- CenterWell (Fort Worth, TX)
- …partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social ... & prevention, disease management , effective specialist & hospital co- management , and complex care management *Spend 20-30% of time on direct patient… more
- Humana (Austin, TX)
- …The Behavioral Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care , audit, ... work, communication of decisions to internal associates, and possible participation in care management . Has discussions with external physicians by phone to… more
- CenterWell (Arlington, TX)
- …partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social ... promotion & prevention, disease management , effective specialist & hospital co- management , and complex care management + Spend 20-30% of time on direct… more
- ChenMed (Houston, TX)
- …ideally, experience of population risk management or complex chronic disease care management + Effective verbal and written communication skills along with ... of care , providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation… more
- CVS Health (Austin, TX)
- …teams. The Senior Manager is also responsible for ensuring the functioning of care management and care coordination activities across the continuum ... United States. **Position Responsibilities** + Accountable for the day-to-day management of care management teams...+ Accountable for the day-to-day management of care management teams for appropriate implementation and… more
- Highmark Health (Austin, TX)
- …population health management . **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + Experiencein ... in primary care , or healthcare consulting in primary care or population health management . + 3 years of experience in data analysis, interpretation, and… more
- CVS Health (Austin, TX)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... Management and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care for members. **Key… more
- CVS Health (Austin, TX)
- …speed internet- ability to hard wire computer. + 1+ year(s) of medical case management experience, care coordination or discharge planning. + 3+ years of ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (TX)
- …- CareBridge - Bilingual** **Spanish** is responsible for determining the appropriate Care Management program for members referred through internal and external ... triage process and applies established criteria to assign members to appropriate care management component. Deals with least complex cases having limited or no… more
- CommonSpirit Health (Houston, TX)
- …hospital admission, continued hospital stays, adequacy of discharge planning and quality care management . + Understand the intricacies of the Medicare Inpatient ... the PA conducts clinical case reviews referred by case management staff and/or other health care professionals...by case management staff and/or other health care professionals to meet regulatory requirements and, in accordance… more