- Highmark Health (Austin, TX)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Austin, TX)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- Ascension Health (Austin, TX)
- **Details** + ** Department :** Case Management + **Schedule:** 8 AM to 5 PM. Mon to Fri. + **Hospital:** Ascension Seton Medical Center + **Location:** Austin, TX ... on factors including, but not limited to, experience, skills, education , performance, location and salary range at the time...an acute care hospital beside RN experience. + Previous case management experience at a hospital preferred. **Why Join… more
- AECOM (Beaumont, TX)
- …Montgomery, Newton, Polk, San Jacinto, Smith, Tyler, Trinity, Walker, Wharton. The CDBG-DR Case Manager will coordinate and oversee services and provide support ... program applicants. This is a position where a skilled Case Manager partners with a disaster affected...or relevant experience or demonstrated equivalency of experience and/or education . + Must pass a state and federal criminal… more
- Houston Methodist (Houston, TX)
- …and coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/managed ... providing clerical assistance and data management support to the case management and social work department to...revise job duties and responsibilities as the need arises. ** EDUCATION ** + High School diploma or equivalent education… more
- Ascension Health (Austin, TX)
- …Certification (CCMC). + Case Manager credentialed from the American Case Management Association (ACMA). Education : + Bachelor's degree in Social Work ... **Details** + ** Department :** Case Management + **Schedule:** PRN...date or job transfer date. + Preferred Credential(s): + Case Manager credentialed from the Commission for… more
- CenterWell (Floresville, TX)
- …existing barriers to engagement with necessary resources and supports + Provide education around maintenance of chronic health conditions, as well as available ... navigating community-based resources **Preferred Qualifications** + Experience working in care/ case management + Prior value-based care experience and working with… more
- HCA Healthcare (Dallas, 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 ... **Description** **Introduction** Do you have the career opportunities as a Supervisor Case Management RN you want in your current role? We invest in what matters… more
- 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 ... to facilitate care and communication with payers, and external case managers. Intervenes, as necessary, to ensure the plan...and students. + Serves as a resource for the department and hospital. Provides education to physicians,… more
- Elevance Health (Grand Prairie, TX)
- **Behavioral Health Case Manager I** Location: **Virtual** - This role enables associates to work virtually full-time, with the exception of required in-person ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Case Mgr I** is responsible for performing case...substance abuse disorder treatment** ; or any combination of education and experience which would provide an equivalent background.… more
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