- Centene Corporation (Dallas, TX)
- …will be required to travel within the region. **Position Purpose:** Manages the care management team that serves long-term care members with physical/medical ... develop and assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees and… more
- Centene Corporation (Austin, TX)
- …have access to competitive benefits including a fresh perspective on workplace flexibility. **Travel LTSS RN Case Manager - seeking RNs in the following areas ... support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap… more
- Molina Healthcare (The Woodlands, TX)
- …residing in the service delivery area of Conroe, Magnolia, and The Woodlands to join our LTSS Team as a Case Manager working with our Medicaid members. Part of ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Molina Healthcare (Hidalgo, TX)
- …RN residing in the service delivery area of Hildago and Brownsville, TX, to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the ... we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are… more
- Elevance Health (Grand Prairie, TX)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs of members with chronic… more
- Elevance Health (Houston, TX)
- …service plans are appropriate. + Audits to determine whether members with potential clinical health care needs (including, but not limited to, potential for ... ** LTSS Service Coordinator - Auditor** **Location:** While remote,...law and contract. The audit process does not involve clinical judgment. **How you will make an impact:** +… more
- Elevance Health (Grand Prairie, TX)
- …law and contract. **Minimum Requirements:** + Requires an RN and minimum of 5 years clinical care experience and minimum of 5 years of experience in working with ... reside in Lubbock, or WRSA service delivery area. The ** LTSS Service Coordinator - RN Lead Clinician (US)** is...make an impact:** + Performs quality audits to ensure care plans designed optimize member's physical, behavioral, and social… more
- Elevance Health (Houston, TX)
- …member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of ... a field position and the candidate should reside in Houston, TX. The ** LTSS Service Coordinator - Clinician** working under the direction/supervision of an RN, with… more
- Centene Corporation (Austin, TX)
- …in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines + Provides feedback ... a fresh perspective on workplace flexibility. **LPC, LCSW, or Psych RN Case Manager . Must reside in Texas** **Positions available in Midland, TX, Odessa, TX,… more
- Elevance Health (Dallas, TX)
- …with the goal of optimizing member health care across the care continuum. Responsible for performing face-to-face clinical assessments for the ... and the candidate should reside in Dallas, TX. The ** LTSS Service Coordinator RN Clinician** is responsible for overall...+ Identifies members for high risk complications and coordinates care in conjunction with the member and the health… more
- Molina Healthcare (Henderson, TX)
- **JOB DESCRIPTION** **Case Manager needed in the Canton, TX service area. Applicants must reside in this community or surrounding communities and hold a TX RN ... complete assessments with the members face-to-face in their homes. Applicants with Case Manager experience with another MCO like Molina are preferred, but we will… more
- CVS Health (Austin, TX)
- …a care plan and authorizes services in a cost-effective manner within the LTSS benefit. + The care manager is responsible for documenting accurately ... to facilitate appropriate physical, behavioral health, psychosocial wrap around services. + The care manager will be responsible for, care planning, direct… more