- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ...of care management within Medicare and Medicaid managed care . + Familiarity with community resources… more
- Centene Corporation (Corpus Christi, TX)
- …strong adaptability, flexibility, and resiliency skills. . Experience working in FIELD based Case Manager /Social Worker roles is a PLUS . Experience working in ... a managed care environment is a plus (Federal and State Sponsored Govt Programs), but not required Pay Range: $26.50 - $47.59 per hour Centene offers a… more
- ChenMed (Houston, TX)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and maintenance ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great... case management experience highly desired. + Certified Case Manager certification is preferred. Certification through… more
- Elevance Health (Grand Prairie, TX)
- …is licensed staff supervision. **EDUCATION/EXPERIENCE REQUIREMENTS:** + Prior experience in Managed Care setting required. **Additional requirements for BH UM:** ... continuum of Behavioral Health treatment strongly preferred. + Certification as a Case Manager is preferred. **Additional requirements for BH EAP/Resource… more
- Veterans Affairs, Veterans Health Administration (Fort Worth, TX)
- …level of health care provided by this agency. As the Program Manager /Clinical Director for an outpatient mental health team, the incumbent has broad program and ... Primary Purpose of the Position is: To serve as a Program Manager /Clinical Director and supervisory psychologist on an interdisciplinary, outpatient mental health… more
- CenterWell (Lubbock, TX)
- … Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares, and re-certifications, for appropriateness of care , delivery, ... and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs… more
- Molina Healthcare (Austin, TX)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... or related field. **Required Experience** + 5+ years of managed healthcare experience, including 3 or more years in...one or more of the following areas: utilization management, case management, care transition and/or disease management.… more
- CDM Smith (El Paso, TX)
- …CDM Smith currently has an exciting opportunity for a Senior Project Manager with previous experience managing Water and Wastewater projects to join our ... to CDM Smith's mission by: * Managing and serving as the Senior Project Manager on major area El Paso water & wastewater projects. * Providing technical guidance,… more
- Molina Healthcare (TX)
- …for both internal staff and vendor oversight. + Experience working within a Managed Care Organization (MCO) or health plan environment. + Proven ability ... **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of...role requires experience across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general… more
- Datavant (Austin, TX)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... DevEx. **You know data at scale. You've been a part of teams that have managed data infrastructure at scale and have seen where stress fractures form. Data modeling,… more
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