• Major Case Unit Claims Specialist

    The Hartford (San Antonio, TX)
    …resolve complex coverage and compensability issues + Demonstrate advanced expertise to use case management practices to effectively reduce loss costs + Manage ... help shape the future. The Specialist role of Workers Compensation, Major Case Unit will manage the investigation, litigation, disposition, and settlement of… more
    The Hartford (08/20/25)
    - Related Jobs
  • Telephonic Nurse Case Manager Senior

    Elevance Health (Houston, TX)
    …2 years' experience in acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior** is responsible for care management... Case Manager Senior** is responsible for care management within the scope of licensure for members with… more
    Elevance Health (08/13/25)
    - Related Jobs
  • Telephonic Nurse Case Manager II

    Elevance Health (Houston, TX)
    …is providing services in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience. + Certification as a Case ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management... Case Manager II** is responsible for care management within the scope of licensure for members with… more
    Elevance Health (08/23/25)
    - Related Jobs
  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (El Paso, TX)
    …are completed on time and accurately to present results to key departmental management and other Molina departments as needed + Writes narrative reports to interpret ... regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions + Creates, manages, and/or compiles the required documentation to maintain critical program milestones, deadlines, and/or… more
    Molina Healthcare (08/24/25)
    - Related Jobs
  • Social Work Case Manager (US)

    Elevance Health (Grand Prairie, TX)
    …MS (at a minimum) in Social Work and minimum of 3 years of experience in case management in a health care environment; or any combination of education and ... **Social Work Case Manager** **Location:** This role enables associates to...to address participant's limitations or support interventions in the management of the participant's chronic condition. + Manages behavioral… more
    Elevance Health (08/23/25)
    - Related Jobs
  • Registered Nurse Case Manager PRN

    HCA Healthcare (Round Rock, TX)
    …Required** + **Bachelor's Degree in Nursing Preferred** + **2+ years experience in case management OR 3+ years experience in clinical nursing Required** + ... of practice according to law and regulation Required** + **Certification in Case Management Preferred** **Benefits** St. David's Round Rock Medical Center,… more
    HCA Healthcare (08/20/25)
    - Related Jobs
  • RN Case Manager Home Health

    CenterWell (Eastland, TX)
    …a **Home Health RN Case Manager** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. + ... Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in… more
    CenterWell (08/09/25)
    - Related Jobs
  • Case Manager (Fort Worth)

    Fedcap (Fort Worth, TX)
    …You'll Do As a CLASS Case Manager you will provide comprehensive case management services to individuals enrolled in the Community Living Assistance Support ... Letter Clarifications. Your Responsibilities Will Include: + Performs all required case management functions within specified timeframes. + Maintains full,… more
    Fedcap (08/08/25)
    - Related Jobs
  • Case Manager

    Medical Center Hospital (Odessa, TX)
    …initial, concurrent, and retrospective review functions in support of the hospital case management program and makes appropriate referrals to designated ... of acute care experience; . Minimum of 1 to 3 years of case management experience preferred; and . Basic knowledge of health plan products, community resources… more
    Medical Center Hospital (06/20/25)
    - Related Jobs
  • Registered Nurse Case Manager PRN

    HCA Healthcare (Houston, TX)
    …years recent acute care experience required. Minimum of two (2) years of utilization review/ case management experience and minimum of one (1) year experience in ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston Healthcare Medical… more
    HCA Healthcare (08/15/25)
    - Related Jobs