- University Health (San Antonio, TX)
- …Position : Works under the direct supervision of the Coding Education & Audit Manager . Will perform any or a combination of the following types of coding education ... but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality...from other licensing bodies shall be accepted on a case by case basis and upon managerial… more
- University Health (San Antonio, TX)
- …SUMMARY/RESPONSIBILITIES Works under the direct supervision of the Coding Education & Audit Manager . Will perform any or a combination of the following types of ... but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality...from other licensing bodies shall be accepted on a case by case basis and upon managerial… more
- Centene Corporation (Mcallen, TX)
- …and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experienced Case Manager , Psychiatric RN, ... Health experience is required **Preferred Experience:** * 3+ years of case management, care coordination, treatment and/or discharge planning with adult population… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes ... home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to… more
- CenterWell (Floresville, TX)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... navigating community-based resources **Preferred Qualifications** + Experience working in care/ case management + Prior value-based care experience and working with… more
- Houston Methodist (Houston, TX)
- …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... health care team to facilitate care and communication with payers, and external case managers. Intervenes, as necessary, to ensure the plan of care and services… more
- Molina Healthcare (El Paso, TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... licensed RN to join Molina to work with our Medicaid members in the El Paso, TX service delivery...enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in… more
- Humana (Austin, TX)
- …our caring community and help us put health first** The Care Manager , Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, ... 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical… more
- Molina Healthcare (Richardson, TX)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... licensed RN to join Molina to work with our Medicaid members in the communities of Plano, Addison, Carrollton,...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
