- CVS Health (Rockwall, TX)
- …and more compassionate. And we do it all with heart, each and every day. ** Clinical Case Manager Behavioral Health** **Position Summary** This is ... Dallas, Texas as well as the surrounding areas. The Clinical Case Manager utilizes advanced...reimbursed per our company expense reimbursement policy + Unencumbered Behavioral Health clinical license in the state… more
- Centene Corporation (Dallas, TX)
- …education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers role in-patient behavioral health hospital, community health, outpatient ... with primary focus and support towards populations with significant mental/ behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates… 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 ... you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary… more
- HCA Healthcare (Dallas, TX)
- …Medical City Dallas have the opportunity to make a real impact. As a Registered Nurse Case Manager PRN you can be a part of change. **Benefits** Medical City ... positive outcomes for your patients as a Registered Nurse Case Manager PRN. We want your knowledge...weekdays for the first few weeks *_ Our RN Case Managers raise the bar by providing clinical… more
- HCA Healthcare (Plano, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... Monday - Friday with rotating weekends *_ Our RN Case Managers raise the bar by providing clinical...quality care in the most compassionate way. The RN Case Manager is responsible for promoting patient-centered… more
- HCA Healthcare (Dallas, TX)
- **Description** **Introduction** Do you have the career opportunities as a RN Case Manager you want in your current role? We invest in what matters most to ... 7:00am - 7:00pm Friday - Sunday *_ Our RN Case Managers raise the bar by providing clinical...quality care in the most compassionate way. The RN Case Manager is responsible for promoting patient-centered… more
- HCA Healthcare (Frisco, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager PRN you want in your current role? We invest in what ... weekdays for the first few weeks *_ Our RN Case Managers raise the bar by providing clinical...quality care in the most compassionate way. The RN Case Manager is responsible for promoting patient-centered… more
- Molina Healthcare (Dallas, TX)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
- HCA Healthcare (Dallas, TX)
- …nurses set us apart from any other healthcare provider. We are seeking an RN Case Manager PRN Inpatient Rehab to join our healthcare family. **Benefits** Medical ... passion for patient care. Apply today for our RN Case Manager PRN Inpatient Rehab opportunity. **Job...Case Management preferred + 2+ years experience in Case Management OR 3+ years experience in clinical… more
- Elevance Health (Grand Prairie, TX)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- HCA Healthcare (Lewisville, TX)
- … Management staff to adhere to TJC and CMS regulations. It will entail being a Case Manager on the floor with an assignment, completing some admin work, and ... in their positions. Join our Team as a Supervisor Case Management and access programs to assist with every...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Molina Healthcare (Dallas, TX)
- …to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of… more
- HCA Healthcare (Dallas, TX)
- …order for a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . + Once Case Management has completed the Patient ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works closely with hospital case… more
- Molina Healthcare (Dallas, TX)
- …State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in ... in case , disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery experience, including adult… more
- Molina Healthcare (Dallas, TX)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Molina Healthcare (Dallas, TX)
- … assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... informal ICT collaboration. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during... case managers/supervisors as needed or required + Case managers in Behavioral Health and Social… more
- Molina Healthcare (Dallas, TX)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- CenterWell (Dallas, TX)
- …community and help us put health first** **The Role** The Care Integration Team Manager is responsible for managing a team of nurses, community health workers, and ... behavioral health resources who engage high risk/high needs patients...and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with… more
- 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 SW - Care Management _Bring your passion...year of experience of discharge planning/care management * Hospital Case management preferred * LMSW - Licensed Master Social… more
- Elevance Health (Grand Prairie, TX)
- …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical policies used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical management. + Peer-to-peer outreach for… more