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Case Manager Utilization Review Remote

Houston,TX

292 Case Manager Utilization Review Remote jobs in Houston,TX

New, Posted 17 hours ago
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Telephonic Care Manager, LTSS (RN)

Molina Healthcare

Houston, TX 77009

$26.41-$51.49/hr
Remote

  • The RN license must be active and unrestricted in state of practice
  • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law
  • At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience
  • Ability to operate proactively and demonstrate detail-oriented work
  • Demonstrated knowledge of community resources
  • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations
  • Ability to work independently, with minimal supervision and demonstrate self-motivation
  • Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations
  • Ability to develop and maintain professional relationships
  • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change
  • Excellent problem-solving and critical-thinking skills
  • Strong verbal and written communication skills
  • Microsoft Office suite/applicable software program(s) proficiency
  • In some states, must have at least one year of experience working directly with individuals with substance use disorders
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Remote Mental Health Group Facilitator - Master's Degree Required

Charlie Health

Pasadena, TX 77505

Remote

  • Must be available during late afternoons and evenings on weekdays (3-8pm MT on Monday to Thursday) and on Saturdays to meet the schedules of our adolescent and young adult clients
  • Master's degree in mental health or related field required (see below for full list)
  • Experience working with youth and young adults
  • Well versed in a variety of modalities and feel confident integrating them into your treatment approach (DBT, CBT, EMDR, MI certification is a plus)
  • Passionate about the benefits of group treatment and skilled in conducting group treatment
  • Ability to work effectively in a team
  • Creative and engaging, especially over video!
  • The technical ability to run effective telehealth sessions
  • Reliable WIFI connection when meeting with clients
  • Familiarity with and willingness to use cloud-based communication software—Gmail, Slack, Zoom, Dropbox–in addition to EMR and outcomes survey software on a daily basis
  • Part time 1099 role
  • Based on the nature of this role, you will need to complete several state background checks for clearance to see clients. Florida requires a fingerprint based background check, with more information found here. Please note that the cost for this background check will be paid for in full by Charlie Health.
  • Master of Science (M.S.) in Mental Health Counseling
  • Master of Arts (M.A.) in Counseling Psychology
  • Master of Social Work (M.S.W.) with a concentration in Mental Health
  • Master of Science (M.S.) in Clinical Mental Health Counseling
  • Master of Arts (M.A.) in Marriage and Family Therapy
  • Master of Arts (M.A.) in Clinical Psychology
  • Master of Science (M.S.) in School Counseling
  • Master of Science (M.S.) in Rehabilitation Counseling
  • Master of Science (M.S.) in Applied Developmental Psychology
  • Master of Arts (M.A) in Education (with experience in behavioral health)
  • Master of Education (Ed.M) (with experience in behavioral health)
SmartExplore AI is experimental.
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New, Posted 21 hours ago
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Care Management Processor

Molina Healthcare

Houston, TX 77001

$14.90-$29.06/hr
Onsite

  • At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
  • Strong attention to detail.
  • Problem-solving skills.
  • Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
  • Excellent customer service skills.
  • Time-management and organizational skills.
  • Strong verbal and written communication skills.
  • Microsoft Office suite/applicable software program(s) proficiency.
SmartExplore AI is experimental.
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New, Posted 4 hours ago
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Border Patrol Agent (BPA) Experienced New Hire Sign-On and Retention Incentives

United States Customs and Border Protection

South Houston, TX 77587

$63,148-$120,145/yr
Bilingual Preferred
New, Posted 1 hour ago
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Property Adjuster Specialist - Field

USAA Careers

Houston, TX 77084

New, Posted 4 hours ago
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Border Patrol Agent (BPA) Experienced New Hire Sign-On and Retention Incentives

United States Customs and Border Protection

Pearland, TX 77584

$63,148-$120,145/yr
Bilingual Preferred
New, Posted 16 hours ago
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Nurse Practitioner or Physician Assistant - Outpatient Primary Care - WellMed Medical Group - El Paso, TX

UnitedHealth Group

North Houston, TX 77315

$15,000 bonus
~ 30 min OnsiteBilingual PreferredEducation AssistancePaid Time OffRetirement Benefit

  • Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or the National Commission on Certification of Physician Assistants (NCCPA)
  • Current Licensure through the Texas Board of Nurse Examiners OR Physician Assistant license by the Texas State Medical Board
  • Valid DEA license or the ability to obtain one prior to employment
  • Comfortable managing a primarily Medicare-aged patient population
SmartExplore AI is experimental.
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New, Posted 1 hour ago
Manufacturing Maintenance Manager

Advanced Technology Services Careers

Houston, TX 77084

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Occupational Therapist or Senior OT - Bay Colony Pediatrics and Galveston PCP, Outpatient (24 hrs/wk)

UTMB Health

League City, TX 77573

~ 39 min Onsite

  • Master's degree or equivalent in Occupational Therapy from an accredited program.
  • Licensed or eligible for license in the State of Texas.
  • No experience required
  • Five years' related experience.
SmartExplore AI is experimental.
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Suppression Service Technician

Pye Barker

Houston, TX 77032

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