- Houston Methodist (Sugar Land, 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
- 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
- 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
- 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
- UTMB Health (Rusk, TX)
- Mental Health Case Manager (MHCM) - Hodge Unit...UTMB Health Requisition # 2503771 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
- Houston Methodist (The Woodlands, TX)
- …to social workers and case managers, business office/patient access, etc. on insurance/ managed care benefits and post-acute care needs. + Streamlines ... reports findings to management for further. Provides information to patients/families on insurance/ managed care benefits and assesses need for further education… more
- Houston Methodist (Houston, TX)
- …as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/ managed care ... social workers and case managers, business office/patient access, etc. on insurance/ managed care benefits + Supports and assists with concurrent insurance… more
- Cardinal Health (Austin, TX)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
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