- Molina Healthcare (El Paso, TX)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with… more
- Molina Healthcare (San Antonio, TX)
- … decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical /medical ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional… more
- Molina Healthcare (Austin, TX)
- …Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work in a high-volume environment. ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- HCA Healthcare (San Antonio, TX)
- …call according to agency policy. **What qualifications you will need:** + Drivers License + ( RN ) Registered Nurse + Registered Nurse Diploma ... with physician's orders and under the supervision of the Clinical Manager . **What you will do in...physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in… more
- Ascension Health (Austin, TX)
- …Licensure / Certification / Registration: + One or more of the following: + Case Manager credentialed from the Commission for Case Manager ... **Details** + **Department:** Case Management + **Schedule:** FT - Monday- Friday...prior to hire date or job transfer date. + Registered Nurse obtained prior to hire date… more
- HCA Healthcare (Fort Worth, TX)
- …assists with TJC survey readiness/preparation. + Provides leadership for all areas of the RN Case Manager and Social Worker roles. + Demonstrates knowledge ... by location._** HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of...have a minimum of three years' experience as an RN Case Manager or SW… more
- Molina Healthcare (Fort Worth, TX)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (TX)
- …we are seeking a ( RN ) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting our ... Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from… more
- Molina Healthcare (San Antonio, TX)
- …health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Houston Methodist (The Woodlands, TX)
- …includes two years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... Nurse (URN) PRN position is a licensed registered nurse ( RN ) who comprehensively...ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,… more