- Highmark Health (Austin, TX)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Texas Health Action (Austin, TX)
- …write and speak the language fluently. We are currently seeking a Patient Support Center Nurse ( RN ). This role will report to the Patient Support Center ... more about THA here: http://texashealthaction.org. This position is primarily REMOTE -Candidates must be based in the Greater Austin, San...Manager and Patient Support Center Nurse Supervisor.… more
- CVS Health (Austin, TX)
- …no weekends and no holidays** **As part of the care coordination team, the CVS Accountable Care RN Case Manager will be the primary care manager for a ... selected member population. The RN Case Manager is responsible for telephonically assessing,...English/Spanish** **Chronic Disease care management** **CCM Certification** **Education** **Active Registered Nurse ( RN ) license; a… more
- CVS Health (Austin, TX)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- CVS Health (Austin, TX)
- …to innovate and deliver solutions to make health care more personal, convenient and affordable. **This Case Manager RN role is with the Costco Team and is ... fully remote ; however, candidates must reside within 45 minutes (reasonable...78238** **No weekends or holidays will be required** The Case Manager RN is responsible… more
- Highmark Health (Austin, TX)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Centene Corporation (Austin, TX)
- …and 4-6 years of related experience. Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure or Compact ... workplace flexibility. **Work Location: Austin, TX Full-time Position: Care Manager , Pediatric RN ** **Position Purpose:** Performs care...Pediatric ER + Pediatric Home Health or Private Duty Nurse + School Nurse + Case… more
- CVS Health (Austin, TX)
- …**No nights, no weekends, no holidays and no on call** . The Clinical Case Manager utilizes advanced clinical judgment and critical thinking skills to facilitate ... of available resources and optimal, cost-effective outcomes. + The telephonic clinical case manager applies clinical judgment and incorporates the strategies… more
- Highmark Health (Austin, TX)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Sharecare (Austin, TX)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Takeda Pharmaceuticals (Austin, TX)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
- Molina Healthcare (Austin, TX)
- …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... LPC, LMS, LCSW, or LMFT. This is a fully remote opportunity conducting assessments by phone to determine the...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more