Case Manager in Texas

Overview: 

At Wider Circle, we believe in building strong communities by connecting individuals with the services they need to thrive. The Case Manager Representative plays a pivotal role in assessing members' needs, advocating for essential services, and ensuring progress through continuous support and follow-up. By working closely with members and community organizations, the Case Manager Representative helps bridge the gap between individuals and the resources that empower them to grow and succeed. This role is key to advancing our "LOVE, LEARN, GROW" philosophy, ensuring that each member feels valued and supported in their journey.

Company Overview

At Wider Circle, we connect neighbors for better health. Wider Circle's groundbreaking Connect for Life® program brings neighbors together in-person and online for health, wellness, and social activities that improve mental and physical health. We create webs of...

Texas Health Action (THA) is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with an expertise in serving LGBTQIA+ people and those impacted by HIV. THA's programs include Kind Clinic, Waterloo Counseling Center, and TeleKind (telemedicine services). Read more about THA here: http://texashealthaction.org.

Texas Health Action is currently seeking a Non-Medical Case Manager (NMCM) to serve our Kind Clinic locations in Austin. This position will work closely with Ryan White clients receiving sexual health services to coordinate a range of client-centered services linking them to healthcare, psychosocial services and support, and/or other services as needed. The NMCM focuses on improving access to and retention in needed core medical and support services. The NMCM also provides coordination, guidance, and assistance in accessing...

Position Summary

The Financial Case Manager will provide comprehensive financial case management services to individuals and families in need. This role will involve evaluating financial needs, developing and implementing financial plans, and providing ongoing support and guidance to clients. You will work closely with clients to assess their financial situation, provide education on budgeting and financial management to help them access resources and services to improve their financial stability.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

• Conduct financial assessments and evaluations to determine clients' financial needs and goals
• Develop and implement individualized financial plans based on clients' unique circumstances
• Provide one-on-one financial coaching and education to clients, including budgeting, debt management, and savings...

Texas Health Action (THA) is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with an expertise in serving LGBTQIA+ people and those impacted by HIV. THA's programs include Kind Clinic, Waterloo Counseling Center, and TeleKind (telemedicine services). Read more about THA here: http://texashealthaction.org.

THA is currently seeking a Medical Case Manager to serve our Kind Clinic locations in Austin. This position will work closely with clients receiving sexual health services to coordinate a range of client-centered services linking them to healthcare, psychosocial services and support, and/or other services as needed. This position reports to the Care Navigation Manager on the Patient Support Services team.

What you would do:

● Collaborate with patient advocacy and clinical staff to identify current clients who are eligible for...

Responsible for providing case management services to children and families in Amarillo and the surrounding area. Duties include in-home crisis intervention, parent education, intensive counseling, assessment and life skills development for families with children at risk for out of home placement.

Requirements

JOB SPECIFICATIONS

• Bachelor’s degree from an accredited university in Social Work, Psychology or Sociology is preferred. Related professional license is preferred.
• Master’s degree and related professional license is preferred. Two years' experience with a bachelor's degree can be substituted.
• Fluent in English and Spanish preferred.
• A minimum of 2 years’ experience working with youth and/or families.
• Competency in Microsoft Office for Windows applications (word processing, database, spreadsheet, e-mail, presentation graphics, etc.) is required.
• Proficiency in general office...

Case managers are advocates for each individual client. Their role is to help clients plan, facilitate and manage their treatment plans for aftercare and discharge planning. Case managers get to know their clients on a personal level. They learn about their families, life circumstances, legal challenges, employment status, medical needs, and any other information pertinent to managing the client’s recovery journey. Case Managers serve as an intermediary between our clients and their families, lawyers, doctors, employers, universities or any other pertinent people or entities involved in the client’s treatment plan. Case Managers communicate with counseling and UR teams on all aspects of patient care.

Essential Duties:

·         Perform all case management requirements in accordance with designated scope, state laws, substance use treatment boards, and professional ethical guidelines. ...

Responsible for the provision of case management services to the alumni of Cal Farley’s Boys Ranch to include coaching, goal setting and tracking, maintenance of files and related activities.  Serves as liaison between clients and outside social service resources and agencies.  

Requirements

Essential Duties:

1.    Exhibits regular and punctual attendance.

2.    Completes all assessment tools indicated by Alumni Support Services protocol to promote valid and reliable outcome measures.

3.    Actively participates in discharge planning and development of aftercare plans for residents of Boys Ranch.

4.    Assists with case management and program development of Alumni Support Center.

5.    Maintains case files that are current, accurate, confidential and in compliance with all Council On Accreditation (COA)...

• Develop and monitor patient-centered plans and treatments goals
• Assure the deliverance of quality treatment to patients and their families
• Provide quality case management services to all patients and their families
• Serve as a member of interdisciplinary team supporting the organization's treatment program and philosophy.
• Assists with discharge planning, including meeting with patients/families to gather basic data and formulate an initial discharge plan.
• Coordinate services with other treatment team members.
• Assists with member discharge evaluations, works with teams to build treatment plans that promote long-term health and relapse prevention.
• Maintain effective quality clinical records.
• Integrates with all care centers in hospital, addressing a variety of age-specific concerns.
• Attends and participates in regularly scheduled staff meetings including other department required meetings and...

Wider Circle is a Silicon Valley healthcare start-up that engages with members of the community to learn how to maintain and improve their health, and outlook on life.

We are now seeking a Case Manager who is passionate about serving and making connections with empathy and compassion. At Wider Circle we are proud to be a drug free company and the selected candidate must pass a criminal background check and drug test.

Responsibilities:

Determines members needs by completing an intake interview

Advocating for needed services and resources

Maintains members progress and results.

Prepares reports by collecting , analyzing and summarizing treatments results and data and compiling statistics Wider Circle leadership,

Requirements

3-5 years of experience working in the insurance industry

Excellent customer service skills

Strong written and verbal communication skills

Ability to explain...

Seeking a Hospice Full-Time RN Case Manager for Winnie, TX

Come work for a company that cares for you beyond your nursing license.

Compassion Hospice is a mission driven company. We are here for you every step of the way to help overcome daily challenges of working in the healthcare field. We follow the highest clinical & safety standards that help protect you long after you have clocked out of your shift.

Benefits

• Multiple Major Medical Plans to Choose From (Medical, Dental & Vision)
• Flexibility, competitive pay, paid mileage, benefits package, and 401K!
• Spousal Insurance
• PTO
• Orientation and training tailored to your needs as a new hire.
• Motivational PHC culture, training, and...

Seeking a Hospice Full-Time RN Case Manager for Woodville, TX

Come work for a company that cares for you beyond your nursing license.

Compassion Hospice is a mission driven company. We are here for you every step of the way to help overcome daily challenges of working in the healthcare field. We follow the highest clinical & safety standards that help protect you long after you have clocked out of your shift.

Benefits

• Multiple Major Medical Plans to Choose From (Medical, Dental & Vision)
• Flexibility, competitive pay, paid mileage, benefits package, and 401K!
• Spousal Insurance
• PTO
• Orientation and training tailored to your needs as a new hire.
• Motivational PHC culture, training,...

Case managers are advocates for each individual client. Their role is to help clients plan, facilitate and manage their treatment plans for aftercare and discharge planning. Case managers get to know their clients on a personal level. They learn about their families, life circumstances, legal challenges, employment status, medical needs, and any other information pertinent to managing the client’s recovery journey. Case Managers serve as an intermediary between our clients and their families, lawyers, doctors, employers, universities or any other pertinent people or entities involved in the client’s treatment plan. Case Managers communicate with counseling and UR teams on all aspects of patient care.

Essential Duties:

·         Perform all case management requirements in accordance with designated scope, state laws, substance use treatment boards, and professional ethical guidelines. ...

Seeking a Hospice Full-Time RN Case Manager for Beaumont, TX

We also have an On-Call Weekends position available!

Come work for a company that cares for you beyond your nursing license.

Compassion Hospice is a mission driven company. We are here for you every step of the way to help overcome daily challenges of working in the healthcare field. We follow the highest clinical & safety standards that help protect you long after you have clocked out of your shift.

Benefits

• Multiple Major Medical Plans to Choose From (Medical, Dental & Vision)
• Flexibility, competitive pay, paid mileage, benefits package, and 401K!
• Spousal Insurance
• PTO
• Orientation and training tailored...

Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in a serene, picturesque setting within the Spring Branch District of West Houston. We have highly qualified caring staff ready to provide exceptional service.

The team at Houston Behavioral Healthcare Hospital strives to be the leaders in Behavioral Health by delivering quality services to those entrusted in our care. By embarking on a path with our community and ensure Compassion, Acceptance, Respect, Empowerment, and Sincerity with each step we take together.

Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for a Full-Time Lead Case Manager, Monday through Friday (8am-4:30pm).

The Lead Case Manager will report to the Director of Utilization Review and will be responsible to provide quality case management services to all patients and their families, to serve as a member of interdisciplinary team supporting the organization's treatment...

Texas Health Action (THA) is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with an expertise in serving LGBTQIA+ people and those impacted by HIV. THA's programs include Kind Clinic, Waterloo Counseling Center, and TeleKind (telemedicine services). Read more about THA here: http://texashealthaction.org.

Texas Health Action is currently seeking a Non-Medical Case Manager (NMCM) to serve our Kind Clinic locations in Austin. This position will work closely with Ryan White clients receiving sexual health services to coordinate a range of client-centered services linking them to healthcare, psychosocial services and support, and/or other services as needed. The NMCM focuses on improving access to and retention in needed core medical and support services. The NMCM also provides coordination, guidance, and assistance in accessing...

Under general supervision of the Director of Case Management, RN Case Manager provides support to the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include:

1. Facilitates pre-certification and payor authorization processes.
2. Facilitates collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
3. Employs...

Under general supervision of the Director of Case Management, RN Case Manager provides support to the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions.  The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include:

ESSENTIAL JOB FUNCTIONS

Every effort has been made to make this job description as complete as possible.  However, it in no way states or implies that these are the only duties the incumbent will be required to perform.  The omission of...

Under general supervision of the Director of Case Management, RN Case Manager provides support to the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. The RN Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include:

• Facilitates pre-certification and payor authorization processes.
• Facilitates collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement.
• Employs...

The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and retrospective review of inpatient admissions and services. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.

• Conducts admission reviews.
• Conducts concurrent and extended stay reviews.
• Prepares and submits appeals to third party payors.
• Maintains appropriate records of the Utilization Review Department.
• Performs related duties, as requested.
• Upholds the Organization's ethics and customer service standards.

*This position is on-site and NOT a remote...