• Utilization Review Case Mgr - CMC - Clear Lake…

    UTMB Health (Webster, TX)
    …Mgr - CMC - Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504557 The mission of ... Management Department. + Collaborates with UTMB TDCJ Care Managers, Hospital Community Care Managers, TDCJ Bed Placement, and TDCJ Health more
    UTMB Health (08/21/25)
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  • Mental Health Clinician, Pediatrics…

    UTMB Health (Galveston, TX)
    Mental Health Clinician, Pediatrics Developmental Health and Pediatrics (Galveston) **Galveston, Texas, United States** Research Academic & Clinical UTMB ... Health Requisition # 2503455 Minimum Qualifications: Master's degree in...+ Contributes to the success of the UTMB Managed Care organization. + Interviews, evaluates and diagnoses patients identified… more
    UTMB Health (06/28/25)
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  • Med Care Manager

    Sunrise Senior Living (Plano, TX)
    …patterns, history, and basic human needs. + Practice routinely good standard care precautions of cleanliness, hygiene, and health . **Resident Care ... LCM. + Participate in the development of the Individualized Service Plans (ISP). **Risk Management and General Safety** + Partner with community team to ensure … more
    Sunrise Senior Living (08/21/25)
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  • Mental Health Clinician II - Department…

    UTMB Health (League City, TX)
    Mental Health Clinician II - Department of Pediatrics (Galveston) Professional Counselor or Psychological **League City, Texas, United States** Research Academic & ... Clinical UTMB Health Requisition # 2503354 **Minimum Qualifications:** Master's degree in...+ Contributes to the success of the UTMB Managed Care organization. + Interviews, evaluates and diagnoses patients identified… more
    UTMB Health (06/25/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and ... assist with safe discharge to the home and coordinate care for DME, home health , provider appointments,...in nursing or equivalent + Previous adult chronic conditions care management + Previous experience in … more
    Humana (08/22/25)
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  • Director Managed Care Contracting

    Houston Methodist (Houston, TX)
    …confidential/sensitive information + Understanding of local, State and Federal regulations related to health care as well as the ability to research new ... companies and serves as a technical expert for management and operations staff of specific HM facility and... contracting, contract pricing, language requirements, rates and schedules, health care coding systems + Strong negotiation… more
    Houston Methodist (07/03/25)
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  • Utilization Review Nurse - Transition…

    Houston Methodist (Houston, TX)
    …Medicare, Medicaid, and Managed Care requirements + Progressive knowledge of community resources, health care financial and payer requirements/issues, ... independently and exercise sound judgment in interactions with physicians, payers, and health care team members + Strong assessment, organizational, and… more
    Houston Methodist (07/25/25)
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  • Case Management Representative…

    Houston Methodist (Houston, TX)
    …planning including referrals management , communication and collaboration with post-acute care providers, access to agencies and other community resources and ... activities. Communicates in an active, positive, and effective manner to all interprofessional health care team members. Reports pertinent patient care and… more
    Houston Methodist (08/20/25)
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  • Safety Manager/Emergency Management

    AdventHealth (Killeen, TX)
    …qualifications** : Bachelors Degree - Preference will be given to degrees related to occupational health and safety and health care 5 years experience in a ... management . Verifies accurate record of of drills, critiques, community meetings, and real events. Manages and educates an... health care setting providing services related to environment of … more
    AdventHealth (08/07/25)
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  • Care Manager, Registered Nurse- Remote

    Sharecare (Austin, TX)
    …package** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing ... high-quality telephonic Case or Care Management with CareFirst members. The ...modality for the member. + Identify relevant benefit and community resources, evaluates Social determinants of Health more
    Sharecare (07/08/25)
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