Clinical - LTSS Service Care Manager jobs in United States
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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.

ConsultingInformation TechnologyLegalProfessional ServicesSoftwareStaffing Agency
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Growth Opportunities
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H1B Sponsor Likelynote

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

Bachelor's degreeMCO experienceComputer skillsMicrosoft WordMicrosoft ExcelMicrosoft OneNote

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

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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 Stage

Leadership Team

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Ramesh Maturu
President and Co-Founder
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Manish Kaushik
Chief Financial Officer
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Company data provided by crunchbase