- Houston Methodist (The Woodlands, TX)
- …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial of… more
- Ascension Health (Austin, TX)
- …specializing in Clinical Practice obtained prior to hire date or job transfer date. + Case Manager credentialed from the Commission for Case Manager ... **Details** + **Department:** Case management + **Schedule:** M-F 8 am -...Case Manager credentialed from the American Case Management Association (ACMA) preferred. Education: + Bachelor's degree… more
- Houston Methodist (Nassau Bay, TX)
- …of desired treatment outcomes. The SW I position holds joint accountability with Case Manager for discharge planning and continuity of care, assuring that ... discharge planning activities for assigned patients and collaborates with the case manager and other members of the interprofessional health care team, as… more
- Baylor Scott & White Health (Temple, TX)
- …priority. Note: Benefits may vary based on position type and/or level **Job Summary** As a Case Manager 2, you will primarily manage complex case loads and ... This may include handling high-risk cases and mentoring new case managers. The role requires attention to detail and...Success Factors** + Knowing different tools and resources in case management is essential for success in this role.… more
- CVS Health (Austin, TX)
- …challenges. We're uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN, you will be responsible for assessing, planning, ... implementing, and coordinating all case management activities with members to evaluate the medical...overcoming barriers in meeting goals and objectives. + Utilize case management processes in compliance with regulatory and company… more
- Travelers Insurance Company (Houston, TX)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- Molina Healthcare (Austin, TX)
- …Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- ChenMed (Houston, TX)
- …in community case management experience highly desired. + Certified Case Manager certification is preferred. Certification through the Commission for ... and maximizing their healthy time at home. Intensive Community Manager will serve as a clinical lead for a... Case Manager Certification (CCMC) or the American... Case Manager Certification (CCMC) or the American Association of Managed… more
- Community Health Systems (Laredo, TX)
- …required + BCLS - Basic Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) ... **Job Summary** The Care Manager - RN is responsible for coordinating and...coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This… more
- Molina Healthcare (Alamo, TX)
- …in the service delivery area of Alamo, TX to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the role ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more