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Supv, Care Management
3 weeks ago
Molina Healthcare Beaumont, United StatesJob 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 ne ...
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RN Managed Care
13 hours ago
Christus Health Beaumont, TX, United StatesProvides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clini ...
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RN Care Management
2 weeks ago
CHRISTUS Health Beaumont, TX, United States Full timeIn a High Reliability Organization, the Peer Review Nurse, reporting to the Director of Quality, is responsible for organizing and coordinating Medical Staff Peer Review activities of hospital. This individual, as a designee of the Chief Medical Officers, will demonstrate their e ...
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Supv, Care Management
2 weeks ago
Molina Healthcare Beaumont, United StatesJOB DESCRIPTION · Job 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 m ...
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Clinical Care Manager
2 weeks ago
VitalCaring Group Beaumont, United StatesAs the Clinical Care Manager, you will: · Lead the coordination of the branch team's clinical care delivery · Champion communication among and between care teams, referral sources, payors, patients and families · Support the training and development of field staff to enhance thei ...
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Clinical Care Manager
23 hours ago
VitalCaring Group Beaumont, United States Full timeThe Clinical Care Manager serves as a bridge linking patients to the home health care they need. In this role, you work behind the scenes orchestrating the details between the patient, provider, and our care clinicians to ensure timely care is provided and transitions run smoothl ...
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Clinical Care Manager
3 weeks ago
VitalCaring Group Beaumont, United StatesAs the Clinical Care Manager, you will: · Lead the coordination of the branch teams clinical care delivery · Champion communication among and between care teams, referral sources, payors, patients and families · Support the training and development of field staff to enhance th ...
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RN Managed Care
2 hours ago
Christus Health Beaumont, TX, United StatesThe following information provides an overview of the skills, qualities, and qualifications needed for this role. · Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clin ...
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Managed Care Coordinator
1 week ago
HARBOR HEALTHCARE SYSTEM Beaumont, United States Full timeWe are currently seeking qualified candidates for a full time Managed Care Coordinator position in the Beaumont area.Job Description:This position will coordinate with Insurance companies, providers, patients, and clinical staff. This position will also comply with governmental r ...
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Managed Care Coordinator
2 weeks ago
HARBOR HEALTHCARE SYSTEM Beaumont, United States Full timeWe are currently seeking qualified candidates for a full time Managed Care Coordinator position in the Beaumont area. · Job Description: · This position will coordinate with Insurance companies, providers, patients, and clinical staff. This position will also comply with govern ...
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Care Manager II, Case Management
1 week ago
CHRISTUS Health Beaumont, United States Full timeJob Description Summary: The Care Manager (CM) II works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission throu ...
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Care Manager II, Case Management
1 week ago
CHRISTUS Health Beaumont, United States Full timeSummary:The Care Manager (CM) II works in collaboration with the patient/family, physicians and multidisciplinary team members to ensure patient progression through the continuum of care and to develop a plan of care for each assigned patient from admission through discharge. The ...
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Care Manager II, Case Management
1 week ago
Christus Health Beaumont, United States Full time· Summary: · The Care Manager (CM) II works in collaboration with thepatient/family, physicians and multidisciplinary team members toensure patient progression through the continuum of care and todevelop a plan of care for each assigned patient from admissionthrough discharge. T ...
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Mgr, Healthcare Services
3 weeks ago
Molina Healthcare Beaumont, United StatesJob 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 ne ...
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Director of Nursing Services
2 weeks ago
Harmony Care at Beaumont Beaumont, United StatesJob Summary: · We are seeking a highly skilled and experienced Director of Nursing to join our healthcare team. As the Director of Nursing, you will be responsible for overseeing and managing all aspects of nursing services within our facility. This is a leadership role that requ ...
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Regional Director Quality Management
3 weeks ago
Christus Health Beaumont, United States**Summary**: · In collaboration with other clinical leaders in the Regional Group, is responsible for ensuring that patient care is delivered within the framework of evidence-based practice throughout the health system continuum and for understanding existing and emerging require ...
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Regional Director Quality Management
2 weeks ago
CHRISTUS Health Beaumont, United StatesDetails · **Posted**: 16-Apr-24 · **Location**: Beaumont, Texas · **Salary**: Open · **Internal Number**: · **Description** Summary**: · In collaboration with other clinical leaders in the Regional Group, is responsible for ensuring that patient care is delivered within the fram ...
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Director of Personal Care Services
2 weeks ago
AccentCare, Inc. Beaumont, United StatesOverview: · **Why You'll Love Being a **Director of Personal Care Services at AccentCare in Beaumont, Texas** · Do you enjoy providing outstanding patient care? Bring your organizational skills and knowledge of at-home care and join the AccentCare team today in this Director Pers ...
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Hospice Nurse
2 weeks ago
Beaumont Hospice Care Beaumont, United StatesWe are seeking a compassionate and experienced Hospice Nurse to join our team. As a Hospice Nurse, you will provide specialized care and support to patients and their families during end-of-life stages. This is a rewarding opportunity to make a difference in the lives of patients ...
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Hospice Rn
3 weeks ago
Enhabit Home Health & Hospice Beaumont, United StatesAre you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. · As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. ...
Social Work Care Management - Jefferson, TX, United States - Molina Healthcare
Description
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 toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Oversees an integrated Care Management team responsible for case management, community connectors, health management, and/or transition of care activities to assist Molina Healthcare members with their healthcare needs.
Care Management staff work to help members achieve optimal clinical, financial and quality of life outcomes, including safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a cost-efficient manner.
Functions as a hands-on supervisor, providing direction and guidance to the care management team to ensure implementation of activities that align with the model of care and that meet regulatory requirements.
Manages staff caseloads and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields).
Oversees the staff use of the electronic case management documentation system in compliance with standard Molina processes, standard documentation styles, and HIPAA.
Arranges training as needed.Manages, coaches and evaluates the performance of team members; and assists with selection, orientation and mentoring of new staff.
Promotes multidisciplinary collaboration, provider outreach, and engagement of family and caregivers to enhance the continuity of care for Molina members.
Oversees and/or participates in Interdisciplinary Care Team meetings.Works with the Manager to ensure adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and performance indicators.
Audits case management assessments and care plan development for completeness and timeliness according to state requirements.Monitors onsite hospital discharge visits and post-discharge visits to assure continuity of care and prevent unnecessary readmissions.
May monitor the completeness of the Transition of Care (ToC) assessment and the timeframes for contact are per ToC protocols.
OR Bachelor's or master's degree in gerontology, public health, or social work with related case management experience.3 or more years in case management, disease management, managed care or medical or behavioral health settings.
Bachelor's or master's degree in Nursing,
More than five years Case Management experience.
Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
#Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.