- 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 PRN (CM) position is...communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and… more
- 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
- Molina Healthcare (Austin, TX)
- …will work in remote setting supporting our Marketplace Population with. Case Manager will be complete assessments, care plans, educate members and connect to ... of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or… more
- Houston Methodist (Cypress, 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
- Healthfirst (TX)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... Masters degree in a related discipline + Experience in managed care , case management, identifying... care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge… more
- Molina Healthcare (TX)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… 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) position is a...positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of… more
- CVS Health (Arlington, 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
- HCA Healthcare (Houston, TX)
- …their passion for patient care . Apply today for our Registered Nurse Case Manager opportunity. **Job Summary and Qualifications** Under the direction of the ... other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family....reviews admissions and extended stays of all PPS, non-PPS, managed care , self-pay and other third-party payers… 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: Virtual: This...Manager . + Minimum 2 years' experience in acute care setting. + Managed Care … more