1397 Assistant Case Manager jobs in San Antonio,TX

Nurse Case Manager - CFHP

University Health

Boerne, TX 78006

~ 29 min Onsite

Graduate of an accredited school of professional nursing required
Bachelor's degree in Nursing (BSN)
Current unrestricted Registered Nurse (RN) license issued by the Texas Board of Nursing
Certification: CCM, ACM, Utilization Management Certification, or other related certification is required
If certification is not held at the time of hire, certification may be required within two (2) years of hire or transfer into the position, consistent with organizational requirements
Minimum five (5) years of Utilization Management experience
Two (2) years of management or leadership experience
Demonstrated knowledge of NCQA Utilization Management Standards
Demonstrated knowledge of URAC Utilization Management Standards
Demonstrated knowledge of CMS Managed Care requirements
Demonstrated knowledge of Texas Medicaid Managed Care regulations
Knowledge of medical necessity review criteria, including InterQual®, MCG®, and/or organization-approved clinical review criteria
Knowledge of Utilization Management operations, including prior authorization, concurrent review, retrospective review, appeals, and denial management
Knowledge of regulatory compliance, accreditation readiness, quality improvement, and performance monitoring

Recommended

Nurse Case Manager - CFHP

University Health

San Antonio, TX 78228

Onsite

RN is required
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required
Knowledge of InterQual screening criteria and coding resources (DRG, ICD and CPT) is required
Knowledge of Medicaid, community resources, alternate funding programs, Texas Health and Human Services Commission and Texas Department of Insurance HMO standards and NCQA in a managed care setting is required
Minimum four (4) years nursing, acute care, quality management or managed care experience is required
Current certification from an appropriate professional agency such as Case Management Society, is required
BSN or Master's degree is preferred

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CNA, Certified Nurse Assistant - Nursing Float Pool - Relocation Required

CHRISTUS Health

Universal City, TX 78148

Physician Assistant/Nurse Practitioner

Vision Technology

Jbsa Ft Sam Houston, TX 78234

Recommended

Care Management Processor (REMOTE) - TX ONLY

Molina Healthcare

San Antonio, TX 78206

$14.90-$29.06/hr

Remote

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.

Case Mgr RN

UnitedHealth Group

San Antonio, TX 78206

$75,624-$97,288/yr

OnsiteRetirement Benefit

Current and unrestricted RN licensure in the state of practice
Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation

OnsiteHealth InsurancePaid Time OffRetirement Benefit

Easy Apply

Nurse Manager

San Antonio Recovery Center

San Antonio, TX 78228

Graduated from an accredited school of nursing
Registered Nurse (RN) licensed
Current BLS certification
Satisfactory criminal background check and drug screen
Must be present during working hours at the office for in person meetings and access to a computer without violating company policy
Ability to carry out written and oral instructions; to exercise judgment in the application of nursing care; to accept and use supervision; to work cooperatively with people; to maintain an objective attitude; to exercise tact and initiative; to stimulate patients and families to constructive actions; to grasp and apply the basic principles of administration and operation of a health program and to communicate effectively
Familiarity with Addiction Medicine
Self-directed with the ability to work with little supervision
Flexible and cooperative in fulfilling all obligations
Knowledge of accreditation and certification requirements and standards
Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment in area of expertise
Understanding of HIPAA, Federal, State & CARF standards & regulations
Fundamental knowledge of professional nursing principles, techniques, basic addiction medicine science, and of community health and welfare resources
Ability to react calmly and effectively in emergency situations
Leadership ability, especially in case of medical emergencies
Proper ability to maintain quality, safety, and/or infection control standards
Ability to assess client's physical/emotional condition in a short period of time
Prior experience in substance abuse or mental health treatment preferred
Excellent verbal, written, interpersonal, and communication skills, organizational skills, and detail-oriented
Strong computer skills and knowledge of EHR, ePrescribe software, Word, Outlook, and Excel
Ability to handle stressful situations and interact with others
Ability to carry out and oversee medical orders to ensure timely enactment (usually within 24 hours)
Knowledge of medication inventory and narcotic inventory management
Satisfactory references from employers and/or professional peers

Easy Apply

Sales Rep - Flexible Work - Entry Level

Vector Marketing

San Antonio, TX 78209

Flexible Schedule

Enjoy working with people
All ages eighteen plus or seventeen and a high school graduate
Conditions apply
Willing to learn and apply new skills

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Recommended

Medical Assistant - Senior Living

Curana Health

San Antonio, TX 78228

Onsite

Certified Medical Assistant
Reliable transportation required, as this role involves travel between community sites