• Director - Case Management & Social…

    Houston Methodist (Houston, TX)
    …- Licensed Medical Social Worker - State Licensure within 1 year **AND** + CCM - Certified Case Manager within 1 year **OR** + ACM - Accredited Case ... Services which supports strategic and operational plans, and overall healthcare trends, by establishing goals and outcomes that are...(NBCM) within 1 year **OR** + ACM - Accredited Case Manager (ACMA) within 1 year **OR**… more
    Houston Methodist (05/02/25)
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  • Case Manager - Patient Access

    Cardinal Health (Austin, TX)
    …experience + Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ... be added to the database + Receive inbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution **Qualifications:**… more
    Cardinal Health (05/17/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Fort Worth, TX)
    …CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare ... and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an Accredited School… more
    Molina Healthcare (05/21/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (TX)
    …and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + ... Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this… more
    Molina Healthcare (05/16/25)
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  • Case Management Representative…

    Houston Methodist (Houston, TX)
    …and coordination as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/managed ... At Houston Methodist, the Case Management Representative position is responsible for providing...contact, and/or general health care coordination responsibilities within a healthcare environment + Previous experience in hospital setting and/or… more
    Houston Methodist (05/15/25)
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  • Social Worker I | Case Management

    Houston Methodist (Houston, TX)
    …of desired treatment outcomes. The SW I position holds joint accountability with Case Manager for discharge planning and continuity of care, assuring that ... Facilitates discharge planning activities for assigned patients and collaborates with the case manager and other members of the interprofessional health care… more
    Houston Methodist (04/22/25)
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  • Care Manager - Licensed Master Social…

    Molina Healthcare (TX)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
    Molina Healthcare (04/12/25)
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  • Social Worker- Case Mgmt

    Ascension Health (Austin, TX)
    …Practice obtained prior to hire date or job transfer date. + Preferred Credential(s): + Case Manager credentialed from the Commission for Case Manager ... Case Manager credentialed from the American Case Management Association (ACMA). Education: + Bachelor's degree in...thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100… more
    Ascension Health (04/08/25)
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  • RN Care Manager , LTSS - Texas

    Molina Healthcare (Cleveland, TX)
    …Registered Nurse who lives in Texas and must be licensed for the state of Texas. Case Manager will work in remote and field setting supporting our Texas Medicaid ... Population with. Case Manager will be required to physically...5:00PM. - No weekends are Holidays. **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary… more
    Molina Healthcare (05/21/25)
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  • Care Manager (RN) (Must Reside in CA)

    Molina Healthcare (TX)
    …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's… more
    Molina Healthcare (04/12/25)
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