- Elevance Health (Grand Prairie, TX)
- …+ Case Management experience preferred. + Certification as a Case Manager preferred. + Managed Care experience preferred. + Ability to talk ... of receipt and meet the criteria._** The **Nurse Case Manager II** is responsible for care management within the scope of licensures for members with complex… 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...language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… 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 PRN (CM) position is...and role components + Knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson ... Works closely with members who have multiple or poorly managed chronic disease/s as defined target diagnoses in the...to reflect problems, interventions, goals, and outcomes. + The Care Coordinator will measure case performance based… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's National Medical Excellence (NME) team and ... Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or...- Transplant experience - 2+ years' experience in critical care - Managed Care experience **Education:**… more
- Houston Methodist (The Woodlands, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and post-acute ... will work 1pm - 9pm. At Houston Methodist, the Case Manager (CM) position is a registered...positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of… more
- Elevance Health (Grand Prairie, TX)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Sign on Bonus:...**Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual:...in acute care setting is preferred. + Managed Care experience is preferred. + Ability… more
- UTMB Health (Teague, TX)
- Mental Health Case Manager (MHCM) Boyd Unit **Teague, Texas, United States** **New** Social Service UTMB Health Requisition # 2600158 The mission of Correctional ... Managed Care is to address the healthcare...Texas Juvenile Justice Department (TJJD). **_JOB SUMMARY_** **:** Provides case management, social and habilitative services, and counseling to… 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 ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… more
- Molina Healthcare (Bedford, TX)
- JOB DESCRIPTION Opportunity for a Texas licensed RN to join Molina as a Field Care Manager to work with our Medicaid members in the communities of Hurst, Euless, ... to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our… more