Top 141 Reimbursement manager Jobs in Sunset Tx

LTSS Nursing Facility Service Coordinator, RN
Community Health Choice —Texas
- $37.24 - $44.85 an hour
- Full-time
- Remote
- Nursing
- Clean driving record
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
4d
Wraparound Facilitator, Case Manager II, MHY, Pos. #280, Corpus Christi, TX
Nueces County MHMR Community Center —Texas
- $22.20 an hour
- Full-time
- Nursing
- Clean driving record
- Computer literacy
- Mileage reimbursement
- Loan repayment program
Territory Sales Manager
PartsXpress —Texas
- $50,000 - $70,000 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Case Manager II, MHA, Pos. #129, Robstown, TX
Nueces County MHMR Community Center —Texas
- $22.20 an hour
- Full-time
- Nursing
- Clean driving record
- Computer literacy
- Mileage reimbursement
- Loan repayment program
HSE Manager | OSHA, Construction & Industrial Operations
Asset Guard Products, Inc. —Decatur, TX
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Paid holidays
Quick Apply
Night Shift Maintenance Electrician II
50061 Heidelberg Materials Southwest Agg LLC —Chico, TX
- $33.88 an hour
- Overtime
- Background check
- Pass drug screening
- Mid-level
- Health savings account
- AD&D insurance
6d
Regional Manager
Advocate Health Advisors, LLC —Texas
- Full-time
- Remote
- Background check
- Management
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Senior Construction Inspector - CWI
Terracon —Texas
- Construction site
- Maintenance
- Mid-level
- Paid holidays
- Health insurance
7d
Case Manager IV, IDD Intake Services, Pos. #223, Corpus Christi, TX
Nueces County MHMR Community Center —Texas
- $24.90 an hour
- Full-time
- Spanish
- Nursing
- Clean driving record
- Mileage reimbursement
- Loan repayment program
6d
Night Shift Crusher Maintenance Mechanic
50061 Heidelberg Materials Southwest Agg LLC —Chico, TX
- From $27 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health savings account
- AD&D insurance
6d
Field Service Technician Product Inspection
Mettler Toledo —Texas
- Overtime
- Engineering
- Mid-level
- Windows
- Disability insurance
- Health insurance
Night Shift Plant Maintenance Mechanic
50061 Heidelberg Materials Southwest Agg LLC —Chico, TX
- From $27 an hour
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Health savings account
- AD&D insurance
Night Shift Plant Maintenance Mechanic
50061 Heidelberg Materials Southwest Agg LLC —Lake Bridgeport, TX
- From $27 an hour
- Full-time
- Background check
- Mid-level
- Ability to lift 50 pounds
- Health savings account
- AD&D insurance
6d
Experienced Petroleum Installer
Seneca Companies, Inc. —Texas
- $25 - $37 an hour
- Full-time
- Background check
- Construction site
- CDL A
- Travel reimbursement
- Paid training
Quick Apply
Clinical Sales Specialist, Surgical Pain - Houston, TX
Avanos Medical —Texas
- $65,000 - $75,000 a year
- Full-time
- Remote
- Nursing
- Mid-level
- Windows
- Health insurance
- 401(k) matching
3d
Full-Time Home Health LVN Case Manager
Solaris Healthcare —Decatur, TX
- Full-time
- Background check
- Nursing
- LVN
- Mileage reimbursement
- Disability insurance
Quick Apply
Outside Sales Representative
POS Systems of Ohio —Texas
- $79,750 - $89,489 a year
- Choose your own hours
- POS
- Fair chance
- Communication skills
- Travel reimbursement
- Paid training
Quick Apply
5d
Midwest Regional Sales Manager
Royal Basket Trucks, Inc —Texas
- $80,000 - $90,000 a year
- Full-time
- Mid-level
- Analysis skills
- Continuous improvement
- Travel reimbursement
- Health insurance
Quick Apply
Business Office Manager (BOM) - Long Term Care
Decatur Medical Lodge —Decatur, TX
- $24.42 - $47.56 an hour
- Full-time
- Background check
- Skilled nursing facility
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
BUSINESS OFFICE MANAGER
PMG OPCO - DECATUR LLC —Decatur, TX
- Mid-level
- Office
- Children
- Disability insurance
- Health insurance

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reimbursement manager jobs near sunset tx

LTSS Nursing Facility Service Coordinator, RN

Community Health Choice -
Texas

Quick Apply

Job Details

Full-time
$37.24 - $44.85 an hour
4 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Flexible schedule
Life insurance

Qualifications

Nursing
Teamwork
Microsoft Excel
Long term care experience
Microsoft Outlook
Managed care
RN License
Star-CCM+
Case management
Productivity software
Certified Case Manager

Full Job Description

Built to Care. Driven to Improve. At Community Health Choice, we’re a nonprofit health plan dedicated to improving the health and well-being of Texans, especially underserved communities. Our employees bring purpose into practice every day through compassion, collaboration, and a commitment to better outcomes.

In this remote role, you’ll be responsible for conducting telephonic or face-to-face clinical assessments to identify, evaluate, coordinate, and manage members' needs across physical and behavioral health, social services, and long-term services and supports.

Duties include:

· Identify members at high risk for complications and coordinate care with members and the health care team.

· Manages members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.

· Obtains a thorough and accurate member history to develop an individual care plan.

· Establishes short- and long-term goals in collaboration with the members, caregivers, family, natural support, and physicians; identifies members who would benefit from an alternative level of care or other waiver programs.

· The RN has overall responsibility for developing the care plan for services for the members and ensuring the members' access to those services.

· May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within the benefits structure or through extra-contractual arrangements, as permissible.

· Interfaces with Medical Directors, Physician Advisors, and/or Interdisciplinary Teams on the development of care management treatment plans.

· May also assist with problem-solving for providers, claims, or service issues.

· Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.

· Assists in meeting members’ needs by referring members to internal and external resources.

· Provide follow-up with internal and external resources, providers, and state programs.

· Coordinate with and participate in ICT meetings with Nursing Facility Staff, members, Responsible Party, treating physicians, therapists, and any other applicable parties.

· Coordinate and assist with the transition to the community through the Money Follows the Person (MFP) process for any member who indicates a desire to leave the nursing facility.

Qualifications:

· Current unrestricted RN license in Texas; graduate of an accredited school of nursing; bachelor’s degree in nursing preferred.

· CCM

· 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.

· 1 year of experience working with the population who receive waiver services, 1 year of experience working with people with disabilities/chronic conditions, and Long-Term Services & Supports.

· Microsoft Office, clinical documentation platforms, and the internet

· Local travel

· Reliable transportation with a valid driver's license and a good driving record

Community employees' benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and options to meet your specific needs.

Community is an Equal Opportunity Employer.

Harris Health's benefits program is designed to provide you with greater flexibility and more choices to meet your specific needs. Harris Health's benefits program allows you to protect your income in case of illness, death, and disability, and to help you save for retirement.

Pay: $37.24 - $44.85 per hour

Benefits:

401(k)
Dental insurance
Disability insurance
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Parental leave
Tuition reimbursement
Vision insurance

Application Question(s):

Do you have reliable transportation?

Experience:

Case management: 3 years (Preferred)
Managed care: 3 years (Preferred)
Long term care: 3 years (Preferred)

License/Certification:

RN License (Required)
Certified Case Manager (Required)

Willingness to travel:

50% (Required)

Work Location: Remote

Quick Apply

Refine Your Search

reimbursement manager jobs in sunset tx

LTSS Nursing Facility Service Coordinator, RN

Wraparound Facilitator, Case Manager II, MHY, Pos. #280, Corpus Christi, TX

Territory Sales Manager

Case Manager II, MHA, Pos. #129, Robstown, TX

HSE Manager | OSHA, Construction & Industrial Operations

Night Shift Maintenance Electrician II

Regional Manager

Senior Construction Inspector - CWI

Case Manager IV, IDD Intake Services, Pos. #223, Corpus Christi, TX

Night Shift Crusher Maintenance Mechanic

Field Service Technician Product Inspection

Night Shift Plant Maintenance Mechanic

Night Shift Plant Maintenance Mechanic

Experienced Petroleum Installer

Clinical Sales Specialist, Surgical Pain - Houston, TX

Full-Time Home Health LVN Case Manager

Outside Sales Representative

Midwest Regional Sales Manager

Business Office Manager (BOM) - Long Term Care

BUSINESS OFFICE MANAGER

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