Case Manager
4 weeks ago
Job Summary We are searching for a Case Manager for Behavioral Health -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides comprehensive ongoing case management services by coordinating and managing the care of high-risk members in order to meet multiple service needs across the continuum of care, ensure optimal member outcomes that address quality, service, customer satisfaction, and cost-effectiveness. This role also assists the member/member's family in coping with illness by optimizing the member's/family's self-care abilities and supporting their consumer rights. Think you've got what it takes? Responsibilities * Assesses, develops, implements, and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the member/family in internal and external settings * Comprehensively assesses member's biophysical, psychosocial, environmental, discharge planning needs and financial status * Communicates continually with members/families, medical staff, caregivers, and primary HMO staff to facilitate appropriate, timely, and cost-effective care * Serves as a liaison with community organizations involved in the interests of the maternity and pediatric population * Assists internal and external Member Services and Case Managers by serving as a communication link and providing education on member issues and authorization process and status * Completes all required annual education requirements and an annual interaction event with members * Identify and report quality of care and quality of services issues and refer to appropriate Quality Management staff as evidenced in Event Tracking system * Documents all activities and interactions in the electronic and event tracking systems Qualifications Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children's, unless approved for a medical or religious exemption * Associate's degree, technical diploma or bachelor's degree in Nursing required * BSN preferred * RN license from the Board of Nurse Examiners for the state of Texas required * 3 years' clinical experience in pediatrics including home care, case management, managed care, or utilization review required * Behavioral Health experience preferred Company Profile Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. To join our community of 14,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org. At Texas Children's Hospital, diversity, equity, and inclusion are at the core of our values and mission for all of our patients and families that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization. Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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Case Manager
4 weeks ago
Bellaire, TX, United States Texas Children's Hospital Full timeCase Manager (Registered Nurse) - South/SE Houston/- The Health Plan Job Summary We are searching for a Case Manager (Registered Nurse) -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position...
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Case Manager
4 weeks ago
Bellaire, TX, United States Texas Children's Hospital Full timeCase Manager (Registered Nurse) - South/SE Houston/- The Health Plan In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides comprehensive ongoing case management services by coordinating and managing care of high-risk members in order to meet...
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Case Manager
3 weeks ago
Bellaire, United States Texas Children's Hospital Full timeCase Manager (Registered Nurse) - South/SE Houston/- The Health PlanJob Summary We are searching for a Case Manager (Registered Nurse) -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides...
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Case Manager
4 weeks ago
Bellaire, TX, United States Texas Children's Hospital Full timeCase Manager (Registered Nurse) - Behavioral Health - The Health Plan We are searching for a Case Manager for Behavioral Health -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides...
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Case Manager
3 weeks ago
Bellaire, TX, United States Texas Children's Hospital Full timeCase Manager (Registered Nurse) - South/SE Houston/- The Health PlanJob Summary We are searching for a Case Manager (Registered Nurse) -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides...
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Case Manager
4 weeks ago
Bellaire, United States Texas Children's Hospital Full timeCase Manager (Registered Nurse) - Behavioral Health - The Health PlanJob Summary We are searching for a Case Manager for Behavioral Health -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides...
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Case Manager
1 week ago
Bellaire, United States Texas Children's Hospital Full timeJob Summary We are searching for a Case Manager (Registered Nurse) - someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides comprehensive ongoing case management services by coordinating and...
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Manager of Case Management
3 weeks ago
Tyler, TX, Smith County, TX, United States UT Health Tyler Full timeOverviewJoin our team as a full-time Manager of Case Management in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here’s how we take care of our people:Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance...
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RN-Case Manager
2 weeks ago
Austin, TX, United States Ascension Seton Northwest Full timeRN-Case Manager Details * Sign-on bonus: $5,000 * Department: Inpatient Case Management * Schedule: Days M-F * Hospital: Dell Children's Medical Center * Location: Austin, TX Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee...
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RN-Case Manager
3 weeks ago
Austin, TX, United States Ascension Seton Northwest Full timeRN-Case Manager Details * Department: Case Management * Schedule: PRN * Hospital: Dell Seton Medical Center * Location: Austin, TX Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave &...
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Case Manager
3 weeks ago
Bellaire, TX, United States Texas Children's Hospital Full timeCase Manager (Registered Nurse) - Behavioral Health - The Health PlanJob Summary We are searching for a Case Manager for Behavioral Health -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This position provides...
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Manager of Case Management
4 weeks ago
Tyler, TX, United States UT Health Tyler Full timeOverview Join our team as a full-time Manager of Case Management in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here’s how we take care of our people: Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance...
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Manager of Case Management
4 weeks ago
Tyler, TX, United States UT Health Tyler Full timeOverviewJoin our team as a full-time Manager of Case Management in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here’s how we take care of our people:Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance...
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Manager of Case Management
4 weeks ago
Tyler, TX, United States UT Health Tyler Full timeOverviewJoin our team as a full-time Manager of Case Management in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here’s how we take care of our people:Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance...
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Branch RN Case Manager
2 weeks ago
Houston, TX, United States HarmonyCares Full timeBranch RN Case Manager Overview HarmonyCares is one of the nation's largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission - To...
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RN-Case Manager
2 weeks ago
Austin, TX, United States Ascension Seton Northwest Full timeSign-on bonus: $Inpatient Case Management * Hospital: Dell Children's Medical Center * Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community *...
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RN-Case Manager
1 week ago
Round Rock, TX, United States Seton Medical Center Williamson Full timeRN-Case Manager Details * Sign-on bonus: $5,000 * Department: Case Management * Schedule: FT * Hospital: Ascension Seton Williamson * Location: Round Rock, TX Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs...
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Utilization Management Clinical Registered Nurse
3 weeks ago
Bellaire, TX, United States Texas Children's Hospital Full timeUtilization Management Clinical Registered Nurse (RN) Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role performs telephonic...
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RN-Case Manager
2 weeks ago
Austin, TX, United States Ascension Seton Northwest Full timeRN-Case ManagerDetails * Sign-on bonus: $5,000 * Department: Inpatient Case Management * Schedule: Days M-F * Hospital: Dell Children's Medical Center * Location: Austin, TX Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee...
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Utilization Management Clinical Registered Nurse
3 weeks ago
Bellaire, TX, United States Texas Children's Hospital Full timeUtilization Management Clinical Registered Nurse - The Health Plan - Remote Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...
