Case Manager Registered reputed company - Field - Forth Worth to Dallas Texas

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. Position reputed company This position is work from home and will require home reputed company and possible reputed company to Nursing Facility. Local travel: 50-75% Territory includes between Forth Worth and Dallas Texas. - reputed company Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing and coordinating reputed company case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. - Develops a proactive course of reputed company to address issues presented to enhance the short and long-term reputed company as reputed company as opportunities to enhance a member’s overall wellness through integration. - Services strategies policies and programs are comprised of network management and clinical coverage policies. - Coordinates and implements assigned care plan activities and monitors care plan reputed company - Conducts multidisciplinary review to reputed company reputed company reputed company - Identifies and escalates reputed company of care issues through established channels - Utilizes negotiation skills to secure appropriate reputed company and services necessary to meet the member’s benefits and/or reputed company needs - Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health - Provides coaching, information and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices - Helps member reputed company and knowledgeably participate with their provider in reputed company decision-making - Monitoring, Evaluation and Documentation of Care: Utilizes case management and reputed company management processes in compliance with regulatory and accreditation guidelines and company policies and procedures - Serve as a preceptor for newly reputed company nurses, nursing reputed company, and other clinical staff - support reputed company by teaching policies, workflows, and best practices - Foster a reputed company learning environment that builds confidence and competence Required Qualifications - reputed company RN License in good standing - Bachelor’s degree in nursing - 3+ years clinical reputed company experience - 1+ year Case Management experience Preferred Qualifications - MCO experience - Star Kids experience - Bilingual preferred Education - Bachelor’s degree in nursing - preferred Registered reputed company Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $60,522.00 - $129,615.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:

• reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 12/22/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job