- Prime Therapeutics (Austin, TX)
- …Registered Nurse (RN). + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. + ... financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available...for drug services. + Will actively maintain a required case load and the activities to reach overall goals… more
- Elara Caring (Abilene, TX)
- …Consults with supervisor through written and verbal reports concerning any employee or case manager issues + Maintains patient and staff privacy and ... huge role in the growth of an entire home care industry. Here, each employee has the chance to...clients w/o an attendant (CWA), holds and updates are managed per Elara Caring protocol; ensuring all regulatory documentation… more
- HCA Healthcare (San Antonio, TX)
- …support the transplant authorization. 4. In collaboration with the social worker and/or case manager and/or financial counselor to ensure that patients and/or ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- ChenMed (Houston, TX)
- …and linguistically diverse setting is essential + Experience working within a managed care environment strongly preferred We're ChenMed and we're transforming ... disease, taking medical history, conducting physical exams, developing a plan of care , providing health education, specialty referrals and case management… more
- CenterWell (Port Arthur, TX)
- …a part of our caring community and help us put health first** The Care Coach evaluates member's needs and requirements to achieve and/or maintain optimal wellness ... by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments… more
- HCA Healthcare (Fredericksburg, TX)
- …into care by making appropriate referrals to chaplain, social services, case manager , etc. Documents pertinent data including assessment, interventions and ... indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and… more
- CenterWell (Port Arthur, TX)
- …Qualification** + Bachelor's Degree in Nursing + 3+ years of managed care experience + 3+ years of case management experience + Bilingual; English ... responsible for the development, implementation and management oversight of the Primary Care Organization's Stars Program in the Houston market. The Quality RN… more
- Molina Healthcare (Dallas, TX)
- …preferred. **Required Experience** + 3-5 years clinical nursing experience, with 1-3 years Managed Care Experience in the specific programs supported by the plan ... of service provided, length of stay and level of care . + Applies appropriate criteria on PAR and Non-PAR...Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management… more
- Molina Healthcare (Fort Worth, TX)
- …and plan location. **Preferred Experience** + Medicare Part D or Medicaid experience. + Managed care experience. To all current Molina employees: If you are ... changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary... Management department as part of a member-centered interdisciplinary care team. + Works with the PBM to manage… more
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