Nurse Case Manager

3 weeks ago


San Antonio, United States University Health Full time

POSITION SUMMARY/RESPONSIBILITIES
Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.

EDUCATION/EXPERIENCE
Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master’s degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.

LICENSURE/CERTIFICATION
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.


  • Nurse Case Manager

    3 weeks ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances...

  • Nurse Case Manager

    1 week ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.  He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances...

  • Nurse Case Manager

    3 weeks ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and...

  • Nurse Case Manager

    1 week ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and...

  • Nurse Case Manager

    1 week ago


    San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances...

  • Nurse Case Manager

    1 week ago


    San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances...

  • RN Case Manager

    3 days ago


    San Antonio, United States HarmonyCares Full time

    RN Case ManagerOverview 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 bring...

  • RN Case Manager

    2 days ago


    San Antonio, United States HarmonyCares Full time

    RN Case ManagerOverview 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 bring...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages tasks of the Baby Bexar program nurses and navigators to ensure Baby Bexar patients and families are able to achieve goals of their treatment plans across the healthcare continuum and Baby Bexar social service network in accordance with Baby Bexar grant program goals and objectives. Works with the Baby Bexar social...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages tasks of the Baby Bexar program nurses and navigators to ensure Baby Bexar patients and families are able to achieve goals of their treatment plans across the healthcare continuum and Baby Bexar social service network in accordance with Baby Bexar grant program goals and objectives. Works with the Baby Bexar social...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages tasks of the Baby Bexar program nurses and navigators to ensure Baby Bexar patients and families are able to achieve goals of their treatment plans across the healthcare continuum and Baby Bexar social service network in accordance with Baby Bexar grant program goals and objectives. Works with the Baby Bexar social...

  • Nurse Case Manager

    1 week ago


    San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and...

  • Nurse Case Manager

    1 month ago


    San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and...

  • Nurse Case Manager

    1 week ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of...

  • RN Case Manager

    1 week ago


    San Antonio, United States UT Health San Antonio Full time

    RN Case ManagerManages cases to enhance the quality of patient management and satisfaction. Promotes continuity of care and cost effectiveness through integrating functions of case management, utilization review and management, and discharge planning.

  • Travel Nurse RN

    2 days ago


    San Antonio, United States TravelNurseSource Full time

    TravelNurseSource is working with Amare Medical Network to find a qualified Case Manager RN in Houston, Texas, 77030!Pay Information$2,020 per weekAbout The PositionCase managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall goal for...


  • San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages tasks of the Baby Bexar program nurses and navigators to ensure Baby Bexar patients and families are able to achieve goals of their treatment plans across the healthcare continuum and Baby Bexar social service network in accordance with Baby Bexar grant program goals and objectives. Works with the Baby Bexar social...


  • San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages tasks of the Baby Bexar program nurses and navigators to ensure Baby Bexar patients and families are able to achieve goals of their treatment plans across the healthcare continuum and Baby Bexar social service network in accordance with Baby Bexar grant program goals and objectives. Works with the Baby Bexar social...

  • Case Manager

    4 days ago


    San Antonio, United States Gpac Full time

    Position: Case ManagerLocation: San AntonioI am seeking an Case Manager with 5+ years of experience to join a dynamic team. The ideal candidate MUST have a background in either personal injury, and or product liability; along with working for multiple attorneys or the Managing Partner of a previous Law firm.This is an amazing opportunity for candidates...

  • Case Manager

    1 day ago


    San Antonio, United States Gpac Full time

    Position: Case ManagerLocation: San AntonioI am seeking an Case Manager with 5+ years of experience to join a dynamic team. The ideal candidate MUST have a background in either personal injury, and or product liability; along with working for multiple attorneys or the Managing Partner of a previous Law firm.This is an amazing opportunity for candidates...