- Centene Corporation (Houston, TX)
- …health needs to promote quality, cost effective care . Develops a personalized care plan / service plan for long-term care members, addresses ... on services and benefit options available to receive appropriate high-quality care . + Evaluates the service needs of the most complex or high risk/high acuity… more
- Centene Corporation (Houston, TX)
- …Evaluates member service needs and develops or contributes to development of care plans/ service plans, and educates members, their families and caregivers on ... include medical, behavioral and social services. Provides coordination of service authorization to members and care managers...coordination of service authorization to members and care managers for various services based on service… more
- Elevance Health (Houston, TX)
- …Liberty, Orange, Jasper, Newton, Polk, San Jacinto, Tyler, or Walker Counties. The ** LTSS Service Coordinator - RN Clinician** is responsible for overall ... and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the...also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of… more
- Molina Healthcare (Houston, 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 go to member's...Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** Opportunity for an experienced Case Manager to join Molina to work with our IDD members in the Houston service delivery area. Part of the ... candidates with previous experience working with the IDD population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our benefits package.… more
- Molina Healthcare (Houston, TX)
- …licensed RN to join Molina to work with our IDD members in the Houston service delivery area. Part of the responsibilities of the role is to conduct face-to-face ... candidates with previous experience working with the IDD population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our benefits package.… more
- Molina Healthcare (Houston, TX)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more