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 communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner.

EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required, BSN preferred. Master’s degree is preferred. Minimum three years’ acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred.

LICENSURE/CERTIFICATION
Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.


  • Nurse Case Manager

    6 days 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

    6 days 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...


  • 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

    6 days 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

    2 days ago


    San Antonio, United States Methodist Hospital Careers Full time

    Description IntroductionDo you have the career opportunities as a(an) RN Case Manager you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Methodist Hospital which is a part of the nation’s leading provider of healthcare...

  • Team Lead Nurse

    3 weeks ago


    San Antonio, United States University Health System Full time

    Full Time 4801 NW LOOP 410 Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES In addition to functioning as a Clinical Coordinator, the team lead provides direction to the multidisciplinary clinical teams in the Mama Bexar Program. Works with management to clearly define objectives and priorities, evaluate program goals and metrics, and provide...


  • San Antonio, United States PSN Affiliates Full time

    Certified Case Manager FACILITY: LEGENT ORTHOPEDIC AND SPINE                                                                   LOCATION: SAN ANTONIO,...

  • Case Manager

    2 hours ago


    San Antonio, United States The HT Group Full time

    Location: San Antonio Type: Contract to Hire Job #18548 Salary: $23.07 USD The HT Group is partnering with a medical planning company in North San Antonio who is seeking a Case Manager to join their team on a temp-to-hire basis. The ideal candidate has experience in medical customer service, has excellent written and verbal communication skills, exceptional...

  • RN Case Manager

    3 weeks ago


    San Antonio, United States St. Gabriel's Hospice and Palliative Care Full time

    Job DescriptionJob DescriptionSt. Gabriel's Hospice & Palliative Care is currently seeking a RN Case Manager to join our team in San Antonio!About UsSt. Gabriel’s Hospice is a compassionate and patient-centered organization dedicated to providing exceptional end-of-life care. Our team of healthcare professionals is committed to supporting patients and...


  • San Antonio, United States TravelNurseSource Full time

    TravelNurseSource is working with Procare USA to find a qualified Case Manager RN in Odessa, Texas, 79761!Pay Information$2,349 per weekAbout The PositionBasic Requirements Current resume Degree per position requirements Active license per state requirements Current BLS and/or other applicable specialty certifications At least 2 clinical...

  • Team Lead Nurse

    6 days ago


    San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES In addition to functioning as a Clinical Coordinator, the team lead provides direction to the multidisciplinary clinical teams in the Mama Bexar Program. Works with management to clearly define objectives and priorities, evaluate program goals and metrics, and provide guidance in identifying and implementing process...

  • RN Case Manager ICU

    2 days ago


    San Antonio, Texas, United States HCA Healthcare Full time

    Description IntroductionDo you have the career opportunities as a(an) RN Case Manager you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Methodist Hospital which is a part of the nation's leading provider of healthcare...


  • San Antonio, United States Care Team Solutions Full time

    Details: Must Have 2+ Years of recent Case Manager experience. Specialty: Case Manager Discipline: Registered Nurse Start Date: 2024-06-03 Duration: 13 Weeks Shift: 10 Hours Day shift Hours Per Week: 40.00 Hours Employment Type: ContractGross Weekly Pay: $2358.14 Six things that won’t happen if you apply to this job: ...


  • San Antonio, United States Molina Healthcare Full time

    JOB DESCRIPTIONJob Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress...


  • San Antonio, United States CNT Associates Full time

    QualificationsUS work authorization. Must be certified in accordance with the Commission for Case Manager Certification requirements or be willing to obtain the certification within 6 months as a condition of maintaining employment. Required work experience in a field that promotes the physical, psychosocial or vocational wellbeing of the persons being...


  • San Antonio, TX, United States CentralCare Inc Full time

    CentralCare Inc - Location: Lackland AFB, San Antonio, TX Pay Rate: $40.00/hour Sign-On Bonus: $1,000 Schedule: Work shifts will be between 0700 – 1630, Monday through Friday; Normal work schedules will be 9-hour shifts, to include a 1-hour non-paid lunch each day, not to exceed 40 hours per week or 80 hours per two weeks Degree/Education: Bachelor of...


  • San Antonio, United States TRDI Inc Full time

    Qualifications US work authorization. Must be certified in accordance with the Commission for Case Manager Certification requirements or be willing to obtain the certification within 6 months as a condition of maintaining employment. Required work experience in a field that promotes the physical, psychosocial or vocational wellbeing of the persons being...


  • San Antonio, United States CNT Associates Full time

    Qualifications US work authorization. Must be certified in accordance with the Commission for Case Manager Certification requirements or be willing to obtain the certification within 6 months as a condition of maintaining employment. Required work experience in a field that promotes the physical, psychosocial or vocational wellbeing of the persons being...


  • San Marcos, United States Cabrillo Hospice Full time

    Job DescriptionJob DescriptionSalary: $50.00-$60.00 HourlyOur Cause: ONGOING EXCELLENCECabrillo Hospice was created to serve; it’s as simple as that. We exist to be more than just health care. We believe that fostering a relationship with each patient and family, which is reflective of their life’s journey, is the key to not only the best care but...