable Management, Active Directory, Kronos Clock Installation, Technical Support
Specialization
Requires 1 to 2 years of IT experience in healthcare environments with proficiency in PC imaging and hardware installation. Must be able to lift 50+ pounds and communicate professionally via email and Teams.
Healthcare Security Officer - San Rafael, CA (Fill-In) at Blackstone Consulting, Inc.
San Rafael, California, United States - Full Time
Skills Needed
Security Basics, Risk Management, Communication, Service Delivery, Leadership, De Escalation, Patrolling, Incident Response, Report Writing, Screening
Specialization
Candidates must be at least 18 years old with a high school diploma or GED and a valid state-issued guard card. Physical requirements include the ability to lift 50 lbs and pass a pre-employment drug and background screen.
Membership Consultant (Healthcare Sales) - Milwaukee at ArchWell Health
Milwaukee, Wisconsin, United States - Full Time
Skills Needed
B2c Sales, B2b Sales, Community Engagement, Patient Enrollment, Relationship Management, Event Planning, Salesforce, Medicare Advantage, Problem Solving, Organizational Skills, Lead Generation, Customer Retention
Specialization
Requires a high school diploma or GED and at least one year of sales or community relations experience. A valid driver's license is mandatory, and experience with Medicare Advantage or the senior community is preferred.
Experience Required
Minimum 2 year(s)
System Administrator - Healthcare Cloud Platform (US) at Onera Health
, , United States - Full Time
Skills Needed
Aws Infrastructure, System Administration, Hipaa Compliance, Soc2, Fedramp, Linux Administration, Windows Administration, Docker, Python, Bash, Typescript, Microsoft Intune, Incident Response, Disaster Recovery, Network Connectivity, Jira Service Management
Specialization
Requires a Bachelor's degree and 5-7 years of experience in cloud and IT management, including at least 3 years in healthcare. Proficiency in AWS services, security frameworks (HIPAA, NIST 800-53), and scripting languages is essential.
Experience Required
Minimum 5 year(s)
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

05 Oct, 26

Salary

0.0

Posted On

07 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing, Case Management, Interdisciplinary Team Collaboration, Medical Necessity Assessment, Community Resource Knowledge, Time Management, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Crisis Intervention, Waiver Enrollment

Industry

Hospitals and Health Care

Description
This is a remote field-based role requiring travel. 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 for members with high-need potential.   Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.   Essential Job Duties • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • Collaborates with licensed care managers/leadership as needed or required. • 25-40% estimated local travel may be required (based upon state/contractual requirements).  Required Qualifications • At least 2 years of health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work independently, with minimal supervision and self-motivation. • Ability to demonstrate responsiveness in all forms of communication and remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Problem-solving skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Experience working with populations that receive waiver services.   To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Responsibilities
Provides care coordination and management for members with high-need potential, specifically focusing on long-term services and supports (LTSS). Responsibilities include conducting comprehensive assessments, developing care plans, and facilitating interdisciplinary care team meetings.
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing, Case Management, Interdisciplinary Team Collaboration, Medical Necessity Assessment, Community Resource Knowledge, Time Management, Problem Solving, Written Communication, Verbal Communication, Microsoft Office, Crisis Intervention, Waiver Enrollment
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)
Care Manager, LTSS - Must live in OH at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Care Management, Care Coordination, Ltss, Member Assessment, Care Planning, Waiver Enrollment, Motivational Interviewing, Interdisciplinary Care Team Facilitation, Case Management, Community Resource Knowledge, Microsoft Office, Problem Solving, Time Management, Written Communication, Verbal Communication, Clinical Licensure
Specialization
Requires at least 2 years of healthcare experience, including 1 year in LTSS and 1 year in care management. A valid driver's license and reliable transportation are mandatory for field-based travel requirements.
Experience Required
Minimum 2 year(s)
Disability Support Worker - EOI at Unidex Healthcare
South Australia, South Australia, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Aged Care at Medacs Healthcare
Sydney, South Australia, Australia - Full Time
Skills Needed
N/A
Cath Lab Nurse at Medacs Healthcare
dubai, Dubai, United Arab Emirates - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Personal Care Workers at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Digital Marketing Coordinator at Ontime Healthcare
Lowa, Bremen, United Arab Emirates - Full Time
Skills Needed
N/A
Entry-Level Healthcare Position - Training Provided at Care Advantage Inc
Harrisonburg, Virginia, United States - Full Time
Skills Needed
In Home Care, Patient Care, Compassion, Respect, Commitment To Excellence, Professionalism
Specialization
Applicants must be eligible to work in the US without sponsorship and possess reliable transportation. Two satisfactory professional references and a positive, respectful attitude are required.
Healthcare Configuration and Data Integrity Manager at Provider Network Solutions
Doral, Florida, United States - Full Time
Skills Needed
Claims Processing, Healthcare Data Management, Medical Terminology, Microsoft Excel, Microsoft Access, Microsoft Outlook, Microsoft Word, Benefit Configuration, Provider Database Management, Data Integrity, Contract Rate Loading, Unit Testing, Quality Control, Resource Management, Coordination Of Benefits, Diagnosis Coding
Specialization
Candidates must have 3-5 years of claims processing experience and 1-2 years of healthcare data management experience. Proficiency in Microsoft Office applications and a broad knowledge of medical terminology and diagnosis coding are required.
Experience Required
Minimum 2 year(s)
Business Development Representative - Healthcare IT at Digacore Technology LLC
Lakewood Township, New Jersey, United States - Full Time
Skills Needed
Outbound Prospecting, Lead Qualification, Hubspot Crm, Linkedin Sales Navigator, Relationship Building, Market Research, Communication Skills, Objection Handling, Pipeline Management, Healthcare It Sales, Cybersecurity Knowledge, Cloud Solutions Sales
Specialization
Requires 1-3 years of experience in sales, recruiting, or customer-facing roles with strong communication skills. Preference is given to candidates with BDR experience in healthcare, technology, or cybersecurity sectors.
Experience Required
Minimum 2 year(s)
Account Director - Pharma, Healthcare & Life Sciences at Version 1 Cedar
Newcastle upon Tyne, England, United Kingdom - Full Time
Skills Needed
Account Management, Sales Strategy, Relationship Management, Contract Management, Financial Performance Tracking, Customer Satisfaction (Csat), Net Promoter Score (Nps), Pipeline Management, Leadership, Commercial Awareness, Stakeholder Collaboration, Industry Trend Analysis, Business Development, Strategic Planning, Coaching, Reporting
Specialization
Requires extensive experience in technology services sales with a proven track record of meeting targets and acquiring new logos. Must possess strong leadership skills and specific industry experience in Pharmaceutical, Private Healthcare, or Life Sciences.
Experience Required
Minimum 10 year(s)
Professional Healthcare Representative (CV in Cebu) at Organon
Manila, Metro Manila, Philippines - Full Time
Skills Needed
Pharmaceutical Sales, Communication Skills, Interpersonal Skills, Presentation Skills, Negotiation Skills, Product Knowledge, Medical Terminology, Time Management, Crm Tools, Digital Sales Tools, Customer Engagement, Market Trends Analysis, Sales Performance Tracking, Relationship Building, Healthcare Professional Engagement, Training Participation
Specialization
Candidates must have a minimum of 3 years of experience in cardiovascular sales and a bachelor's degree in a relevant field. Strong communication, presentation, and negotiation skills are essential, along with in-depth product knowledge and familiarity with CRM tools.
Experience Required
Minimum 5 year(s)
Healthcare IT Installation and Support Technical Lead at TOGA Technology
New York, New York, United States - Full Time
Skills Needed
Pc Imaging, Servicenow, Printer Installation, Bomgar, Rdp, Hardware Installation, Windows, Macos, Cable Management, Active Directory, Kronos Clock Installation, Technical Support
Specialization
Requires 1 to 2 years of IT experience in healthcare environments with proficiency in PC imaging and hardware installation. Must be able to lift 50+ pounds and communicate professionally via email and Teams.
Healthcare Security Officer - San Rafael, CA (Fill-In) at Blackstone Consulting, Inc.
San Rafael, California, United States - Full Time
Skills Needed
Security Basics, Risk Management, Communication, Service Delivery, Leadership, De Escalation, Patrolling, Incident Response, Report Writing, Screening
Specialization
Candidates must be at least 18 years old with a high school diploma or GED and a valid state-issued guard card. Physical requirements include the ability to lift 50 lbs and pass a pre-employment drug and background screen.
Membership Consultant (Healthcare Sales) - Milwaukee at ArchWell Health
Milwaukee, Wisconsin, United States - Full Time
Skills Needed
B2c Sales, B2b Sales, Community Engagement, Patient Enrollment, Relationship Management, Event Planning, Salesforce, Medicare Advantage, Problem Solving, Organizational Skills, Lead Generation, Customer Retention
Specialization
Requires a high school diploma or GED and at least one year of sales or community relations experience. A valid driver's license is mandatory, and experience with Medicare Advantage or the senior community is preferred.
Experience Required
Minimum 2 year(s)
System Administrator - Healthcare Cloud Platform (US) at Onera Health
, , United States - Full Time
Skills Needed
Aws Infrastructure, System Administration, Hipaa Compliance, Soc2, Fedramp, Linux Administration, Windows Administration, Docker, Python, Bash, Typescript, Microsoft Intune, Incident Response, Disaster Recovery, Network Connectivity, Jira Service Management
Specialization
Requires a Bachelor's degree and 5-7 years of experience in cloud and IT management, including at least 3 years in healthcare. Proficiency in AWS services, security frameworks (HIPAA, NIST 800-53), and scripting languages is essential.
Experience Required
Minimum 5 year(s)