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SR CASE MANAGEMENT PROCESSOR

Oversees the development and implementation of new programs, processes, and practices in response to medical, operational, service, and regulatory initiatives. Knowledge/Skills/Abilities Provides support to the department staff b...

CompanyMolina Healthcare
AddressTexas, United States
CategoryEngineering/Architecture/scientific
Salary$14.76 - $31.97 per hour
Job typeFull-time, Part-time
Date Posted 5 days ago See detail

Sr Case Management Processor

Molina Healthcare

Texas, United States

$14.76 - $31.97 per hour

Oversees the development and implementation of new programs, processes, and practices in response to medical, operational, service, and regulatory initiatives. Knowledge/Skills/Abilities Provides support to the department staff b...

Case Manager RN - Remote, NJ

Cvs Health

Trenton, NJ

Must reside in the State of New Jersey. 3+ years work experience in med surge, pediatric, and/or maternity. RN with current unrestricted state licensure in the State of New Jersey. Registered Nurse (RN) certification required.. Re...

Case Management Processor - Remote (Must reside in Florida)

Molina Healthcare

Long Beach, CA

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level....

Case Management Coordinator (Remote)

Cvs Health

Jackson, MS

2+ years experience in behavioral health, social services or appropriate related field equivalent to program focus. 2+ years of experience with Microsoft Office applications (Outlook, Teams, Excel, Word). Case management and disch...

Analyst, Case Management Specialist (Remote)

Cvs Health

Austin, TX

3+ years experience in health-related field. CRC, CDMS, CRRN, COHN, or CCM certification. Medicare and Medicaid experience. Managed care experience. Experience working with geriatric special needs, behavioral health and disable...

Case Manager - Transition in Care (Remote) Must Live in Houston, Texas

Houston Methodist Hospital

Houston, TX

Promotes a positive work environment and leads the team to be a dynamic, team-focused work unit that actively helps one another to achieve optimal department results. Acts as a role model to team members exemplifying effective com...

Analyst, Case Management Specialist (Remote)

Cvs Health

Atlanta, GA

3+ years experience in health-related field . CRC, CDMS, CRRN, COHN, or CCM certification . Medicare and Medicaid experience. Managed care experience. Experience working with geriatric special needs, behavioral health and disable...

Case Management Processor - Now Hiring

Molina Healthcare

Corpus Christi, TX

$13.41 - $29.06 per hour

Provides telephone, clerical, and data entry support for the Case Management team. Responsible for initial review of assigned case levels to assist in Case Management assignment. Reviews data to identify principal member needs and...

HSPRS Case Manager-Northeast Region-Fully Remote

Children's Home Of Poughkeepsie

Poughkeepsie, NY

$65,000.00 - $75,000.00 / yr

Baltimore, Maryland. Boston, Massachusetts. Conduct thorough home visits for families across multiple states. Conduct community based services for a caseload of youth and families across multiple states. Ability to work with indiv...

Case Manager RN (Remote in TX)

Molina Healthcare

Texas, United States

$23.76 - $51.49 per hour

Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in...

Sr Case Management Processor - Now Hiring

Molina Healthcare

Houston, TX

$14.76 - $31.97 per hour

Oversees the development and implementation of new programs, processes, and practices in response to medical, operational, service, and regulatory initiatives. Knowledge/Skills/Abilities Provides support to the department staff b...

Case Management Processor

Molina Healthcare

Houston, TX

$13.41 - $29.06 per hour

Provides telephone, clerical, and data entry support for the Case Management team. Responsible for initial review of assigned case levels to assist in Case Management assignment. Reviews data to identify principal member needs and...

Case Management Assistant _WC (Remote)

Tristar Insurance

Santa Ana, CA

Responds to phone inquiries from providers, patients, case managers, peer. Make initial contact for Case Management staff. Initial contact with providers to obtain clinical information. Assist with Case Management work flow and do...

Mental Health Care Coordinator (Case Manager, PRP) - Remote

Partnership Development Group

Derwood, MD

Annual salary range of $35,500-$41,500, including performance-based incentives. For a limited time only, ***RECEIVE $750 SIGN-ON BONUS!*** Payments are made at 90 and 180 days of employment. Hybrid (both remote and in-person work)...

Medical Case Manager EI (Remote) 2024-1344 - Now Hiring

Managed Care Advisors

Atlanta, GA

Unrestricted State Registered Nursing License. 3-5 years related clinical experience in Medical Case management, workers' compensation, occupational health, and/or a comparable field. 3+ years of case management experience. Prefer...

Case Manager (CSR) - Texas (Remote)

Sneed & Mitchell Llp

Texas, United States

Investigate claims documents and request additional materials. Complete proper paperwork and submitto insurance carriers. Help negotiate clients' claims for benefits. Accepting inbound calls from clients and placing appropriate...

Remote LPN Case Manager (Must reside in CA)

A-Line Staffing Solutions

Sacramento, CA

The pay for this position is $40.86 per hour. Benefits are available to full-time employees after 90 days of employment. A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility...

Case Manager / Patient Engagement - Psychiatry (Remote)

Author Health

Houston, TX

$22 an hour

Strong organizational skills and excellent verbal/written communication abilities.. A valid drivers license and reliable transportation.. At least 1 year of experience in a role related to these duties.. A passion for working wit...

RN Complex Case Manager - Remote in Las Vegas, NV

Unitedhealthcare

Las Vegas, NV

$58,300 - $114,300 a year

Performs the following case management skills on a daily basis:. Perform patient assessment of all major domains using evidence based criteria (physical, functional, financial and psychosocial). Develop individualized discharge pl...

Telephonic Case Manager - California - remote (Korean Speaking)

Ilumed

California, United States

$65,000 - $85,000 a year

401(k). 401(k) matching. Dental insurance. Health insurance. Health savings account. Life insurance. Paid time off. Retirement plan. Vision insurance. Monday to Friday. Case management: 2 years (Required). California RN license (R...

RN Case Manager - Remote

Optum

Columbia, SC

$58,300 - $114,300 a year

Provide members with transition of care calls to ensure that discharged members receive the necessary services and resources according to transition plan. Conducts a transition discharge assessment onsite and/or telephonically to...

RN Case Manager - Compact License Required - Remote

Optum

Minnetonka, MN

$58,300 - $114,300 a year

Make outbound calls and receive inbound calls to assess members' current health status. Identify gaps or barriers in treatment plans. Provide patient education to assist with self-management. Make referrals to outside sources. Pro...

Registered Nurse Telephonic Case Manager - Kidney Resource Services - Remote

Optum

Downers Grove, IL

$58,300 - $114,300 a year

Making outbound calls to assess members' current health status. Identifying gaps or barriers in treatment plans. Providing patient education to assist with self-management. Interacting with Medical Directors on challenging cases....

Nurse Case Manager I (Remote)

Fresenius Medical Care

Waltham, MA

$86.4K - $109K a year

Supports FMCNA's mission, vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Provides sales and relationship support to the...

Case Manager (REMOTE)

Kadiak, Llc

Chantilly, VA

$56.1K - $71K a year

Services are to be provided between the hours of 0700-1700 local time. Remain Flexible to meet agency needs. Distribute information to APHIS designated personnel. Be the primary point of contact for scheduling appointments for gov...

Case Management Director (Remote) - LPAM12402

Techdata Service Company, Llc

Remote

$70 - $120 an hour

401(k). 401(k) matching. Dental insurance. Health insurance. Life insurance. Paid time off. Relocation assistance. Tuition reimbursement. Vision insurance. 8 hour shift. Day shift. Monday to Friday....

RN Case Manager, Hybrid Remote, El Paso, TX - Case Management

Davita Inc

El Paso, TX

* Must live locally*As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some of our most complex patients, assisting them in navigating a challenging healthcare system. You'll work autonomously a...

Case Management RN (Health Insurance) - Remote

Wps

Madison, WI

Madison, Wisconsin's Top Workplaces. USA Top Workplaces and the cultural excellence awards for Remote Work and Work-Life Flexibility. Achievers 50 Most Engaged Workplaces with the further honor of Achievers "Elite 8" winner in th...

Case Management RN (Health Insurance) - Remote

Wps Health Solutions

Madison, WI

Madison, Wisconsins Top Workplaces. USA Top Workplaces and the cultural excellence awards for Remote Work and Work-Life Flexibility. Achievers 50 Most Engaged Workplaces with the further honor of Achievers Elite 8 winner in th...

Remote RN Case Manager, Outpatient (Must have California RN License)

Alignment Healthcare

Lake Forest, CA

Coordinate care by serving as a resource for the member, their family and their physician. Ensure access to appropriate care for members with urgent or immediate needs facilitating referrals/authorizations within the benefit struc...