• Case Management Representative

    Houston Methodist (Cypress, TX)
    …and coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/managed ... At Houston Methodist, the Case Management Representative position is responsible for providing...providing clerical assistance and data management support to the case management and social work department to facilitate efficient… more
    Houston Methodist (08/16/25)
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  • Supervisor Case Management

    HCA Healthcare (Lewisville, TX)
    … Management staff to adhere to TJC and CMS regulations. It will entail being a Case Manager on the floor with an assignment, completing some admin work, and ... in their positions. Join our Team as a Supervisor Case Management and access programs to assist with every...certifications and job skills. Apply today for our Supervisor Case Management opening and continue to learn! **Job Summary… more
    HCA Healthcare (07/14/25)
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  • Social Worker II - Case Management…

    Houston Methodist (The Woodlands, TX)
    …to their health condition. The SW II position holds joint accountability with case manager , assuring that psychosocial and continuing care issues are addressed ... opportunities for care facilitation and needs for discharge planning. Works with case manager for routine discharge and anticipates/prevents and manages/elevates… more
    Houston Methodist (07/03/25)
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  • Utilization Review Nurse - Case Management…

    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
    Houston Methodist (07/12/25)
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  • Social Worker- Case Mgmt

    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
    Ascension Health (08/08/25)
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  • Social Worker I FT Case Management / Social…

    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
    Houston Methodist (07/03/25)
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  • Utilization Review Specialist Nurse | Case

    Houston Methodist (Houston, TX)
    …the 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. The ... health care team to facilitate care and communication with payers, and external case managers. Intervenes, as necessary, to ensure the plan of care and services… more
    Houston Methodist (08/16/25)
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  • WFH Case Mgr RN 2

    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
    Baylor Scott & White Health (08/14/25)
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  • Case Management - Registered Nurse

    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
    CVS Health (08/13/25)
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  • RN Care Manager Remote with field travel…

    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
    Molina Healthcare (08/08/25)
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