ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.
Axelon
Austin, TX, United States
Location: Field worker - member facing; source from Austin, TX SHIFT: Business hours are typically 8-5 but due to the need to documentation is required to be submitted within turn around times it is important to note that more than 8 hours would be required at time to complete. Visits can run after 5pm due to the population of children being asses
Job Source: AxelonBaylor Scott & White Health
Pflugerville, TX, United States
BSW ROUND ROCK MEDICAL CENTER EXPANSION 2025 Join us in an extraordinary opportunity to be at the forefront of our hospital's expansion in Round Rock, Texas. As we gear up to open our doors on January 11, 2025, you'll play a pivotal role in shaping the future of healthcare in our community. Our expansion, spanning 165,000 square feet, will introd
Job Source: Baylor Scott & White HealthBaylor Scott & White Health
Leander, TX, United States
BSW ROUND ROCK MEDICAL CENTER EXPANSION 2025 Join us in an extraordinary opportunity to be at the forefront of our hospital's expansion in Round Rock, Texas. As we gear up to open our doors on January 11, 2025, you'll play a pivotal role in shaping the future of healthcare in our community. Our expansion, spanning 165,000 square feet, will introd
Job Source: Baylor Scott & White HealthSunshine Health
Austin, TX, United States
Care Manager RN - Pediatrics page is loaded Care Manager RN - Pediatrics Apply locations Austin-5900 E Ben White Blvd (10703) time type Full time posted on Posted 2 Days Ago job requisition id 1485236 You could be the one who changes everything for our 28 million members as a clinical professio
Job Source: Sunshine HealthCVS Health
Austin
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that h
Job Source: CVS HealthCentene Corporation
Austin, TX, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be licensed and reside in Texas Hybrid Position - SDA Travis Cou
Job Source: Centene CorporationSuperior HealthPlan
Austin, TX, United States
Job Description: You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be licensed and reside in Texas Hybrid Position
Job Source: Superior HealthPlanFrost Bank
Lakeway, TX, United States
Do you consider yourself to be a self-starter? Passionate about financial literacy? Are you willing to step outside your comfort zone in order to provide next-level products, services, and opportunities to our customers? If so, then the Relationship Manager II role might be for you! At Frost, it’s about more than a job. It’s about having a flourish
Job Source: Frost BankAustin, TX, United States
Job Title: Care Manager II (RN)
Job Duration: 06 Months with possible extension
Job Location: Austin, TX 78741
Position Purpose :
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
* Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
* Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
* Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
* Provide patient and provider education
* Facilitate member access to community based services
* Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
* Actively participate in integrated team care management rounds
* Identify related risk management quality concerns and report these scenarios to the appropriate resources.
* Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience
* Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
* Direct care to participating network providers
* Perform duties independently, demonstrating advanced understanding of complex care management principles.
* Participate in case management committees and work on special projects related to case management as needed
* For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required
Education/Experience :
Graduate from an Accredited School of Nursing.
Bachelor's degree in Nursing preferred. 2+ years of clinical nursing or case management experience in clinical, acute care, managed care or community settings.
2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment.
Experience with medical decision support tools (i.e. Interqual, NCCN) and government-sponsored managed care programs.
Other state-specific requirements may apply.
Licenses/Certifications: Current state's RN license.
#J-18808-Ljbffr
Care Manager II (RN) jobs in Austin, TX, United States
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.