BCBA
Case manager job in Houston, TX
APPLICATIONS ARE REVIEWED DAILY. YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.
Why ABC?
1. Our Patients: An intentional focus on small caseloads with a compassionate care approach.
2. Our Culture: ABC Core Values are more than just words on a wall. It's how we strive to live everyday.
3. Our Community: We ground ourselves in our WHY and the impact we have on the lives of others.
Total Compensation Package from $84,500 to $119,000 annually. Opportunity to earn MORE based on center size, mentorship of RBT's and supervision of assigned trainees.
Your total compensation consists of a competitive base salary, performance bonuses, mentorship bonuses, and long-term ownership in the company.
*BCBA's become eligible for long-term ownership upon promotion to the Sr. BCBA role. All other roles eligible.
Monthly Performance Bonuses: Bonuses are uncapped and start at just 26 hours of treatment delivery per week, meaning you'll be rewarded for your impact without waiting months to qualify.
Sign On Bonus: Up to $10,000 based on start date and location.
Mentorship Bonuses: Provide supervision hours to an RBT pursuing their Master's in ABA and earn bonus pay for your guidance, oversight and impact!
Certification Bonuses: Get rewarded for each therapist who becomes certified under your supervision.
Relocation Packages available: To ease the expenses of your transition.
401(k) with Company Match: Boost your retirement potential and strengthen your financial future.
Remote Work Benefit: Up to 3 work from home days per month, plus up to 16 additional assessment related work from home days per year
Schedule: Monday-Friday, daytime hours.
Almost 30 days off in Year One: Including holidays, PTO, CEU days, and flex days-no guilt, just rest.
Manageable Caseloads: You'll support up to 8 children, so you're set up to succeed without burning out.
No Non-Compete Clauses: We believe great talent doesn't need restrictions
Transparent and Expedited Career Growth & Leadership Tracks:
Center Leadership: BCBA >Sr. BCBA>Assistant Clinical Director >Clinical Director>Sr. Clinical Director >Group Clinical Director>Regional Clinical Director
Training & Development: Join Dr. Greg Hanley's Compassionate Care Team, mentor and train clinicians in evidence‑based ABA practice
Research & Innovation: Collaborate with Dr. Linda LeBlanc at the Action Institute to advance treatment outcomes, transparency, equity, and clinical quality
Clinical Guidance: Our BCBAs are guided by our Clinical Advisory Board and Compassionate Care Team, featuring industry leading clinicians such as: Dr. Charna Mintz, Dr. Greg Hanley, Dr. Linda LeBlanc, Dr. Patricia Wright, Dr. Dorothea Lerman, Dr. Malika Pritchett, Dr. Mahshid Ghaemmaghami, and Dr. Anthony Cammilleri
Continuing Education: A minimum of 10+ free CEUs per year in-house, extra funds to attend additional training courses, and 2 paid days off to use for CEU events.
Health Benefits: Best-in-class Medical, Dental, Vision, Flexible Savings Account and Health Savings Account options
Family Support: Up to $3,000 in maternity/paternity financial assistance plus short-term disability options that can equate to 8 weeks of paid paternity leave.
Student Loan Repayment Assistance: Each year we contribute additional dollars to help you pay off your student loans.
Unique Perks: First Stop Virtual Health for you and up to 7 household members, CALM membership for you and your family, Door Dash Pass, MilkStork access to ship home breast milk while traveling, a SNOO smart sleeper for new parents, and more.
Your Role
Develop Treatment Plans that are clinically sound and engaging
Supervise and Mentor RBTs to support consistent, high-quality care
Collaborate with Families to set goals, track progress, and celebrate growth
Deliver Evidence-Based Therapy in a supportive, play-focused environment
ABC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, disability, marital status, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws, including the Pennsylvania Human Relations Act (PHRA). We are committed to creating an inclusive environment for all employees.
@Copyright 2025
#LI-Onsite
Therapist, Partial Hospitalization Program PHP
Case manager job in Conroe, TX
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities.
We believe that success is achieved through talented people.
We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
Intensive Community Manager (RN)
Case manager job in Houston, TX
We're unique. You should be, too.
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social Workers (CSW) and Community Health Coordinator (CHC) who work with our highest complexity patients and their primary care physicians to meet their medical and social needs with the aims of fully engaging them in our intensive primary care model and maximizing their healthy time at home.
Intensive Community Manager will serve as a clinical lead for a Community Care team. They will coordinate the team's efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care.
This person will perform initial assessments and design comprehensive plans of care for many of these patients. This professional will also provide clinical supervision to other team members in delivering the plan of care and in other tasks necessary to meet their needs and engage them in care. As a clinical leader for the team, this person will also be deeply involved in prioritizing team efforts and may also become the direct supervisor for some team members.
This position adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
Provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent and admission or readmission to the ER/hospital .
Provides home visits to perform initial assessment of patient and the development of care plan for the Licensed Practical Nurse (LPN) to use as they perform the follow up patient visits, once patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient.
Conducts supervisory visits with License Practical Nurse (LPN) and patient to provide any additional education patient may need and to oversee appropriate patient discharge from case management.
Performs clinical and Social determination of Heath screening (SdoH) assessments to include disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient in home setting.
Coordinate the Plan of Care:
Provides oversight for the License Practical Nurse (LPN) with clear plan of care and education which is mandatory during all LPN visits.
Conducts/coordinates initial case management assessment of patients to determine outpatient needs.
Ensures individual plan of care reflects patient needs and services available in the community or review of their benefits.
Completes individual plan of cares with patients, family/care giver and care team members.
Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly.
Assesses the environment of care, e.g., safety and security.
Assesses the caregiver capacity and willingness to provide care.
Assesses patient and caregiver educational needs.
Coordinates, reports, documents and follows-up on multidisciplinary team meetings.
Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks.
Coordinates the delivery of services to effectively address patient needs.
Facilitates and coaches' patients in using natural supports and mainstream community resources to address supportive needs.
Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients.
Establishes a supportive and motivational relationship with patients that support patient self-management
Monitors the quality, frequency, and appropriateness of HHA visits and other outpatient services.
Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate.
Home visit under the direction of the patient's primary care physician to meet urgent patient needed.
Performs other duties as assigned and modified at manager's discretion.
EDUCATION AND EXPERIENCE CRITERIA:
Associate degree in Nursing required.
Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in home in a related clinical field preferred.
A valid, active Registered Nurse (RN) license in State of employment required.
A minimum of 2 years' clinical work experience required.
A minimum of 1 year of case management experience in community case management experience highly desired.
Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired
This position requires possession and maintenance of a current, valid driver's license.
Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment
PAY RANGE:
$35.8 - $51.17 Hourly
EMPLOYEE BENEFITS
******************************************************
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#LI-Onsite
Counsel
Case manager job in Sugar Land, TX
CVR Energy is seeking an attorney to join its dynamic Legal Services team supporting all legal aspects of its Petroleum Refining and Nitrogen Fertilizer businesses. Reporting directly to the Senior Vice President, Associate General Counsel, the Counsel position must be a detail-oriented legal technician with sound judgment, strong work ethic and an ability to balance legal concerns to efficiently meet business objectives. As a member of a small Legal Services organization, Counsel must be a team player willing to function both independently and collaboratively, efficiently prioritizing competing business needs in a fast-paced environment.
EDUCATION REQUIREMENTS
Juris Doctor (J.D.) from an accredited law school required, top quartile academics and law review preferred.
Active bar membership in good standing required.
EXPERIENCE REQUIREMENTS
Licensed and practicing attorney in the energy industry, with big law or in-house corporate experience preferred. Salary is commensurate with experience.
Demonstrated competency in two or more of the following areas:
Contract drafting, negotiation and management (including procurement, commercial and capital projects contracts, ISDAs);
Dispute Resolution and Litigation Management;
Corporate Securities, Governance, Finance, M&A and related matters;
Corporate Compliance including internal investigations;
Labor and Employment law; and
Regulatory matters including EHS, pipeline/FERC and related matters.
Some drafting and negotiating skills and experience, including knowledge and understanding of risk mitigation and contracting principles and best practices.
Strong communication and interpersonal skills with the ability to create effective working relationships cross-functionally, including interfacing confidently with internal and external stakeholders on legal and business matters.
Sound judgment, decision-making and organizational skills with a flexible, collaborative attitude, a desire to continually learn new concepts and an unqualified commitment to honesty, responsibility, and integrity.
A flexible, innovative, and business-minded focus with a pragmatic approach to problem solving, an ability to adapt to changing requirements, schedules and priorities, and the skill to socialize ideas, make recommendations and gather team consensus, all while maintaining high levels of integrity and discretion.
Fluent in English, oral and written required.
Ability to adjust schedule to meet business needs.
MAJOR ACCOUNTABILITIES
Contract Drafting, Negotiation and Management.
Provide legal support and leadership to procurement, commercial and special projects teams including RFP/AFE support and drafting and reviewing, analyzing, and negotiating services, EPC, NAESB, non-disclosure, IT and other agreements to support the refining, logistics (pipeline and trucking), commercial and fertilizer businesses, as well as other functional departments. Advise and counsel management on legal and business matters including making recommendations for modification, revision and clarifications of contracts, as needed.
Dispute Resolution and Litigation Management.
Work closely with outside counsel and CVR Energy's Risk Management function and internal teams on dispute and litigation matters.
Corporate, Securities, Governance, Finance, M&A and Related Matters
. Assist with SEC filings, corporate governance matters, board and committee support, NYSE compliance, internal investigations, and related matters. Serve as team member on M&A activity including due diligence and related matters.
Corporate Compliance including Internal Investigations.
Demonstrate a commitment to ethics and integrity and the Company's Mission and Values and serve as a brand ambassador in support of the Company's Compliance function, including assisting in the operation of the Compliance Program and its related committees and leading or coordinating internal investigations and the Whistleblower Complaint program.
Labor and Employment
. Provide legal guidance on employment matters, HR policies, workplace issues, and employment-related investigations.
Regulatory Matters.
Support Legal Service function and engage with Company stakeholders on regulatory matters for its refining, fertilizer and logistics (trucking and pipelines) businesses including with EPA, OSHA, CSB, FERC and their state counterparts.
EXPECTED RESULTS
Strict adherence to professional obligations of ethics and confidentiality.
Strict adherence to regulations and company-imposed deadlines.
Support and accommodate needs of operations and business personnel.
Communicate clearly and consistently across the organization and within the legal department.
Adherence to all company Mission and Values and policies and procedures.
Applicants must be eligible to work in the United States. The Company will not sponsor immigration or work visas.
CVR Energy is an EEO employer. We encourage qualified minority, female, veteran, and disabled candidates to apply.
Behavioral Health Specialist
Case manager job in Houston, TX
We're assisting our local employer, an community health center, seeking to hire an experienced Behavioral Health Specialist:
Behavioral Health Specialist
REPORTS TO: Behavioral Health Director
EDUCATION: Master's degree in a behavioral science or related field and a professional mental health license.
WORK EXPERIENCE: Minimum of two years of experience working with children, families, and other individuals with behavioral health issues
SALARY RANGE: Depend on Experience
FLSA STATUS: Salary - Exempt
POSITION TYPE: Full-Time
LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is strongly preferred
HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
JOB SUMMARY:
The Behavioral Health Specialist will be responsible for providing episodic behavioral health and clinical services to a wide range of individuals and families including but not limited to foster children, their biological families, foster families and/or adoptive families as well as other children, adolescents, adults and families covered by other insurance plans/payers as assigned.
MAJOR DUTIES & RESPONSIBILITIES:
Complete initial diagnostic assessments on all patients assigned to determine treatment needs, as well as conduct ongoing assessments to determine when clinical goals have been achieved and service delivery is no longer indicated;
Develop and implement initial treatment plans and update treatment plans to include age appropriate clinical interventions/objectives/goals that are observable and measurable;
Provide support and crisis management services as needed or as requested by supervisor;
Prepare and maintain all required treatment records, documentations and reports in the electronic records;
Maintain confidentiality of records relating to clients' treatment;
Encourage patients to express their feelings and discuss what is happening in their lives, helping them to develop insight into themselves or their relationships;
Collect information about clients through interviews, observation, or tests;
Fill out and maintain client-related paperwork, including federal- and state-mandated forms, client diagnostic records, and progress notes;
Counsel clients or patients, individually or in group sessions, to assist in overcoming dependencies, adjusting to life, or making changes;
Evaluate clients' physical or mental condition, based on review of client information (e.g. suicide risks, etc);
Act as client advocates to coordinate required services or to resolve emergency problems in crisis situations;
Provide consultation to and coordinate care of patients with health center primary care staff;
Utilize therapeutic modalities that match the fast-paced primary care environment such as behavioral and cognitive behavioral modalities, solution-focused brief therapy, motivational interviewing, etc.
Modify treatment activities or approaches as needed to comply with changes in clients' status;
Evaluate the effectiveness of counseling programs on clients' progress in resolving identified problems and moving towards defined objectives;
Consult with PCPs in real-time to enhance understanding of the patient, provide decision support for treatment planning and assist in the implementation and monitoring of biopsychosocial treatment plans;
Monitor patients' use of medications;
Learn about new developments in counseling by reading professional literature, attending courses and seminars, or establishing and maintaining contact with other social service agencies;
Refer patients, clients, or family members to community resources or to specialists as necessary;
Gather information about community mental health needs or resources that could be used in conjunction with therapy;
Supervise other counselors, social service staff, assistants, or graduate students, as needed;
Plan or conduct programs to prevent substance abuse or improve community health or counseling services;
Close all charts within forty-eight (48) hours by the end of the week; as required by contacted funding sources: including assessments, progress notes, and billing;
Abides by clinic's policies and procedures and Behavioral Health Department Policies and Procedures;
Attend on-site/off-site community engagement activities and on-site/off-site clinic events as needed;
Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values.
Requirements
QUALIFICATION REQUIREMENTS:
Licensed LMFT, LPC, LCSW, LCDC;
Current license to practice in Texas;
Bilingual (Vietnamese, Chinese, Arabic and/or Spanish with English) is strongly preferred;
Valid driver's license and reliable transportation;
Abide by respective licensing board Code of Ethics.
EDUCATION and/or EXPERIENCE:
Master's Degree, PhD., or PsyD. With minimum of two years of experience working with children, families, and other individuals with behavioral health issues. Experience with foster and/or adoptive children and families and knowledge of the DFPS system is preferred.
OTHER SKILLS and ABILITIES:
Above average skills in language ability as well as public speaking and writing;
Strong clinical and assessment skills, cultural competence, basic casework skills (referrals, advocacy);
Competency in providing cognitive and behavioral interventions to children, adolescents and adults;
Excellent interpersonal skills and ability to work collaboratively with primary care staff, patients and other behavioral health clinicians.
Salary Description
Depends on Experience
Board Certified Behavior Analyst
Case manager job in Houston, TX
Be your own boss. Start your own ABA practice, powered by Alpaca Health.
Alpaca Health helps BCBAs start their own ABA practice. Big corporations often churn out clients and staff in search of greater profit. At Alpaca Health, out mission is to power independent BCBAs who put their science, team, and clients first.
Think a client only needs 10 hours? No pressure to ask for 40.
Can't take on more clients? You control your hours with no productivity quotas. We welcome part-time BCBAs.
Want to deliver direct services? No sweat. Do what your clients need.
We empower
you
to do what's best for your ABA community with best-in-class technology, ethical applications of AI, and a provider success team to guide you every step of the way.
We handle everything non-clinical: LLC formation, payer contracting, intake, scheduling, billing, and more.
As a
Founder
, you will grow your own ABA community. You will grow your team, work with families, and fulfill your passion for ABA -- all without dealing with paperwork.
What will you do as a Founding BCBA?
Clinical Leadership: Develop and implement evidence-based ABA programs, ensuring the highest standards of clinical excellence and ethical practice.
Practice Development: Collaborate with our team to set up guidelines and processes for your team.
Team Building: Recruit, train, and mentor RBTs and, eventually, other BCBAs to deliver compassionate, effective care under your guidance.
Client Engagement: Build strong relationships with families, providing education and support to ensure client satisfaction and positive outcomes.
Program Oversight: Monitor client progress through data analysis and make program adjustments as needed to ensure meaningful outcomes. Conduct functional assessments and complete assessment and progress reports accordingly.
Collaboration: Communicate with our team on administrative tasks to meet healthcare regulatory needs, payor requirements, and key deadlines.
What will you not do as a Founding BCBA?
All of the following, Alpaca Health will do:
Practice Formation: LLC incorporation, liability + malpractice insurance, bank account creation
Insurance and Billing: Payer contracting, credentialing, verification of benefits, prior authorizations, claim submission, denial management, and reimbursement reconciliation
Software and Technology: Practice Management System, Data Collection, Scheduling, Billing, Payroll, Intake, AI Session Notes, and more
Operations: Document quality assurance, Managed Intake, Managed Scheduling, Managed Billing
Practice Management Support: Live, on-demand support from Alpaca Health's team with help on ABA best practices
Qualifications
Valid BCBA Certification
Master's Degree in Applied Behavioral Analysis, Special Education, Psychology, or Related Field
Applicable licensure to practice in your state of interest
Minimum three years experience in ABA, with supervisory roles preferred.
Strong leadership skills.
Strong oral and written communication skills.
Pursue your dream of growing your own ABA community!
Crisis Prevention Intervention (CPI) Training
Case manager job in Houston, TX
Improve your income, possibly with a Crisis Prevention and Intervention Certificate. Call today to Train at 954-719-6767 Other classes Crisis Prevention Intervention Behavioral Health Tech Peer Specialist Medication Tech Human Trafficking Wound Care Call Today 955-719-6767
Beacon Hill Career Training
Licensed Child Therapist (LPC, LCSW)- Outpatient
Case manager job in Pearland, TX
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health.
Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team!
We are actively looking to hire a talented Child Therapist (LPC, LCSW) in our central Houston (River Oaks, Spring Valley or Memorial) offices, who are passionate about patient care and committed to clinical excellence. Is this you?
Wanting to deliver high quality behavioral healthcare.
Seeking work life balance.
Interested in growing professionally.
What we offer Counselors:
100% Outpatient Care in a Group Practice Setting
Generous ‘above market' compensation with unlimited/uncapped earnings.
Full benefits package: health, dental, vision, life, 401k (with match), parental leave, EAP and more.
Collegial work environment.
Newly designed and modern offices.
Full administrative support.
Strong work/life balance.
Compensation range $76,000-$100,000+
Sign on Bonus
Annual Cash Bonus Incentive Plan
Licensed Counselors are a critical part of our clinical team. We're seeking LPCs that are:
Fully licensed to practice independently in Texas. We are unable to accommodate dependently licensed Clinicians at this time.
Experienced in working with the child and adolescent population.
This is a hybrid role.
About LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US.
LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.
Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
If you elect to interact with us via our website, please only use ****************** or *************************** Additionally, our recruiters utilize email addresses with ******************* domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security.
LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ...@lifestance.com or by calling +1-800-###-####. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.
Lead Case Manager
Case manager job in Houston, TX
Job Details Rapid Rehousing Houston - Houston, TX Full-Time Bachelors Degree DaysDescription
JOB PURPOSE:
Provide oversight of case management staff in the Rapid Rehousing Program and provide comprehensive case management to clients and their families who are homeless or at risk of homelessness with the goal of increasing their quality of life and maintaining the highest possible ability to function within the community.
Qualifications
ESSENTIAL JOB RESPONSIBILITIES:
Meet regularly with Case Managers to staff caseloads and keep abreast of current issues. Keep the team informed of program information. Provide Quality Assurance and regulatory compliance to client files. Provide ongoing program evaluation and recommendations to the Program Director and the Program Manager for continuous growth and quality. Prepare and submit monthly program reports. Produce ad hoc reports as requested by the Program Manager.
Manage office/staff coordination, client flow, client complaints, and Crisis Management.
Advocate for and facilitate clients' access to community resources; housing assistance, utility assistance, and relevant community services and benefits. Build a database of community resources. Provide referrals to community resources as needed.
Provide proactive follow-up to ensure stability and further progress towards self-sufficiency; this includes support, advocacy, reducing isolation, listening, problem-solving, and identification of resources to assist with the reintegration of participants in the community.
Develop a housing procurement, financial, and self-sufficiency case management plan with clients. This shall include an intake interview to determine the client's needs, goals, and eligibility. Assist participants in the development of a strength-based/solution-focused housing stability plan/individualized goal and action plan that promotes permanent housing and self-sufficiency; develop an effective, timely referral network in order to ensure ongoing direction and support as needed.
Develop and manage comprehensive outreach/working relationships with stakeholders, including other community members, particularly realtors, landlords, property owners, and property managers. Design, implement, and evaluate an annual landlord/property recruitment and retention plan. Networks and collaborates with area Housing Resources and maintains a presence at all meetings. Maintain awareness of changes in market and community processes that can impact services; bring forward prospective recommendations to deal with expected changes.
Apply knowledge of residential lease agreements to educate clients of their tenant rights and responsibilities. Assess housing barriers of individuals and families experiencing homelessness to determine housing and service needs. Provide mediation and advocacy with landlords on the client's behalf to develop a workable plan to obtain and/or maintain housing. Assist participants in locating and securing housing of their choice. Create and maintain consistent communication channels, both verbal and written, between several parties (i.e. tenant, landlord, referral source, collaborating agencies, debtors and creditors). Serve as an ongoing liaison between property managers and participants as well as between participants and neighbors.
Be active in and network at monthly community groups and events. Provide presentations at various community groups in assigned rural and metropolitan areas. Promote the success and reputation of the Endeavors programs. Provide information and referral assistance regarding available support from appropriate social service agencies and/or community programs.
Document daily case notes as needed; maintain comprehensive client files. Coordinate with the Financial Assistance Coordinator for payment to third parties. Keep the client informed of actions/payments being made. Work with the Financial Assistance Coordinator to ensure timely third-party payments. Review all payments made on a monthly basis to ensure appropriateness and relevance to service plans
Other duties as assigned.
Demonstrate
Exceptional
customer service, in
Everything
you do, by placing the child, family, Veteran or client first to support our mission to "
Empower
people to build better lives for themselves, their families, and their communities."
ESSENTIAL QUALIFICATIONS:
EDUCATION: Bachelor's degree in Social Work, Sociology, Psychology, or related field preferred. 8 + years of supervisory experience is equivalent to a bachelor's degree; 10 years preferred.
EXPERIENCE: 3+ years of case management experience; 5+ years preferred. 2+ years in a customer service-focused environment. Experience with homeless, low-income, veterans & their families is a strong plus.
ATTENDANCE: Must maintain regular and acceptable attendance at such level as is determined in the employer's sole discretion.
LICENSES: LMSW, LBSW, LMFT preferred. Driver's License with clear record.
VEHICLE: Must have daily use of a vehicle without prior notice. Travel within assigned geographic areas.
OTHER: Must be available and willing to travel to various locations and with such frequency as the business need dictates. Cross-train into Program Manager position responsibilities. Must be available and willing to work nights, weekends, and holidays as required to meet business needs. Must not pose a direct threat or significant risk of substantial harm to the safety or health of himself/herself or others.
Endeavors has a longstanding practice of providing a work environment that is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion, national origin, marital status, sexual orientation, gender identity, genetic information, disability, military or veteran status, or any other characteristic protected by law. We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities.
Endeavors also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief, in accordance with applicable laws. If you need to inquire about an accommodation, or need assistance with completing the application process, please email **************** or speak with your recruiter.
Endeavors is dedicated to offering reasonable accommodations for individuals with disabilities. If you are a qualified candidate with a disability and need help submitting your application online, please reach out to us at ************************. If you are chosen for an interview, we will provide further details on how to request accommodations for the interview process.
Case management assistant
Case manager job in Houston, TX
We are searching Case Management Assistants. Someone who will assist the Case Manager in the identification of member needs, initiation of member contact, provision of member and provider education and coordination of community resources to promote optimal health.
Think you've it what it takes?
Qualifications:
H.S. Diploma or GED required
2 years Case management, community outreach, healthcare, and/or health insurance experience required or 3 years General administrative experience required
2 years Call/Contact Center experience preferred
Responsibilities:
Provides Support for Case Management Services
Answers incoming fax, email and phone requests as evidenced by fax log, inbox, Customer Relationship Management (CRM)s, and event tracking.
Initiates member phone calls daily and identifies issues and refers to care/case manager and other health plan departments as indicated. Documents in current case management system.
Provides updated case management database and statistics monthly and quarterly. Submits data collection in a timely manner monthly.
Tracks member interactions and provides assistance in telephonic outreach and data collection through special disease management projects that are grant based.
Accurately schedules, cancels, and documents new and/or follow-up appointments for both face to face and telephonic requests, as needed for case manager and transition specialist using scheduling calendar application.
Ensures that projects assigned are completed timely and accurately to support member population assessments and appointments.
Screens and evaluates all calls and refers as necessary to case manager, social worker, or transition specialist and/or supervisor.
Gathers data for statistics by product, service, and network and maintains all required logs.
Auto-ApplyCase Manager for A Residential Treatment Center (RTC) for girls
Case manager job in Willis, TX
Benefits:
401(k) matching
Health insurance
Training & development
Competitive salary
Responsibilities: · Provide case management services as needed for assigned residents, this may include scheduling appointments to meet the needs of the residents, i.e. medical, dental, psychological evaluation, family visits, etc.· Document activities, as required by policies and procedures.· Monitor case records to ensure they meet minimum standards.· Maintain case folders, which include, filing documents, setting up new folders and “thinning” cases. Organize document information for caseworkers on a monthly or quarterly basis.· Provide individual face-to-face contact with residents designed to address their individual needs if needed.· Serve as member of the treatment team in preparing the Comprehensive Treatment Plan and Review and participate in treatment plan meeting and activities as required.· Complete and submit monthly reports to Treatment director.· Will serve as school liaison to ensure the educational needs of each resident is satisfactorily met· Reports to facility administrator Assist administrative staff as needed. Compensation: $45,000.00 - $47,000.00 per year
Auto-ApplyCase Manager for A Residential Treatment Center (RTC) for girls
Case manager job in Willis, TX
Job DescriptionBenefits:
401(k) matching
Health insurance
Training & development
Competitive salary
Responsibilities: Provide case management services as needed for assigned residents, this may include scheduling appointments to meet the needs of the residents, i.e. medical, dental, psychological evaluation, family visits, etc.
Document activities, as required by policies and procedures.
Monitor case records to ensure they meet minimum standards.
Maintain case folders, which include, filing documents, setting up new folders and thinning cases. Organize document information for caseworkers on a monthly or quarterly basis.
Provide individual face-to-face contact with residents designed to address their individual needs if needed.
Serve as member of the treatment team in preparing the Comprehensive Treatment Plan and Review and participate in treatment plan meeting and activities as required.
Complete and submit monthly reports to Treatment director.
Will serve as school liaison to ensure the educational needs of each resident is satisfactorily met
Reports to facility administrator
Assist administrative staff as needed.
Medical Case Manager I - Bilingual (English & Spanish)
Case manager job in Houston, TX
Job Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in <>.
Work from home, and on the road. Monday - Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families. Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others. This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness.
Provides assessment, planning, implementation and evaluation of patient's progress.
Attends doctors, other providers, home and in some cases, attorney's visits.
Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy. Initial home visit for initial evaluation.
Implements care such as negotiation the delivery of durable medical equipment and nursing services.
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel.
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.
A cost containment background, such as utilization review or managed care is helpful.
Strong interpersonal, time management and organizational skills.
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
Ability to work both independently and within a team environment.
EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing.
Current RN Licensure in state of operation.
Certification as a CCM, CIRS, or other Case Management certifications are preferred.
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required.
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $62,306 - $93,123
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
About CorVel - Medical Case Managers
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Medical Field Case Manager
Case manager job in Houston, TX
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.
Be part of a team that makes a real difference.
Job Description
This is a full-time, hybrid position. The candidate must be located in the Houston, TX area due to regular local travel for in-person patient appointments.
Bilingual (English/Spanish) highly desired.
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers' compensation case management training.
Join our compassionate team and help make a positive difference in an injured person's life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:
* Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
* Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
* Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
* Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
* Work with employers and physicians to modify job duties where practical to facilitate early return to work.
* Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness.
* Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
* Complete other duties, such as attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.
Qualifications
* Education: Associates Degree or Bachelor's Degree in Nursing or related field.
* Experience: 2+ years clinical practice preferred. Workers' compensation-related experience preferred.
* Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
* Certifications, Licenses, Registrations:
* Active Registered Nurse (RN) license required. Must be in good standing.
* URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred.
* Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
* Internet: Must have reliable internet.
Benefits
We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $68,000 - $78,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.
The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
#LI-AC1
Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager
Medical Case Manager - LMSW
Case manager job in Houston, TX
The Licensed Medical Social Worker performs comprehensive psychosocial assessments and formulates diagnosis of social, emotional and substance abuse problems, develops treatment plans for each client; monitoring plan to ensure its implementation; and educating client regarding wellness, medications, and health care compliance. The Licensed Medical Social Worker serves as an advocate for the client. The Licensed Medical Social Worker ensures linkage to case management, mental health, substance abuse and other client services indicated by diagnosis or clinical needs.
Duties and Responsibilities:
· Maintains a regular and predictable work schedule.
· Communicates with others (internally and externally) to provide, exchange, or verify information, answer questions, and address issues of clients.
· Accomplishes assessments and diagnosis to determine the need for social treatment establishes treatment goals and selects appropriate social work treatment techniques, on the basis of problems and needs of clients and families/caregiver(s), which will be most effective.
· Develops specific clinic or program treatment goals such as (1) developing communication patterns with members of other disciplines, and (2) determining priorities for services and the method of services (whether in areas of direct services, consultation, or participant teaching.
· Objectivity and self-discipline to avoid emotional involvement in situations that is frequently emotional and high-charged.
· Keeping abreast of new knowledge and techniques related to the practice of social work and new medical treatment modalities as they might affect the social adjustment or life style of clients via literature, professional settings and staff development activities.
· Documentation of services provided in client record and CPCDMS database or other database(s). Performs quality management/assurance activities.
· Other duties as assigned.
Educational and Job Related Requirements:
· Licensed Master Level Social Worker within the human services field required. Must have had two years volunteer or paid in the provision of social work services to infectious/communicable diseases in particular HIV/AIDS clients. Must be able to assess diagnosis, and provide treatment, including appropriate documentation. Bilingual in English and Spanish preferred.
Continuing Education and Requirements:
Participates in trainings required by the funding source
Auto-ApplyQualified Mental Health Professional: Case Manager
Case manager job in Houston, TX
Benefits:
Flexible schedule
Opportunity for advancement
Training & development
ABOUT EDIFY:Edify Behavioral Management LLC is a community-based behavioral health organization committed to providing resources and services to members of the population of Houston, Texas who suffer from severe and persistent mental health illnesses including but not limited to Schizophrenia, Bipolar Disorders, Depression, Attention Deficit Disorder, Anxiety, and Post-Traumatic Stress Disorder, etc. Our goal is to improve the quality of life and state of mind of all of our Members as well as prevent any regression or exacerbation of their symptoms that could potentially lead to re-hospitalization or institutionalization. These services include: 1. Case Management 2. Skills Training 3. Counseling Services4. Psycho-social Rehabilitative Services5. Crisis Intervention Services6. Medication Education and Support Service
.
JOB DESCRIPTION:Case Manager is a very important member of the Edify Family in that they are the point of contact for all our served Members. A Case Manager serves as advocates, care coordinators, community liaisons, and mentor of our Members, directing and managing the activities and goals of the Member in accordance with the Members established treatment plan. REPORTS TO: Clinical Supervisor REQUIRED QUALIFICATIONSTo be hired and credentialed as a Qualified Mental Health Provider of Community Services by Edify, one must have one of the following: · Bachelor's degree from an accredited college or university and a minimum number of hours that is equivalent to a major in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant, gerontology, special education, educational psychology, early childhood education, or early childhood intervention.· A License in the Healing Arts (LPHA) such as LPC, LCSW, LMFT, and APN or LPC-A Or · Experience in Mental Health Community Services before August 2004 DUTIES AND RESPONSIBILITIES· Provide community-based or in-home case management and mental health rehabilitative services to Members in accordance with Treatment Plan· Collaborate with Clinical Supervisor to include all Member goals in Comprehensive Treatment Plan· Complete home visits based on the LOC- Level of Care authorized through ANSA/CANS submission, without exceeding LOC.
· Thoroughly document services provided using Edify's EMR System (ICANOTES) and provided encounters logs in accordance with Edify's Documentation Policies and Procedures· Assist Member in coordinating transportation services when needed· Collaborate with a Team of Case Managers to coordinate Member Care · Coordinate with all entities involved in the assigned Members' rehabilitative treatment· Attend weekly Team Meetings (in-person or virtually) with Team Lead and/or Clinical Supervisor· May be asked to perform intake procedures including consent forms, Preliminary Treatment Plans, and ANSA Assessment (depending on training and certifications)· Work agreed upon schedule; changes must be approved by Team Lead or Director of Community Services· Always dress in professional attire and where badge when servicing Edify Members
Compensation: $18.00 - $25.00 per hour
Why We Serve 3.3 Million Adults live in Texas with a mental health condition each year
Texas is the 2nd Lowest ranked state for providing access to insurance and mental health treatment.
Auto-ApplyCase Management Administrative Assistant
Case manager job in Houston, TX
Job DescriptionCase Management Administrative Assistant
Schedule: Full-Time, Monday-Friday
- Houston
Nexus Children's Hospital - Houston offers structured, inpatient care for children ages 4 to 18 with Autism Spectrum Disorder and other intellectual or developmental disabilities (IDD). Situated in a quiet neighborhood in Houston's Westchase District, this bright, home-like environment provides a safe and supportive setting where patients can grow and heal.
Our dedicated team helps children reduce aggressive behaviors, develop effective communication and social skills, and ultimately reintegrate successfully into their communities - because at Nexus, we're mending minds.
Position Summary
The Case Management Administrative Assistant provides essential administrative support to the Case Management department, helping coordinate healthcare service operations, documentation, and communication. This role plays a key part in ensuring patients and families experience seamless care transitions throughout their inpatient stay.
Key Responsibilities
Organize and maintain admission and discharge case management folders.
Build initial case management files for scheduled admissions, including insurance details and medical records.
Fax and distribute clinical information, prescriptions, and reports to relevant stakeholders.
Assist Case Managers with preparation for treatment planning conferences (MTPs) and family meetings.
Schedule and coordinate patient appointments, transportation, and team meetings.
Support discharge planning by verifying placement options, payor acceptance, and service availability.
Communicate with pharmacies and suppliers to ensure discharge medications and equipment are ready.
Complete discharge satisfaction surveys and ensure documentation accuracy.
Perform other administrative duties as assigned.
Qualifications
Education: High school diploma or equivalent required.
Experience: Minimum of 2 years of hospital or healthcare experience preferred.
Licensure/Certification: None required.
Excellent organizational, communication, and multitasking skills.
Ability to work collaboratively in a fast-paced, patient-focused environment.
Why Join Nexus - Houston?
Work in a specialized inpatient setting supporting children with Autism and developmental disabilities.
Join a compassionate, multidisciplinary team committed to family-centered, behavioral, and medical care.
Competitive pay, full benefits, and professional growth opportunities.
Be part of a mission-driven organization that's helping children heal, grow, and thrive.
Case Manager for The Texas Medical Center
Case manager job in Houston, TX
The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The position is responsible for coordinating a wide range of self-management support and provides information to update and maintain relevant disease registry activity. Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.
Job Description
Minimum Qualifications
Education: Graduate of an accredited school of professional nursing required; Bachelors of Nursing preferred, or graduate of an accredited Master of Social Work program.
Licenses/Certifications:
Current and valid license to practice as a Registered Nurse in the state of Texas or
Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred.
Certification in Case Management required within two (2) years of hire into the Case Manager position.
Experience / Knowledge / Skills:
Three (3) years of nursing or social work experience acute hospital-based preferred, or three (3) years of experience comparable clinical setting (i.e., ambulatory surgery center, infusion/dialysis clinic, Federally Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic).
Experience in utilization management, case management, discharge planning or other cost/quality management program preferred.
Excellent interpersonal communication and negotiation skills.
Demonstrated leadership skills.
Strong analytical, data management and PC skills.
Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post acute care. Demonstrated understanding of motivational interviewing and change management.
Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families.
Effective oral and written communication skills.
Principal Accountabilities
Coordinates/facilitates patient care progression throughout the continuum.
Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient care.
Addresses/resolves system problems impeding diagnostic or treatment progress.
Proactively identifies and resolves delays and obstacles to discharge.
Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the patients progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
Facilitates the following on a timely basis: completes and reports diagnostic testing, completes treatment plan and discharge plan, modifies plan of care as necessary, to meet the ongoing needs of the patient, communicates to third party payors and other relevant information to the care team.
Assigns appropriate levels of care.
Completes all required documentation in TQ screens and patient records.
Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
Completes Utilization Management and Quality Screening for assigned patients.
Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings based on department standards.
Identifies at-risk populations using approved screening tool and follows established reporting procedures. Monitors LOS and ancillary resource use on an ongoing basis.
Takes actions to achieve continuous improvement in both areas.
Refers cases and issues to Care Management Medical Director in compliance with department procedures and follows up as indicated.
Communicates with Resource Center to facilitate covered day reimbursement certification for assigned patients.
Discusses payor criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department.
Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.
Manages all aspects of discharge planning for assigned patients.
Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician.
Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation.
Ensures/maintains plan consensus from patient/family, physician and payor.
Refers appropriate cases for social work intervention based on department criteria.
Collaborates/communicates with external case managers.
Initiates and facilitates referrals through the Resource Center for home health care, hospice, medical equipment and supplies.
Documents relevant discharge planning information in the medical record according to department standards.
Facilitates transfer to other facilities as appropriate.
Actively participates in clinical performance improvement activities.
Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data.
Collects, analyzes and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team.
Uses concurrent variance data to drive practice changes and positively impact outcomes.
Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Outcomes Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning).
Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently.
Leads the development, implementation, evaluation and revision of clinical pathways and other case management tools as a member of the clinical resource/team.
Assists in compilation of physician profile data regarding LOS, resource utilization, denied days, costs, case mix index, patient satisfaction and quality indicators (e.g., readmission rates, unplanned return to OR, etc.).
Acts as preceptor/mentor to new hires.
Assists in development of orientation schedule and helps identify individual needs for learning.
Ensures safe care to patients, staff and visitors; adheres to all hospital policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models hospital service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
Medical Case Manager - Workers' Compensation
Case manager job in Houston, TX
Job Description
ABOUT US:
Founded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. Our name reflects our mission - Forza means "strength," representing the power of our team, and
Care
reflects our compassion for those we serve.
ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative and risk mitigation solutions. Together, we're expanding our reach and strengthening our ability to deliver exceptional service across the workers' compensation industry. Learn more about ForzaCare and Ethos partnership here.
JOB SUMMARY:
As a Field Medical Case Manager at ForzaCare, you'll help injured workers navigate their recovery and return to work. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.
This role is ideal for licensed nurses or certified rehabilitation counselors. While prior experience in workers' compensation is strongly preferred, those who have it will find their background especially valuable in this role.
KEY RESPONSIBILITIES:
Coordinate care between medical providers, employers, insurance carriers, and injured workers.
Attend appointments with the injured workers, which may include visiting employers and injured workers at their place of employment.
Develop, document, and monitor individualized recovery goals and return-to-work plans.
Provide consistent communication and detailed progress reports to clients and stakeholders.
Ensure all case management work meets or exceeds customer and compliance requirements.
Build and maintain strong relationships with clients, providers, and internal team members.
QUALIFICATIONS:
Education & Licensure:
Active Registered Nurse (RN) or Certified Rehabilitation Counselor (CRC) license with associated college degree is required.
Additional certifications such as CCM, CIRS, or other case management credentials are preferred.
Must comply with all state-specific licensure and certification requirements.
Prior experience in workers' compensation case management is strongly preferred.
Valid driver's license, reliable transportation, and auto insurance with ability to travel to appointments.
Skills & Attributes:
At ForzaCare, we look for professionals who embody our values and thrive in a collaborative, purpose-driven environment:
Motivated -You take pride in exceeding goals and continuously improving.
Organized - You can manage a fast-paced workload and multiple priorities with ease.
Collaborative - You communicate clearly and work well with diverse teams and stakeholders.
Committed - You uphold ForzaCare's mission to deliver high-quality, compassionate care and comply with all safety, ethical, and professional standards.
ForzaCare is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.
Job Posted by ApplicantPro
Mental Health Case Manager - CMC - Ferguson Unit - Midway/Huntsville
Case manager job in Huntsville, TX
Mental Health Case Manager - CMC - Ferguson Unit - Midway/Huntsville - (2505581) Description The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD).
JOB SUMMARY:
Provides case management, social and habilitative services, and counseling to patients. Works under the supervision of a Psychologist, Mental Health Manager or Program Director.
ESSENTIAL JOB FUNCTIONS:
Contributes to the success of the UTMB Correctional Managed Care organization.
Assesses and documents a patient's mental health needs.
Monitors behavior, mental status and medication compliance; makes appropriate referrals.
May administer and score psychometric tests under supervision.
Serves as liaison/patient advocate with program services (e.g., families, classification, medical, security, and other departments) for patients with mental health needs.
Liaises with patient, patient families, on-site departments and community agencies to coordinate current treatment and/or assist with aftercare planning.
Conducts supervised individual and group counseling and psychoeducational training.
Conducts social history assessments and monitors mental health status of patients.
Assists in the implementation of Quality Improvement/Quality Management (QI/QM) programs and the monitoring of compliance with required policies, procedures and standards.
Adheres to internal controls and reporting structure established for department.
Performs related duties as required.
EQUIPMENT:
Standard office equipment.
WORK ENVIRONMENT:
Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. Qualifications REQUIRED EDUCATION/EXPERIENCE:
Bachelor's degree in Psychology, Social Work, or Mental Health/Behavioral Science.
Criminal Justice degree considered with 15 hours of coursework in psychology, social work and/or counseling with two (2) years of Mental Health case management experience.
Salary is commensurate with years of relevant work experience.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Primary Location: United States-Texas-HuntsvilleOther Locations: United States-Texas-MidwayWork Locations: Ferguson Facility 12120 Savage Drive Midway 75852 - 3654Job: Social ServiceOrganization: UTMB Health: Regular StandardEmployee Status: SupervisorJob Posting: Dec 2, 2025, 5:13:08 PM
Auto-Apply