- Humana (Austin, TX)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and ... caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a...remain independent in their homes. Our nurses are titled Care Managers, because our case management services… more
- Houston Methodist (The Woodlands, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement. + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) Certified position is...communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state,… more
- Houston Methodist (Nassau Bay, TX)
- …for rotating weekend days. Acute Care experience preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who ... planning, utilization management, case management, performance improvement and managed care reimbursement. + Understanding of pre-acute and post-acute… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Case Manager 2 manages complex cases...in health care setting, behavioral health, or managed care setting required. Case ... need of case management. Adheres to NCQA standards for documentation of assessments, care plans and ongoing case management needs. May serve as a preceptor… more
- Apex Health Solutions (Houston, TX)
- …outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals, and coordinates ... well-being, improving adherence to health programs, and reducing health care costs. The Case Manager ...coordination required; chronic disease management or population health preferred Managed care experience preferred Strong ability to… more
- Elevance Health (Grand Prairie, TX)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location:** This role...years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- Houston Methodist (Nassau Bay, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) position is a...positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of… more
- CVS Health (Dallas, TX)
- …+ Bilingual. + Crisis intervention skills preferred. + Managed care /utilization review experience preferred. + Case management and discharge planning ... it all with heart, each and every day. **Clinical Case Manager Behavioral Health** **Position Summary** **_This...care to meet the member's goals. + Utilizes case management and quality management processes in compliance with… more
- Elevance Health (Grand Prairie, TX)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location: This role...**Telephonic Nurse Case Manager II** **Location: This role enables associates to...Manager . + Minimum 2 years' experience in acute care setting. + Managed Care … more
- UTMB Health (Huntsville, TX)
- Mental Health Case Manager - CMC - Ferguson...UTMB Health Requisition # 2505581 The mission of Correctional Managed Care is to address the healthcare ... JOB FUNCTIONS_** **:** + Contributes to the success of the UTMB Correctional Managed Care organization. + Assesses and documents a patient's mental health… more