- CenterWell (Houston, TX)
- …a part of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve ... care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are...Experience with health promotion, coaching and wellness + Previous managed care experience + Bilingual - English,… more
- Houston Methodist (Houston, 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 PRN (CM) position is...communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and… more
- Houston Methodist (Houston, 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 (Sugar Land, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case...management, social work or utilization management or in the managed care /payer environment, of which one year… more
- Molina Healthcare (Bellaire, TX)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... and must be licensed for the state of TEXAS Case Manager RN will work in remote...Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care… more
- Ascension Health (Austin, TX)
- …date required. Licensure required relevant to state in which work is performed. + Case Manager credentialed from the American Case Management Association ... American Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for...experience, preferred. + 1 year of utilization management in managed care or health plan environment experience,… more
- Molina Healthcare (Houston, TX)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... and must be licensed for the state of TEXAS Case Manager will work in remote and...behavioral health settings. **PREFERRED EXPERIENCE:** + 3-5 years in case management, disease management, managed care… more
- CVS Health (Austin, TX)
- …Long Term Care , and Infusion nursing. **Preferred Qualifications** -Certified Case Manager (CCM) certification -3+ years' experience with Microsoft Office ... with heart, each and every day. **Position Summary:** The Case Manager RN role is 100% remote... Management in an integrated model -Discharge Planning experience - Managed care experience -BSN preferred **Education** -Associates… more
- Houston Methodist (Houston, 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 (Austin, TX)
- …+ Case management and discharge planning experience preferred. + . Managed Care experience preferred. + Bilingual preferred - Spanish, Vietnamese ... + 2 years of related professional experience includes acting as a care manager , rehabilitation specialist, health specialist, social services coordinator, or… more