-
Case Manager
1 week ago
Gpac San Antonio, United States Full timePosition: Case Manager · Location: San Antonio · I 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 Manag ...
-
Case Manager
2 weeks ago
Jobot San Antonio, United StatesJob Description · Job DescriptionThis Jobot Consulting Job is hosted by: Crystal Quinn · Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume. · Salary: $19 - $19 per hour · A bit about us: · Are you passionate about making a positive impact ...
-
Bilingual Case Manager
3 weeks ago
Archdiocese of San Antonio San Antonio, United States Full timeWorkdays: Monday - FridayWork Hours: 8:00 a.m. - 5:00 p.m.Location: 1115 Mission Rd., San Antonio, TX. 78210 Mission: Seton Home works to break the cycle of abuse and poverty by providing a caring home, education, and support services necessary to transform the lives of pregnant ...
-
LVN Case Manager
3 days ago
GONZABA MEDICAL GROUP San Antonio, United States Full timeGeneral Summary: The LVN Case Manager focuses on providing quality and continuity of care for our patients while reducing utilization costs. Responsibilities for this position include directing patients to timely, appropriate healthcare services based on the patients' symptoms a ...
-
Certified Case Manager
5 days ago
CNT Associates San Antonio, United StatesQualifications · 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 pr ...
-
Prelitigation Case Manager
1 week ago
Gamez Law Firm San Antonio, United StatesBenefits: · 401(k) · 401(k) matching · Dental insurance · Health insurance · Paid time off · Vision insurance · We're looking for a reliable, exceptionally organized professional to join our fast-paced law firm as a Prelitigation legal case manager. The right candidate wil ...
-
Telephonic Case Manager
4 days ago
Injury Management Organization, Inc San Antonio, United StatesJob Description · Job DescriptionWorkers Comp RN Certified Network Case Manager · MUST RESIDE IN THE SAN ANTONIO, TX AREA · BI-LINGUAL ENGLISH/SPANISH · RN preferred - REQUIRES Certification in Case Management, i.e., CCM, CRN, CDMS, CRC, COHN, etc. within the first 12 months of ...
-
RN Case Manager
1 week ago
SERENITY HOSPICE AND PALLIATIVE CARE OF TEXAS San Antonio, United StatesJob Description · Job DescriptionLooking for RN Case Manager to manage small hospice case load. · Call for details · Serious inquiries only please · ...
-
Nurse Case Manager
22 hours ago
University Health San Antonio, United StatesPOSITION 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. Resp ...
-
Nurse Case Manager
4 weeks ago
University Health San Antonio, United StatesPOSITION 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 ...
-
Case Manager-GPD
4 days ago
AMERICAN GI FORUM- NVOP San Antonio, United StatesJob Description · Job DescriptionAbout the Company · American GI Forum - National Veterans Outreach Program is a nonprofit organization. Our mission is to establish and maintain a comprehensive community service agency with a diversified funding source serving the needs of Vetera ...
-
RN Case Manager
3 weeks ago
St. Gabriel's Hospice and Palliative Care San Antonio, United StatesJob Description · Job DescriptionSt. Gabriel's Hospice & Palliative Care is currently seeking a RN Case Manager to join our team in San Antonio · About Us · St. Gabriel's Hospice is a compassionate and patient-centered organization dedicated to providing exceptional end-of-life c ...
-
Case Manager RN Pediatrics
3 days ago
Methodist Hospital San Antonio, United States HOSDescription · Introduction · Are you looking for a place to deliver excellent care patients deserve? At Methodist Hospital we support our colleagues in their positions. Join our Team as a(an) Case Manager RN Pediatrics and access programs to assist with every stage of your caree ...
-
Case Manager RN Oncology
3 days ago
Methodist Hospital San Antonio, United StatesDescription · Introduction · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Case Manager RN Oncology with Methodist Hospital you can be a part of an organization that is devoted to giving back · Benefits · Methodist ...
-
Telephonic Case Manager, LTSS
3 weeks ago
tapwage San Antonio, United States Full timeJOB 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 me ...
-
Case Manager
1 week ago
PAM Health San Antonio, TX, United States Part timeCase Manager · Submit your CV and any additional required information after you have read this description by clicking on the application button. · The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manag ...
-
Case Manager
1 week ago
Jobot San Antonio, United StatesCase managers needed for local non profit affiliated with one of the largest health care system in San Antonio · Apply fast, check the full description by scrolling below to find out the full requirements for this role. · This Jobot Consulting Job is hosted by: Scott Steele · ...
-
Case Manager
1 week ago
Jobot San Antonio, United StatesJob Description · Job DescriptionCase managers needed for local non profit affiliated with one of the largest health care system in San Antonio · This Jobot Consulting Job is hosted by: Scott Steele · Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us ...
-
Case Manager
1 week ago
PAM Health San Antonio, United StatesCase Manager · The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admissi ...
-
Case Manager
2 weeks ago
Jobot San Antonio, TX, United StatesCase managers needed for local non profit affiliated with one of the largest health care system in San Antonio This Jobot Consulting Job is hosted by: Scott Steele · Are you a fit? Easy Apply now by clicking the "Apply" button · and sending us your resume. · Salary: $19 - $26 p ...
Nurse Case Manager - San Antonio, United States - University Health
Description
POSITION SUMMARY/RESPONSIBILITIESIdentifies 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/EXPERIENCEGraduation 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.