• Behavioral Health Case

    Elevance Health (Grand Prairie, TX)
    …time zones preferred **Shift:** Monday - Friday 10:30am - 7:00pm Mountain Time. There are 2 Behavioral Health Case Manager I positions open for this ... report to Jennifer Arellano and the other will report to Anne Nazarenus. The ** Behavioral Health Case Manager I** is responsible for performing case more
    Elevance Health (05/24/24)
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  • Complex Care Behavioral Health Care…

    Centene Corporation (Richardson, TX)
    …of care to promote quality, cost effective care. Individuals assigned to the Complex Care Behavioral Health Care Manager are more likely than others to ... psychiatric experience. Minimum of 3 years of experience in direct behavioral health / psychiatric experience, case management and/or service coordination.… more
    Centene Corporation (05/30/24)
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  • Provider Contracting Senior Manager

    The Cigna Group (Plano, TX)
    …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... **Role Summary** The Provider Contracting Senior Manager will have oversight of a region of...+ Design innovative contract solutions such as measurement-based care, case rates or preferred provider networks, performance guarantees, as… more
    The Cigna Group (06/05/24)
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  • Case Manager RN - Field

    CVS Health (Irving, TX)
    …judgment and critical thinking skills to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will be ... manner. Strong assessment, writing and communication skills are required.The Case Manager is responsible for conducting face...electronic health record. This position requires the case manager to use critical thinking skills… more
    CVS Health (06/07/24)
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  • BH Case Manager I

    Elevance Health (Grand Prairie, TX)
    A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... analytics to improve the delivery of care. The BH Case Manager I is responsible for performing...visits within the scope of licensure for members with behavioral health and substance abuse or substance… more
    Elevance Health (05/16/24)
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  • Behavioral Health Medical Director…

    Elevance Health (Grand Prairie, TX)
    …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
    Elevance Health (05/08/24)
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  • Telephonic Case Manager (RN) - TX…

    Molina Healthcare (Dallas, TX)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
    Molina Healthcare (05/15/24)
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  • Field Case Manager , Ltss RN…

    Molina Healthcare (Dallas, TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
    Molina Healthcare (06/08/24)
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  • CLASS Case Manager

    Fedcap (Carrollton, TX)
    …administered by the Health and Human Services Commission (HHSC). The CLASS Case Manager II consistently meets all CLASS program standards as stated in ... Central Texas for an exciting career as a CLASS Case Manager . Mission: To change the way...criminal justice, or a bachelor's degree in a human behavioral science which includes 30 semester or 45 quarter… more
    Fedcap (05/03/24)
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  • Telephonic Case Manager , Ltss…

    Molina Healthcare (Dallas, TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home and… more
    Molina Healthcare (06/08/24)
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  • Manager of Case Management

    HCA Healthcare (Frisco, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Frisco, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...organization. + Provides leadership for all areas of the Case Manager and Social Worker roles. +… more
    HCA Healthcare (05/07/24)
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  • Case Management Processor (Remote in TX)

    Molina Healthcare (Dallas, TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as… more
    Molina Healthcare (06/05/24)
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  • BH Care Manager II

    Elevance Health (Dallas, TX)
    …projects and initiatives. **Requirements:** + Requires MA/MS social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 ... abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.** **Primary duties may… more
    Elevance Health (06/06/24)
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  • Care Transition Manager - Social Worker

    Texas Health Resources (Plano, TX)
    …upon hire required and CPR -Cardiopulmonary Resuscitation upon hire required and ACM - Accredited Case Manager upon hire preferred or CCM - Certified Case ... **Care Transition Manager Social Worker (SW) - Care Management** _Fast-paced,...of specialties including emergency medicine, cardiology, adult and adolescent behavioral health , pediatrics, an adult intensive care… more
    Texas Health Resources (06/08/24)
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  • Care Transition Manager - RN

    Texas Health Resources (Plano, TX)
    …Upon Hire required and CPR - Cardiopulmonary Resuscitation upon hire required and ACM - Accredited Case Manager upon hire preferred or CCM - Certified Case ... **Care Transition Manager Registered Nurse (RN) - Care Management** _Fast-paced,...of specialties including emergency medicine, cardiology, adult and adolescent behavioral health , pediatrics, an adult intensive care… more
    Texas Health Resources (06/08/24)
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  • Home Health RN Clinical Manager

    HCA Healthcare (Irving, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Do you have the career opportunities as a Home Health RN Clinical Manager you want with...monitors, and ensures competencies and performance of assigned home health care team(s) Supervises ongoing case management… more
    HCA Healthcare (05/31/24)
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  • Program Manager , HCS (Remote in TX)

    Molina Healthcare (Dallas, TX)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
    Molina Healthcare (06/07/24)
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  • Medical Director

    Elevance Health (Grand Prairie, TX)
    …PST.** The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5… more
    Elevance Health (05/29/24)
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  • UM Medical Director - Orthopedic Surgery

    Elevance Health (Grand Prairie, TX)
    …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (05/10/24)
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  • Home Health RN

    HCA Healthcare (Irving, TX)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... **Description** **Introduction** We are looking for a Home Health RN to cover the Ft. Worth, Grapevine,...physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** +… more
    HCA Healthcare (05/15/24)
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