• Mental Health Case Manager - Crain…

    UTMB Health (Gatesville, TX)
    Mental Health Case Manager - Crain Unit **Gatesville, Texas, United States** **New** 1 additional location Waco, Texas, United States Social Service UTMB Health ... Requisition # 2504891 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
    UTMB Health (09/06/25)
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  • Registered Nurse Case Manager

    HCA Healthcare (Houston, TX)
    **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... reviews admissions and extended stays of all PPS, non-PPS, managed care , self-pay and other third party...we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications.… more
    HCA Healthcare (09/04/25)
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  • RN Case Manager

    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
    CenterWell (08/29/25)
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  • Case Management Representative - Full Time…

    Houston Methodist (The Woodlands, 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
    Houston Methodist (09/06/25)
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  • Bilingual Case Manager

    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
    Cardinal Health (09/03/25)
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  • Utilization Review Nurse - Case Management…

    Houston Methodist (The Woodlands, TX)
    …knowledge of utilization management, case management, performance improvement, and managed care reimbursement + Ability to work independently and exercise ... ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members,...utilization review services + Knowledge of Medicare, Medicaid, and Managed Care requirements + Progressive knowledge of… more
    Houston Methodist (07/12/25)
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  • RN Care Manager Remote with field…

    Molina Healthcare (San Antonio, TX)
    …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... 365 and familiarity with claims is highly preferred. The Case Manager must be able to work...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care more
    Molina Healthcare (09/05/25)
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  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (El Paso, TX)
    …with a minimum of 2 years' experience in health plan member interventions, managed care , or equivalent experience. + Demonstrated solid business writing ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting,… more
    Molina Healthcare (08/24/25)
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  • Field Care Manager , Ltss (RN)…

    Molina Healthcare (Fort Worth, 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 (08/30/25)
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  • Care Manager (RN)

    Molina Healthcare (Dallas, TX)
    …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 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… more
    Molina Healthcare (08/27/25)
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