• Care Manager RN Remote

    Molina Healthcare (Houston, TX)
    …be supporting our Ohio state plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (06/20/25)
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  • Field Care Manager , Ltss…

    Molina Healthcare (Houston, TX)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in TEXAS and must be licensed for the state of TEXAS Case Manager ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… more
    Molina Healthcare (05/30/25)
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  • Manager II Grievances and Appeals…

    Elevance Health (Houston, TX)
    ** Manager II Grievance/Appeals ( RN )** **Location** : **Hybrid 2:** This role requires associates to be in-office **3** days per week, fostering collaboration and ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may… more
    Elevance Health (05/23/25)
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  • Manager , Health Plan Quality Interventions…

    Molina Healthcare (Houston, TX)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
    Molina Healthcare (06/15/25)
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  • LTSS Service Care Manager

    Centene Corporation (Houston, TX)
    …LMHA Required** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on… more
    Centene Corporation (04/02/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (Houston, TX)
    …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
    Molina Healthcare (06/19/25)
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  • Medical Coordinator

    BrightSpring Health Services (Houston, TX)
    …as directed and annually thereafter + Dispose of non-controlled medication under direction of Registered Nurse Case Manager + Follow up on chart reviews ... of business. If your passion is to ensure quality care to help our clients live their best life...standards. + Attend weekly team meetings as coordinated by Registered Nurse supervisor + Monitor triage reportsMaintain… more
    BrightSpring Health Services (06/11/25)
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  • Field Case Manager

    Sedgwick (Houston, TX)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **This Field Case Manager will cover our Houston, TX region and ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...on the health and lives of others, and a remote work environment that allows face to face interaction… more
    Sedgwick (06/07/25)
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