managed care jobs in Houston

Responsible for building, loading, testing and maintaining hospital third-party payer contracts in the contract modeling system. Accountable for analyzing relevant data and translating into reporting to support necessary determinations of adjustment to ensure maximization of values for contract negotiation purposes, and ultimately final agreed...

Description   Performance Home Medical has been a leader in providing quality products and services since 1995. At Performance Home Medical (PHM), our patients come first. We use the latest technology with compassionate clinical support to empower individuals in managing their conditions, helping them live longer, healthier, and more independent lives. We...

SUMMARY:   Coordinates physician and allied health professional credentialing and enrollment activities with hospitals, health plans, and regulatory organizations. This role prepares and submits credentialing applications, maintains credentialing records, and supports physician participation in managed care networks, Medicare, and commercial insurance...

Description Summary: The System Director of Managed Care will serve as the managed care point person for certain Region(s) as Regional Subject Matter Expert (SME), while having System-wide accountability for numerous National Payers as assigned by senior leadership. Working with both corporate and regional staffs ensures the accurate negotiation,...

Job Title:         Care Manager Location:         Catholic Archdiocese of Galveston-Houston, TXJob Type:         Full-TimeReports to:      Vice President of Care ManagementAbout the Role:  As a Care Manager, you will serve as a trusted guide and advocate for the clergy of the Catholic Archdiocese of Houston, helping them navigate the...

equired Master's degree or higherAny of the following licenses/certifications in the state of Texas (TX):Valid Licensed Master Social Worker (LMSW)Valid Licensed Clinical Social Worker (LCSW)2+ years experience with any of the following:Home Health CareHospiceComplex Chronic DiseasesDialysis CareAre you interested in working with a start up?Are you fully...

About Morada Senior LivingMorada Senior Living proudly manages a strong and growing network of care and lifestyle-focused Independent Living, Assisted Living and Memory Care, and Skilled Nursing communities across Texas and Oklahoma serving residents and families throughout our region. Anchored by our trusted Pillars of Excellence, Morada fosters a...

SALARY: $72 - 75K DOE OVERVIEW: The Manager, Coordinated Care & Outreach will provide leadership to support the provision of disaster and crisis response services to individuals and families in Harris, Fort Bend, Montgomery, and Waller Counties.  The Manager will oversee and execute emergency and crisis care coordination for individuals by working with...

The Director of Care Management is responsible and accountable to work with the Directors of Case Management on the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge...

Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? At Masimo, one of Danaher’s 15+ operating companies, our work saves lives—and we’re all united by a shared commitment to innovate for tangible impact.  You’ll thrive in a culture of belonging where you and...

Customer Care Manager Help grow a safer, cleaner, healthier future for everyone, every day. TeDan Surgical Innovations (TSI) designs and manufactures specialty surgical products for use in orthopedic, neuro, thoracic and spine surgeries. TSI was founded in 2006 with the goal to innovate and address evolving retraction techniques in spine surgery. We have...

Emergency Care Manager Job Description Job Title: Emergency Care Manager Department: Emergency Care  Reports To: Chief Programs Officer FLSA Status: Full-time (Exempt) Organization Elijah Rising is a Christian non-profit organization that provides safety through Prayer, Awareness, Intervention, and Restoration for victims of sex trafficking. Elijah...

DescriptionThe Patient Care Manager is a registered professional nurse who ensures quality of patient care in the home. Primary function is for the overall administration of the clinical departments and monitoring of appropriate staffing and productivity. Coordinates care with the interdisciplinary group, patient, family and referring agency. Monitors and...

Description Title: Care Manager - Remote- Texas /Arkansas preferred Reports to: CEO/President Status: Full-time (Salary/Exempt) Date created: July 16, 2026 Summary of Position: The Care Manager is responsible for overseeing and coordinating comprehensive care management services for assigned patients to support improved health outcomes. The Care Manager...

Where You’ll Work Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care, neuroscience, oncology, transplantation, and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop...

At Houston Methodist, the Manager Respiratory Care Svcs position is responsible for assisting the Director in all aspects of operations and supervision of Respiratory Care and Pulmonary Laboratory and other departments, as assigned. In the absence of the Director, this position will assume those duties. The Manager Respiratory Care Svc position may be...

At Houston Methodist, the Manager Nursing position is responsible for 24-hour comprehensive operational responsibility for the delivery and quality of patient care provided in the designated areas(s) of responsibility. This registered nurse position fosters interdepartmental/interprofessional collaboration. The Manager, Nursing position participates in...

Caregiver Position at The Forum at Memorial Woods As part of one of the largest senior living families in the U.S., our communities have earned Great Place to Work certifications from 20222026. At Discovery Management Group, purpose guides our work, culture fuels our success, and growth defines our future. We continually aspire and invest in learning and...

Patient Care Manager - Registered NurseBranch Location: West Houston Texas 77014 What You Must Have: Current State Registered Nurse License Current State Driver’s License, reliable transportation, and provide ongoing valid and current auto liability insurance Two years of experience as a Hospice Registered Nurse in a clinical care setting, or home...

What You’ll Do  Position SummaryThe Nurse Care Manager will work with Suvida Healthcare’s multidisciplinary care team to provide high quality care for our high-risk patients. They will collaborate with their multidisciplinary neighborhood center care team to develop organization-wide approaches to problem solving, tracking, and managing complex cases...