- Houston Methodist (The Woodlands, TX)
- …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... recognized guidelines. Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions to avoid denial… more
- Sedgwick (Bedford, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Customer Case Coordinators **Our teams connect! We collaborate in the office . Our Bedford ... with growth opportunity? We are hiring for Automotive Customer Case Coordinators. We help auto customers through the manufacturing...+ Escalate customer, dealer or 3rd party issues to manager as appropriate + Ensure quality of service on… more
- Travelers Insurance Company (Houston, TX)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- Eatzi's Market & Bakery (Dallas, TX)
- Chef Case - Preston Job Details Level Entry Job Location Preston Market - Dallas, TX Position Type Full Time Education Level High School Salary Range $10.00 - $18.00 ... We offer a great pay and work/life balance! Responsibilities + Sell and serve chef case food items to customers. + Maintains working knowledge of chef case food… more
- Houston Methodist (Houston, TX)
- …- ANCC Recognized Certification (ANCC) -- Case Management related **OR** + Health Services\ACM - Accredited Case Manager (NBCM) **KNOWLEDGE, SKILLS, AND ... highly specialized patient care situations to patient care providers and other health care professionals within the hospital and in the community, as appropriate.… more
- Molina Healthcare (El Paso, TX)
- …initiatives including all lines of business (Medicare, Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...healthcare with a minimum of 2 years' experience in health plan member interventions, managed care, or equivalent experience.… more
- CVS Health (Austin, TX)
- …the regulations, standards, and policies which relate to Medicaid Care Management + Certified Case Manager (CCM) **Education** + **If RN:** BSN preferred + **If ... we do it all with heart, each and every day. **Position Summary** The Senior Manager Clinical Health Services is a key member of the Aetna Better Health of… more
- Datavant (Austin, TX)
- …and life experiences to realize our bold vision for healthcare. The Health Information Operations Manager focuses on both front-line People management ... and leading as account manager at designated sites. The Health Information...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- CenterWell (Lubbock, TX)
- …Receives case referrals. Reviews available patient information related to the case , including disciplines required, to determine home health or hospice ... admit patients to service. Assigns appropriate clinicians to a case , as needed. + Instructs and guides clinicians to...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Community Health Systems (Granbury, TX)
- …required + BCLS - Basic Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) ... **Job Summary** The Care Manager - RN is responsible for coordinating and...coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This… more