- Sedgwick (Austin, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- Elevance Health (Houston, TX)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Elevance Health (Grand Prairie, TX)
- ** Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of ... in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager I** is responsible for performing care… more
- CVS Health (TX)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Humana (Austin, TX)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a ...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- CenterWell (Austin, TX)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell...hotspot, DSL or satellite) **Preferred Qualifications** + Experience with case management, discharge planning and patient education for adult… more
- Molina Healthcare (El Paso, TX)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If ... field to complete assessments on those members on your case load. Preference will be given to candidates with...provide consultation, recommendations, and education as appropriate to non-RN case managers. + RNs are assigned cases with members… more
- Apex Health Solutions (Houston, TX)
- …services and support to improve health outcomes via a coordinated approach. The Case Manager works in collaboration and continuous partnership with patients and ... Using a defined process to identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals, and coordinates care and… more
- Elevance Health (TX)
- …depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager I** Must Have An Active, Current Clinical Licensure.** ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Case Manager I** is responsible for performing.... **Preferred Skills, Capabilities and Experiences:** + Experience in case management and telephonic and/or in person… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Sharecare (Austin, TX)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Molina Healthcare (El Paso, TX)
- …our TX Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from ... unrestricted RN license in the state of TX._ _Case Manager RN will work Hybrid ( Telephonic and...health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina… more
- ChenMed (Houston, TX)
- …in community case management experience highly desired. + Certified Case Manager certification is preferred. Certification through the Commission for ... procedures **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in home and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- Elevance Health (Grand Prairie, TX)
- **JR168679 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health ... and substance use disorder inpatient and outpatient benefits through telephonic and written processes. Also provides telephonic support for crisis intervention,… more
- Molina Healthcare (Fort Worth, TX)
- …of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the member, caregiver,...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Health Care Service Corporation (Waco, TX)
- …Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health ... member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care… more
- Baylor Scott & White Health (Waco, TX)
- …medical necessity of services provided. This position will function as a clinician, case manager and educator to achieve optimal clinical and quality outcomes ... **JOB SUMMARY** The Care Manager RN will be responsible for assessing and...TX -** **100 Hillcrest Medical Blvd, Waco, 76712** **Setting: Case Management - Emergency Dept** **Schedule: Full Time -**… more
- Houston Methodist (Houston, TX)
- …candidate MUST reside in Greater Houston area.** At Houston Methodist, the Care Manager I position is a licensed registered nurse (RN) who works collaboratively with ... (ED) visits and readmissions while improving patient satisfaction. The Care Manager I position promotes and maintains compassionate, quality transitions of care… more
- CVS Health (Austin, TX)
- …more about us: https://protect-us.mimecast.com/s/cA1pCG6o9qf0q467ZS7DW0y?domain=vimeo.com RN, Registered Nurse, Case Manager , Nurse, Home Health, Autoimmune, ... improving patient lives, one call at a time. Our Telephonic Registered Nurses (RN) have patient contact in the...(RN) have patient contact in the uniqueness of a telephonic practice setting, where they are impacting lives across… more
- Sharecare (Austin, TX)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more