1886 Case Manager Remote jobs in Texas

Clinical Case Manager - Utilization Review & Discharge Planning

Encompass Health Rehabilitation Hospital The Vintage

Houston, TX 77254

If licensure is required for his/her discipline within his/her state, individual must hold an active license.
Current CCMï¿½ or ACM certification required.
For all other eligible licensed or certified health care professionals, must possess a minimum of a baccalaureate degree
Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).
For Nursing, must possess minimum of an Associate Degree in Nursing
Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.
A diploma is acceptable only in those states whose minimum requirement for licensure or certification is diploma rather than Associate Degree.
Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds.
Good visual acuity and ability to communicate.

Hire Standard Staffing

all cities, TX

Comfortable using Zoom and other online communication tools.
No prior insurance experience is required — only a strong drive to succeed and a willingness to learn.
Must be a U.S. or Canadian citizen.

USAA

Atascosa, TX 78002

Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license.
US military experience through military service or a military spouse/domestic partner
Expert knowledge and understanding of fraud investigations as well as application of case law and state laws and regulations.
Experience in concurrent handling of specialty/complex/litigated claims/cases as well as mediation/arbitration/trial preparation and participation.
Ability to capture broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
Demonstrated ability to coordinate and prioritize workload, performing multiple tasks and devising solutions to problems.
4+ years of P&C; SIU/Fraud investigation experience; OR 6+ years relevant fraud industry investigation experience.
Experience using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
High School Diploma or General Equivalency Diploma.
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.
Must be a skilled investigator with experience taking sophisticated statements from multiple parties to an event.

Del Sol Medical Center

Socorro, TX 79928

2+ years experience in case management OR 3+ years experience in clinical nursing Required
Associate Degree in Nursing or Nursing Diploma Required
Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation. Required