- Molina Healthcare (Houston, TX)
- …activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + Other ... interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor… more
- Healthfirst (TX)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... and case management as assigned. The Case Manager , Utilization Management is also responsible...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW , PT,… more
- Ascension Health (Austin, TX)
- …Certification / Registration: + Required Credential(s): + One or more of the following: + Case Manager credentialed from the Commission for Case Manager ... prior to hire date or job transfer date. + Registered Nurse credentialed from the Texas Board...of leadership or management experience preferred. **Additional Preferences** + RN License, LCSW or LMSW License required.… more
- Elevance Health (Abilene, TX)
- …**LTSS Service Coordinator- RN ** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non- ... RN clinicians participating in the member's case ...Directs and/or supervises the work of any LPN/LVN, LSW, LCSW , LMSW, and other licensed professionals other than an… more
- Molina Healthcare (Austin, TX)
- …live and have a current active unrestricted license in the state of TX (LMSW, LCSW , LMFT, and/or LPC) Case Manager will work remotely supporting Medicaid ... assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Centene Corporation (Corpus Christi, TX)
- …strong adaptability, flexibility, and resiliency skills. . Experience working in FIELD based Case Manager /Social Worker roles is a PLUS . Experience working in ... with ADULT members** **Monday - Friday 8:00 am- 5:00 pm (CST)** ** LCSW , LPC, or RN with Psychiatric or Behavioral Health experience working with adults (18-… more
- Elevance Health (Corpus Christi, TX)
- …Service Coordinator-Clinician** is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case . As ... nursing judgment. **Minimum Requirements:** + Requires an LPN/LVN, LSW, LCSW , or LMSW or license other than RN...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HCA Healthcare (Corpus Christi, TX)
- …patients with discharge planning or psychosocial needs. + You will obtain input from the RN case manager to ensure the discharge plan is appropriate and ... in this role:** + You will work collaboratively with RN case managers, acute care nurses, physicians,...in social work required + Licensed Clinical Social Worker ( LCSW ), or Licensed Baccalaureate Social Worker (LBSW), or Licensed… more
- HCA Healthcare (Corpus Christi, TX)
- …for high-risk patients with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate ... will do in this role:** + Works collaboratively with RN case managers, acute care nurses, physicians,...in social work required + Licensed Clinical Social Worker ( LCSW ), or Licensed Baccalaureate Social Worker (LBSW), or Licensed… more
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