• Medical Claim Review Nurse (RN)

    Molina Healthcare (San Antonio, TX)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. +… more
    Molina Healthcare (08/08/25)
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  • Clinical Manager , Home Health

    CenterWell (Longview, TX)
    …of our caring community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
    CenterWell (08/08/25)
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  • Manager Care Management

    Catholic Health Initiatives (College Station, TX)
    **Responsibilities** The Manager of Care Coordination assists the Director with Administrative duties and acts in the Director's place in her/his absence. **The ... will be REQUIRED in order to be considered for the Manager , Care Management postion.** + **Must be a Registered Nurse (RN)** + **Must have have a minimum of Five… more
    Catholic Health Initiatives (08/01/25)
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  • RN Care Manager PRN

    Community Health Systems (Lufkin, TX)
    …required + BCLS - Basic Life Support required **State Specific Requirements** + Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) ... **Job Summary** The Care Manager - RN is responsible for coordinating and...coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This… more
    Community Health Systems (07/01/25)
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  • Manager , Care Integration Team

    CenterWell (Houston, TX)
    …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred ... put health first** **The Role** The Care Integration Team Manager is responsible for managing a team of nurses,...action plans that will reduce acute and post-acute care utilization . + Solicits/shares feedback with market leaders on team-based… more
    CenterWell (06/13/25)
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  • Social Worker (SW) Care Transition Manager

    Texas Health Resources (Arlington, TX)
    …Upon Hire Req And CPR - Cardiopulmonary Resuscitation Upon Hire Req And ACM - Accredited Case Manager Upon Hire Pref Or CCM - Certified Case Manager ... Upon Hire Req And CPR - Cardiopulmonary Resuscitation Upon Hire Req And ACM - Accredited Case Manager Upon Hire Pref Or CCM - Certified Case Manager more
    Texas Health Resources (05/30/25)
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  • Senior LTSS Service Care Manager (RN)

    Centene Corporation (Austin, TX)
    …to competitive benefits including a fresh perspective on workplace flexibility. **Hiring LTSS RN Case Manager to work near Weslaco, TX, Mercedes, TX, La Feria, ... NP - Nurse Practitioner - Current State's Nurse Licensure required + For Superior: Resource Utilization...Adult Day Care + Home Health or Hospice + Case Management Pay Range: $35.49 - $63.79 per hour… more
    Centene Corporation (08/08/25)
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  • Program Manager , HCS

    Molina Healthcare (Austin, TX)
    …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2… more
    Molina Healthcare (08/02/25)
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  • Territory Manager - San Antonio Medical…

    ZOLL Medical Corporation (San Antonio, TX)
    …include: Physicians (Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
    ZOLL Medical Corporation (07/21/25)
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  • Clinical Manager RN Sign On Bonus

    HCA Healthcare (San Antonio, TX)
    …bonus - up to $10,000 Do you have the career opportunities as a Clinical Manager RN you want with your current employer? We have an exciting opportunity for you ... colleagues. Do you want to work as a Clinical Manager RN where your passion for creating positive patient...and performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation… more
    HCA Healthcare (06/21/25)
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