- 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 ... (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and...to facilitate care and communication with payers, and external case managers. Intervenes, as necessary, to ensure the plan… more
- Sedgwick (Bedford, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Customer Case Coordinators **Our teams connect! We collaborate in the office . Our Bedford ... with growth opportunity? We are hiring for Automotive Customer Case Coordinators. We help auto customers through the manufacturing...+ Escalate customer, dealer or 3rd party issues to manager as appropriate + Ensure quality of service on… more
- Elevance Health (Houston, TX)
- **Nurse Case Manager I** **Work Schedule: M-F 8am-430pm with 2-3 late evenings a month 1130am-8pm** **Location:** This role enables associates to work virtually ... accommodation is granted as required by law. The **Nurse Case Manager I** is responsible for performing...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager II** **Hours: Monday - Friday 9 - 5:30 pm EST, plus 3 times a month 11:30 - 8 pm EST.** **Location:** This role enables ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Molina Healthcare (Dallas, TX)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with… more
- Chevron Corporation (Houston, TX)
- …of all employees' medical information. **Preferred Qualifications** **:** + Certified Case Manager (CCM) credentials or similar case management ... degree in nursing. + Minimum of 5 years of experience in medical case management or disability claim management. + Demonstrated knowledge of the Microsoft… more
- ZOLL Medical Corporation (Houston, TX)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... as well as support activities to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include:… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- Summary The RN - Assistant Nurse Manager - Medical /Surgical is responsible and accountable for all elements of the nursing process when providing and/or ... actively pursuing licensure (may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in… more
- CVS Health (San Antonio, TX)
- …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care...palliative care, cardiac) with Medicare members. - 2 years Case Manager (CM), discharge planning and/or home… more
- Community Health Systems (Laredo, TX)
- …required + BCLS - Basic Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) ... Medical Center** is currently hiring **RN Care Manager for the Care Manager department.** Are...coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This… more