Pyramid Consulting, Inc · 1 day ago
Clinical - LTSS Service Care Manager
Pyramid Consulting, Inc. is a leading company in the Healthcare Industry, currently seeking a Clinical - LTSS Service Care Manager for a 6-month contract opportunity. The role involves reviewing assessments and service plans, following up on findings, and providing community resources to members.
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Responsibilities
Review assessments & service plans (internal assessments)
Follow up on pending assessment findings, clarify DX, reported abnormal findings, requested referrals, etc
MN denials
Research community resources
2065D approval/denials
Update LTSS
Terminate LTSS waiver service authorizations
Provide community resources
Instruct member on appeal process and level change
Initiate LTSS/acute services (create authorization request template)
Qualification
Required
Requires a bachelor's degree and 2 – 4 years of related experience
Excellent computer skills
Proficient in Microsoft programs, i.e.. Word, Excel, and OneNote
Previous MCO experience
Benefits
Health insurance (medical, dental, vision)
401(k) plan
Paid sick leave (depending on work location)
Company
Pyramid Consulting, Inc
Pyramid Consulting, a global leader in workforce and technology solutions, empowers individuals and organizations to transform and thrive in the most challenging and competitive markets.
H1B Sponsorship
Pyramid Consulting, Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (178)
2024 (112)
2023 (95)
2022 (62)
2021 (50)
2020 (117)
Funding
Current Stage
Late StageRecent News
2025-08-18
Company data provided by crunchbase