- Elevance Health (Houston, TX)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Immigration and Customs Enforcement (Houston, TX)
- …services at ICE detention facilities. Responsibilities include biopsychosocial assessments, case management , staff training, and suicide prevention coordination. ... to, suicide prevention, hunger strike, abuse, neglect and trauma, and integrative case management . Establishes and maintains liaison with other health services… more
- Molina Healthcare (TX)
- …active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... applicants with a minimum of 2 years' experience in Case Management /Service Coordination within an MCO. Candidates...in some or all of the following functions: care management , utilization management , behavioral health,… more
- Elevance Health (Odessa, TX)
- …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... as required by law._ The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides… more
- Molina Healthcare (TX)
- …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS)… more
- Elevance Health (TX)
- …+ Experience in managed care experience strongly preferred. + 1-2 years utilization management review experience preferred. + Knowledgeable of Medicaid/Medicare ... and overseeing clinical/non-clinical activities. Will also be responsible for utilization review/ management . May be responsible for developing and… more
- ChenMed (Houston, TX)
- …developing a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth ... in conjunction with the transitional care team; hospital, SNF, post-acute, delegated utilization management and home-based services for the market. + Performs… more
- Catholic Health Initiatives (The Woodlands, TX)
- …the interdisciplinary team to achieve optimal outcomes through the tools of case management . The case manager will perform a wide variety of high-level ... provision of services necessary to meet those needs. The case manager must be knowledgeable in community...clinical experience with ADN or a Master's degree in Case Management , or Master's Degree Nursing TX… more
- Catholic Health Initiatives (Lake Jackson, TX)
- …the interdisciplinary team to achieve optimal outcomes through the tools of case management . The case manager will perform a wide variety of high-level ... provision of services necessary to meet those needs. The case manager must be knowledgeable in community...clinical experience with ADN or a Master's degree in Case Management , or Master's Degree Nursing TX… more
- Deloitte (Dallas, TX)
- …CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review, ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other… more
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