- Prime Therapeutics (Austin, TX)
- …for performing referral services to support independent physician offices with maintaining member drug infusions in office or to help offices locate a lower ... financial aspect of the specialty drugs to both the member and the ordering physician (or office staff) and...support infusion administration in lower cost sites. + Provides member with resources to optimize their treatment outcomes, by… more
- PenFed Credit Union (Harker Heights, TX)
- …This position will play a vital role in delivering Best in Class Member Experience. The incumbent will work directly with the Branch Service Representative (BSR) ... sales team utilizing sales techniques to uncover member needs while creating a positive member ...uncover member needs while creating a positive member experience. Responsibilities Reasonable accommodations may be made to… more
- CVS Health (Irving, TX)
- …all case management activities with members to evaluate the medical needs of the member to facilitate the member 's overall wellness. + Develops a proactive ... the short and long-term outcomes as well as opportunities to enhance a member 's overall wellness through integration. + Services strategies policies and programs are… more
- Centene Corporation (Austin, TX)
- …mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of ... and caregivers on services and benefits available to meet member needs. + Evaluates the needs of the most...for the best outcome + Acts as liaison and member advocate between the member /family, physician, and… more
- Centene Corporation (Austin, TX)
- …services as a result of the transition. May perform and/or assist with member assessment/screenings; may develop and/or assist with developing member transition ... Works with care coordination and care management team to identify new member enrollees requiring transition services + Ensures existing authorizations are honored… more
- Molina Healthcare (Dallas, TX)
- …who may qualify for case management based on clinical judgment, changes in member 's health or psychosocial wellness, and triggers identified in the assessment. + ... Develops and implements a case management plan in collaboration with the member , caregiver, physician and/or other appropriate healthcare professionals and member… more
- Molina Healthcare (TX)
- …severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and ... and family/support network, as needed or at the request of member . + Ensures member transitions to a setting with adequate caregiving and functional support,… more
- Sunrise Senior Living (Katy, TX)
- …necessary. + Keep music playing throughout the day. + Ensure that another team member covers the front desk when stepping away to complete above duties. **Risk ... Sheets (SDS), and Lockout Tagout procedures. + Maintain the Resident Roster, Team Member Roster, and Current work schedules for emergency procedures. + Champion the… more
- Molina Healthcare (TX)
- …severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and ... and family/support network, as needed or at the request of member . + Ensures member transitions to a setting with adequate caregiving and functional support,… more
- Elevance Health (Corpus Christi, TX)
- …supported, facilitates the Person Centered Planning process that documents the member 's preferences, needs and self-identified goals, including but not limited to ... development of a fully integrated care plan, engaging the member 's circle of support and overall management of the...high-risk complications, addresses gaps in care) and coordinates those member 's cases (serving as the single point of contact)… more