- Highmark Health (Austin, TX)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Austin, TX)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Austin, TX)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- CVS Health (Austin, TX)
- …. - Perform medical necessity reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. - A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Austin, TX)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Public Consulting Group (Austin, TX)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Centene Corporation (Austin, TX)
- …4-6 years of related experience Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... benefits including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside...90 days of hire required **Preferred Experience:** + Clinical RN nursing experience with direct patient care … more
- Molina Healthcare (Austin, TX)
- …care providers. **JOB QUALIFICATIONS** **Required Education** Active, unrestricted RN License. **Required Experience** 5+ years' experience in managed healthcare, ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… more
- Highmark Health (Austin, TX)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Highmark Health (Austin, TX)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- BAYADA Home Health Care (Austin, TX)
- …to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review ... with OASIS and Coding certification to work remotely. RN , PT, OT, and SLP's with certifications will be...that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. Apply your… more
- Ascension Health (Austin, TX)
- …Improvement Specialists obtained prior to hire date or job transfer date. + Licensed Registered Nurse credentialed from the Texas Board of Nursing obtained prior ... M-F** + **Hospital: Seton Family of Hospitals** + **Location: Austin, TX (some remote )** **Benefits** Paid time off (PTO) Various health insurance options & wellness… more
- ConvaTec (Austin, TX)
- …on solutions for the management of chronic conditions, with leading positions in advanced wound care , ostomy care , continence care , and infusion care . ... of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2023 were over $2...us on our journey to #ForeverCaring as a Territory Manager , and you'll do the same. **About the Role:**… more
- CVS Health (Austin, TX)
- …as PA/NP/LVN/ RN + 5+ years' experience in process improvement, care delivery/healthcare, product development, operations, and/or systems development + 5+ years ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with the CVS Health Retail Health team. The Senior Manager , Retail Health Product & Services, will be responsible… more
- CenterWell (Austin, TX)
- …with clinical-operational divisional dyads (Division CMO/Division Ops Leader) on care integration team foundational programs and future strategic opportunities for ... managing populations and coordinating care to reduce acute and post-acute care ...required,_ _advanced clinical professional license strongly preferred such as RN , MSW/LCSW, NP, PA, MD/DO_ + Excellent verbal and… more