- CVS Health (Austin, TX)
- …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning...overcome barriers to meeting goals and objectives. + Utilizes case management processes in compliance with regulatory… more
- CVS Health (Austin, TX)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards ... of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution...of care to meet the member's goals + Utilizes case management and quality management … more
- Houston Methodist (The Woodlands, TX)
- …(CM) position is a registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of ... **WORK EXPERIENCE** + Three years hospital nursing clinical experience + Case management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED**… more
- Travelers Insurance Company (Richardson, TX)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive ... investigating, evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims. Provides quality claim handling throughout the… more
- Sedgwick (Bedford, TX)
- …with other duties as assigned + Understand and become proficient within our various case management systems **Scope of Work:** + Daily contact with dealership ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Customer Case Coordinators **Our teams connect! We collaborate in the office . Our Bedford… more
- HCA Healthcare (Austin, TX)
- …Diploma Required + Bachelor's Degree in Nursing Preferred + 2+ years experience in case management OR 3+ years experience in clinical nursing Required + ... Months to obtain TX RN license + Certification in Case Management Preferred St. David's Medical Center… more
- Elevance Health (Grand Prairie, TX)
- …is providing services in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience. + Certification as a Case ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management... within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Justice, Bureau of Prisons/Federal Prison System (TX)
- …develops program planning by presenting cases to the Unit Team and coordinating case management services with other correctional disciplines. Along with all ... helping the individual offender understand and live within the complex family circumstances and assist him in developing new...of this qualifying experience are: GL-09: Experience in providing case management services to the local inmate… more
- Sedgwick (Houston, TX)
- …your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from ... Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more
- Sedgwick (Austin, TX)
- …your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from ... Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see**… more