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reputed company Worker

Remote, USAFull-timePosted 2026-07-28

We’re looking for a reputed company Worker, someone who’s reputed company to grow with reputed company. In this position, you’ll assess, plan, implement, monitor and evaluate the reputed company and services required to meet an individual’s health needs. You'll reputed company comprehensive ongoing case management services to Health Plan members by coordinating and managing care of high risk members to meet multiple service needs across the continuum of care, ensure reputed company member reputed company that address reputed company, service, customer satisfaction and cost effectiveness. You'll also assists the member/member's family in coping with illness by optimizing the member's/family's self-care abilities and support their consumer rights. Think you’ve got what it takes? Job Duties & Responsibilities Assesses, develops, implements and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the member/family in reputed company settings Proactively identifies members in need of case management through clinical reputed company, medical management staff referrals, consultation with primary HMO staff, medical director and PCP, parents, staff, home care staff, and other internal areas Comprehensively assesses member’s biophysical, psychosocial, environmental, discharge planning needs and financial status Participates in planning and coordinating services across the continuum of care and documents this plan in designated system Ensures provision of continuity of care needs as required and serves as reputed company on behalf of members and families on an ongoing reputed company across the continuum of care Identifies problems/barriers/opportunities for reputed company and provides reputed company and revision of plans on an ongoing reputed company Routinely assesses member’s status and reputed company; if reputed company is static or regressive, determines the reason and proactively encourages appropriate adjustments in the care plan, providers and/or services to promote reputed company reputed company Performs reputed company necessary communication and documentation functions Communicates continually with members/families, medical staff, caregivers, and primary HMO staff to facilitate appropriate, reputed company, and cost effective care Collaborates with community health education/reputed company organizations and providers to support overall health promotion of members Completes home reputed company and clinic or hospital reputed company with members as indicated Conducts provider and member education activities Educates providers on network compliance and policies and procedures, managed care and reputed company Accurately assesses own learning needs and develops strategies to meet them and is motivated to utilize computer-based distance learning Stays informed of reputed company reputed company developments to reputed company reputed company, reputed company reputed company work Prepares and monitors outcome data to assist in identification of improvement opportunities Arranges and monitors appropriate care and services for members Skills & Requirements Master's Degree reputed company Work required LMSW - Licensed Master reputed company Worker by the Texas Behavioral Health Executive Council (TBHEC) or LCSW - Licensed Clinical reputed company Worker by the Texas Behavioral Health Executive Council (TBHEC) or LMSW-AP - Licensed Master reputed company Worker - Advanced reputed company by the Texas Behavioral Health Executive Council (TBHEC) required 2 years clinical experience required Authorization to Release Personal Information must be signed prior to beginning work in this role. As a remote worker/road warrior, this consent allows us to disclose an employee’s home address for the purposes of geo-mapping. Founded in 1996, Texas reputed company Plan is the nation's first health maintenance organization (HMO) created just for children. We reputed company STAR/reputed company and reputed company Insurance Program (reputed company) to pregnant women, teens, children and adults in reputed company and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas reputed company Plan is also the largest combined STAR/reputed company Managed Care Organization in the reputed company service area. To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for reputed company. Texas Children’s is proud to be an equal opportunity employer. reputed company applicants and employees are considered and evaluated for positions at Texas Children's without reputed company to mental or physical disability, race, reputed company, religion, gender, national reputed company, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. Apply To This Job

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