- Houston Methodist (Nassau Bay, TX)
- …knowledge and clinical expertise and screening tools to identify need for case management and/or social work intervention. + Addresses and manages ... II PRN (SW II PRN) position comprehensively provides compassionate, clinical social work , psychosocial assessments, diagnosis and...affect positive patient and family outcomes. This position uses case management skills to help patients and… more
- CVS Health (Arlington, TX)
- …of Stay) to clinical staff Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty ... resolution of claims payment issues -Supports the administration of the hospital care, case management and quality management processes in compliance with… more
- Covenant Health (Lubbock, TX)
- … Management Coordinator provides essential clerical support for the Care Management Department. Under the supervision of licensed clinical staff, ... advancement. **Requsition ID:** 385100 **Company:** Covenant Jobs **Job Category:** Care Management **Job Function:** Clinical Care **Job Schedule:** Full time… more
- Elevance Health (Grand Prairie, TX)
- … clinical expertise in all aspects of utilization review and case management . Provides input on the clinical relevance to account reporting regarding use ... of all medical policies used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical management . + Peer-to-peer… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …needs related to the care of detained non-citizens. Behavioral Health Case Management Facilitates referral to psychiatric hospitalization, specialized community ... services as indicated. Works with BHPs to establish a safe release plan for case management of those SMI patients and/or detained non-citizen cases determined to… more
- HCA Healthcare (Live Oak, TX)
- …Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review/ management + You will consult ... provide clinical support and consultation regarding cost-effective clinical resource management in the facilities by...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services… more
- Sedgwick (Austin, TX)
- …equivalent combination of education and experience required to include five (5) years medical case management , two (2) years clinical experience, two (2) ... client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple… more
- CommonSpirit Health (Navasota, TX)
- …hospital. Responsibilities include but are not limited to directing the work of employees, conducting regular staff meetings, maintaining performance standards and ... records, planning the work , and evaluating employee performance. This position may include...Support the Mission, Philosophy, and Values** The Supervisor, Facility Management carries out his/her duties by adhering to the… more
- Datavant (Austin, TX)
- …of service. This is a leadership role that combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be ... evolve and grow. **Key Qualifications** **Required** + 8+ years of product management experience in healthcare, including ownership of clinical , risk adjustment,… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …capacity, providing vocational rehabilitation services. 2. Experience providing community-based case management / clinical services. 3. Experience working ... personal, vocational, and educational histories. Synthesizes the information to develop case conceptualizations and make clinical recommendations to facilitate… more