• Field Reimbursement Manager

    Adecco US, Inc. (Irving, TX)
    Adecco is assisting a local client recruiting for Field Reimbursement Manager (FRM) opportunities in the Northeast Territory (Chicago, Naperville, Cary, Joliet). ... listed below, apply now! Responsibilities for a Field Reimbursement Manager include but are not limited to: + Act...and appeals. + Deliver payer insights and education on Medicare and commercial insurance coverage. + Collaborate with physician… more
    Adecco US, Inc. (08/28/25)
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  • Registered Nurse (RN) - Case Manager - PRN

    Texas Health Resources (Arlington, TX)
    Registered Nurse (RN) - Case Manager - PRN Work location: Texas Health Arlington 800 W. Randol Mill Road TX 76012 Work hours: PRN - Weekend/Evening Shift Department ... physician and payor. 6. Coordinates care with unit case manager and interdisciplinary team. 7. Documents the provision of...including but not limited to Joint Commission, TMF, TDI, Medicare , and Milliman Care Guidelines. 2. Applies knowledge of… more
    Texas Health Resources (08/29/25)
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  • Care Experience Manager

    Aveanna Healthcare (Mesquite, TX)
    Care Experience Manager ApplyRefer a FriendBack Job Details Requisition #: 207288 Location: Mesquite, TX 75150 Category: Administrative/Clerical Salary: $40,000.00 - ... $42,000.00 per year Position Details Position: Staffing Coordinator Care Experience Manager (CEM) Join a Company That Puts People First! Aveanna Healthcare is one of… more
    Aveanna Healthcare (09/02/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Austin, TX)
    …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/22/25)
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  • Manager , Enrollment - REMOTE

    Molina Healthcare (Austin, TX)
    …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or equivalent combination of… more
    Molina Healthcare (08/01/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (Cypress, TX)
    At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
    Houston Methodist (08/27/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Dallas, TX)
    …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Dallas, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    J&J Family of Companies (08/25/25)
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  • Field Reimbursement Manager - Immunology…

    J&J Family of Companies (Dallas, TX)
    …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Dallas, TX, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
    J&J Family of Companies (08/25/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Dallas, TX)
    **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
    Molina Healthcare (08/14/25)
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  • Case Manager - PRN

    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 patient ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
    Houston Methodist (08/08/25)
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