- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... administrative duties of a higher complexity in support of Case Management operations. In addition, the CM...coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits… more
- HCA Healthcare (Lewisville, TX)
- …Lewisville we support our colleagues in their positions. Join our Team as a Supervisor Case Management and access programs to assist with every stage of your ... certifications and job skills. Apply today for our Supervisor Case Management opening and continue to learn!...TJC and CMS regulations. It will entail being a Case Manager on the floor with an… more
- Houston Methodist (The Woodlands, TX)
- …national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of the plan of ... ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,...hospital clinical nursing experience, which includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED**… 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 ... planning activities for assigned patients and collaborates with the case manager and other members of the...FUNCTIONS** + Serves as a unit-based participant for comprehensive case management activities including assessing patients and… more
- Houston Methodist (Houston, TX)
- …national and local coverage determinations (LCDs & NCDs). This position collaborates with case management in the development and implementation of 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 URSN… 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 ... department meetings. **Key Success Factors** + Knowing different tools and resources in case management is essential for success in this role. + Expected to be… 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. ... has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management... case and statutory law and expert litigation management skills. + Extensive claim and/or legal experience and… more
- Molina Healthcare (Austin, TX)
- …supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and a WA RN licensure. The candidate should ... 365 and familiarity with claims is highly preferred. The Case Manager must be able to work...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- ChenMed (Houston, TX)
- …in community case management experience highly desired. + Certified Case Manager certification is preferred. Certification through the Commission for ... may need and to oversee appropriate patient discharge from case management . + Performs clinical and Social...Case Manager Certification (CCMC) or the American… more
- Community Health Systems (Laredo, TX)
- …responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role ... collaborative care planning. + Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions,… more