- Health Care Service Corporation (Richardson, TX)
- …insurance. + Ability and willingness to travel within assigned territory. ** Preferred Job Qualifications:** + 3 years direct clinical experience. + Patient ... Experience in managing complex or catastrophic cases. + Certification in Case Management, Training, Project Management or nationally recognized health care… more
- HCA Healthcare (Dallas, TX)
- …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . + Once Case Management has completed the Patient ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- Elevance Health (Houston, TX)
- …and providers. **How you will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive ... care. + Perform physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity of requests using guidelines and… more
- US Bank (Irving, TX)
- …Day One. **Job Description** Priority Assets Foreclosure Specialist The Priority Assets Case Manager will be responsible for partnering with internal business ... make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe...matters where collateral may be affected. The Priority Assets Case Manager performs research, analysis, and maintains… more
- Elevance Health (Houston, TX)
- …**How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to physician calls ... making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.… more
- Houston Methodist (Houston, TX)
- …complex financial counseling functions (eg, extended payment arrangements, discounts, single case agreements, case rates, etc.). **PEOPLE ESSENTIAL FUNCTIONS** + ... for accuracy, making the initial determination for approval and alerting the department manager of potential concerns. + Enters and updates patient data into the… more
- CenterWell (Lubbock, TX)
- …As a **Home Health Registered Nurse** , 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...patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial… more
- Travelers Insurance Company (Austin, TX)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... of policy information to facts or allegations of each case . + Directly investigate each claim through prompt and...by field severity management. + COMMUNICATION/INFLUENCE: + Consult with Manager on use of Claim Coverage Counsel as needed.… more
- Elevance Health (Rockwall, TX)
- …The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's… more
- AdventHealth (Mansfield, TX)
- …experience performing hospital discharge planning **EDUCATION AND EXPERIENCE** **_STRONGLY_** ** PREFERRED :** 5 years in care management leadership ( manager ... family of caregivers focused on whole-person health and committed to making communities healthier. Provide wholistic care for patients that extends to the spiritual… more