- Molina Healthcare (TX)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from ... position and productivity is important. Preferred candidates will have previous case management, managed care, hospital, and/or home health experience._ _This role… more
- Molina Healthcare (Roma, TX)
- …year experience working with population who receive waiver services. **PREFERRED LICENSE , CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case ... Health professional in Texas to join Molina as a Case Manager working with our Medicaid members in the...Nursing license (LVN/LPN) OR Clinical Social Worker license in good standing Valid driver's license … more
- Elevance Health (Grand Prairie, TX)
- …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical director is directly involved in Utilization Management and Case Management. + Daily case reviews for...Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession. +… more
- Texas A&M University System (Gonzales, TX)
- …livestock and pet owners. Resolves complex, confidential or sensitive diagnostic case issues with clients, contracting agencies, and other TVMDL customers utilizing ... prompt specimen receiving, testing and reporting. Provides leadership for case coordination, complaint management and overall client relations for...at TVMDL are required to obtain either a full license or a special license from the… more
- The City of Houston (Houston, TX)
- …performance of data entry functions in entering citation information into the case management system (includes coding, records research, etc.) + Quality Control ... review of case data and scanned documents, taking appropriate action to...years of administrative customer service-related experience are required. MINIMUM LICENSE REQUIREMENTS None PREFERENCES Preferences may be given to… more
- Datavant (Dallas, TX)
- …insured personal vehicle. Must have the ability to drive and have a valid driver's license in good standing + Must have reliable internet service and a phone with ... + Ability to roll and lift a 45lb equipment case for medical chart retrievals or maneuver a 25lb...for medical chart retrievals or maneuver a 25lb soft case . **Additional Details:** + This is a part-time role… more
- CenterWell (Lubbock, TX)
- …the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including ... admit patients to service. Assigns appropriate clinicians to a case , as needed. + Instructs and guides clinicians to...of an accredited School of Nursing. + Current state license as a Registered Nurse. + Proof of current… more
- Sedgwick (Austin, TX)
- …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business ... lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of… more
- Datavant (Austin, TX)
- …understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. + ... experience in an academic medical center + Registered Nurse license , Bachelor's degree in Nursing + CCDS or CDIP...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Houston Methodist (Houston, TX)
- …Advisor to address identified educational needs for providers and utilization review/ case management team members. + Serves as the primary information resource ... attitudes. Reads and leads critique of evidence-based practice literature in case management and utilization management and related disciplines. Identifies, plans,… more