Nurse Case Manager - CFHP
University Health
POSITION SUMMARY/RESPONSIBILITIES
Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.
EDUCATION/EXPERIENCE
Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master’s degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
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...Registered Nurse Case Manager (San Antonio, TX) About Bloom: Bloom Healthcare is a pioneering and employee‑owned primary care and hospice practice at the forefront of transforming healthcare delivery for vulnerable patients. We bring high‑touch, innovative medicine to...- ...Job Title: Registered Nurse Case Manager Territory: San Antonio, TX Job Summary Bloom Healthcare, a Colorado leader in population health management, home-based primary care, and hospice, is seeking a hospice nurse to join our expanding Hospice team as an RN Case Manager...
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...RN - Case Manager Weekly Pay: $1741 - $2212 Shift: 8 hour days Start Date: 07/27/2026 End Date: 10/24/2026 Duration: 13 Week(s) Location: San Antonio, TX *Estimated pay and benefits package based on pay range over last 36 months. Exact pay and benefits...Weekly payShift work- ...Job Details POSITION SUMMARY - RN Case Manager POSITION DUTIES - Coordinate patient care from admission through discharge... ...and recovery goals. Collaborate closely with physicians, nurses, and external providers to remove barriers to care, streamline...Temporary workImmediate startShift work
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$25 - $28 per hour
...hourly Job Description AECOM is seeking experienced and professionalCommunity Development Block Grant – Disaster Recovery(CDBG-DR) Case Managers to join our team in providing applicant intake, outreach, and case management services across 27 Texas counties: Anderson, Bell,...Hourly payTemporary workWork at officeRelocationRelocation packageFlexible hours- ...Case Manager RN This Case Manager RN role is with the Costco Team and is fully remote; however, candidates must reside within 45 minutes... ...hire (expenses will be covered by company). ~ A Registered Nurse that must hold an unrestricted license in their state of...Temporary workReliefWork at officeLocal areaRemote workMonday to Friday
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