- Highmark Health (Austin, TX)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary:** The Case Manager RN role is 100% remote work from home and candidates must have an active ... No travel is expected with this position. The RN Case Manager is responsible for telephonically and/or...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- Public Consulting Group (Austin, TX)
- …www.publicconsultinggroup.com . PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today's changing health care ... safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case ...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more
- Molina Healthcare (Bellaire, TX)
- …who lives in TEXAS and must be licensed for the state of TEXAS Case Manager RN will work in remote and field setting supporting our Medicaid Star Plus ... population. Case Manager will be required to physically... managers + Works cases with members who have complex medical conditions and medication regimens + Conducts medication… more
- Sedgwick (Dallas, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our Dallas, ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- The Hartford (San Antonio, TX)
- Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... is part of a vast team of Behavioral Health Case Managers who are responsible for the review and...of a disability claimant functionality. + Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure… more
- CVS Health (Austin, TX)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… more
- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for ... experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Cardinal Health (Austin, TX)
- …impact insurance processing and minimize rejections * Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate * Place ... calls from doctors and/or patients checking on status of case * Maintain quality while providing an empathetic and...or specialty area * Applies advanced skills to resolve complex problems independently * May modify process to resolve… more
- Providence (TX)
- …approve statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for ... roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in case...and Risk, Claims, & Insurance department **_Providence welcomes 100% remote work for applicants who reside in the following… more