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Finance Manager (part-time, 28 hours/week)
Brigham Young University
Provo, UT
- $40.25 to $52.25 USD / hour
- Part-time
…This richness strengthens our shared efforts to create and support an environment of covenant belonging centered in Jesus…
Added just now
District Manager II - Remote TX
Electrolux Consumer Products, Inc
TX
Collaborate with internal teams, including operations, supply chain, finance, and customer support, to resolve issues and ensure effective execution.
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General Manager - Sales
Molson Coors
Seattle, WA
Responsible for planning and implementing key operations strategies, processes efficiency and tactics to support the sales organizations achieve their business goals
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Sr. Software Engineer – AI and Automation (Team Breeze)
Travelers Indemnity Co
Hartford, CT · Atlanta, GA
…employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive…
Added 1 min ago
Program Manager, DoD Advanced Technology Programs
MANTECH
Crane, IN
9+ years of direct work experience in support of DoD expeditionary developmental projects or as a Program/Project Manager supporting DoD/DoW contracts
Added 1 min ago
EH
Occupational Therapy Assistant / PRN / Outpatient
Emory Healthcare
Decatur, GA
- $36.5 USD / hour
…standards, under the direction of a licensed therapist. Supervises support staff. Performs administrative duties in support of patient care and departmental functions. Performs other…
Added 1 min ago
Laboratory Technician
fairlife
Dexter, NM
Recognize and notify Quality Assurance Manager and appropriate operations supervisors of any unusual results or product defects. Perform the necessary re-checks for analytical and…
Added 1 min ago
BS
Cafe Manager | Chicago
Blank Street
Chicago, IL
- $70,000 to $95,000 USD / year
…driving business growth and continuous improvement, and may support light project work that contributes to the broader business and their own professional…
Added 1 min ago
M
Program Manager - New Product Development
modis
Chandler, AZ
- $60 to $75 USD / hour
Akkodis is seeking a Program Manager - New Product Development for a Contract to Hire with a client in Chandler, AZ. The ideal candidate will drive the development and maintenance of…
Added 2 mins ago
Assistant Banking Center Manager - Fruitland Park
Seacoast Bank
Fruitland Park, FL · Mount Dora, FL · Clermont, FL
…sleeves, this role is for you. As an Assistant Banking Center Manager at our Fruitland Park Branch, you'll help drive branch performance, support team development, and create exceptional…
Added 2 mins ago
Engineering Manager II – Data Analytics
BAE Systems
Broomfield, CO
The Operations Strategic Capabilities Unit plays a fundamental role in enabling efficient business and program execution – from strategic capital investments, industrial operations and an…
Added 2 mins ago
THAAD Subcontracts Program Manager
BAE Systems
Nashua, NH
Employee Benefits: At BAE Systems, we support our employees in all aspects of their life, including their health and financial well-being. Regular employees scheduled to work 20+ hours per…
Added 2 mins ago
Project Manager - Administrator - IT and Material Compliance
BAE Systems
Boulder, CO
Job Description The Space Manufacturing & Test Operations (SMTO) team is seeking a strategic, cross-functional leader to serve as the Subject Matter Expert (SME) and Project Manager for…
Added 2 mins ago
Underwriting Analyst Intern
Strategic Risk Solutions
Concord, MA
SRS is the world’s largest independent insurance company manager. With over 25 years of experience, SRS provides management and consulting services to a wide range of insurance company…
Added 3 mins ago
R&D Program Manager
National Medical Services Inc
Horsham, PA
Help bring new tests and services from concept into routine operations. You’ll own the overall management and cross-functional coordination of these initiatives across the full lifecycle,…
Added 3 mins ago
Peer Support - Akron
Anew Behavioral Health, Ohio
Akron, OH
The Peer Support Specialist reports to the Operations Manager/Assigned Supervisor.
Added 3 mins ago
Retail Supervisor
Goodwill Greater Milwaukee & Chicago
Evanston, IL
The Retail Supervisor is responsible for assisting with supervision and assisting with the store and donation center operations. Motivates the team to ensure that customer satisfaction and…
Added 4 mins ago
SPECIALTY ASM
The Home Depot
Bainbridge, GA
50% Training and Preparing for Assistant Manager Position - Participate in a structured training program covering all aspects of retail store management, including operations, customer…
Added 4 mins ago
Sr Manager Finance
The Home Depot
Atlanta, GA
Position Purpose:In this position, the Sr Manager Finance will be expected to provide financial leadership, direction and analysis to the functional management team. The Sr Mgr Finance will…
Added 4 mins ago
Assistant Store Manager in Training - Operations
The Home Depot
Fargo, ND
Operations Assistant Store Manager in Training (OASM-IT) will gain hands-on experience in the key responsibilities and functions of a Operations Assistant Store Manager at The Home Depot.…
Added 4 mins ago
LH
Full Time - Merchandising Service Associate - Day
Lowe's Home Centers, LLC
Zanesville, OH
- Full-time
As a Lowe's Merchandising Services Associate, you are a key connection point between Merchandising and Store Operations, allowing us to deliver a great shopping experience in every Lowe's…
Added 4 mins ago
LH
Full Time - Merchandising Service Associate - Day
Lowe's Home Centers, LLC
Zanesville, OH
- Full-time
As a Lowe's Merchandising Services Associate, you are a key connection point between Merchandising and Store Operations, allowing us to deliver a great shopping experience in every Lowe's…
Added 4 mins ago
SO
Administrative Coordinator I /Facilities Management-Business Operations (CFSH)
State of South Carolina
Columbia, SC
- $40,086 to $68,136 USD / year
…administrative activities for the BHDD Facilities department to support the agency's operational mission. In this role, you will deliver essential services across fiscal management,…
Added 5 mins ago
Mechanic
AMVAC CHEMICAL CORP
Marsing, ID
Partner with the Plant Manager, operators, and contractors to develop preventive maintenance schedules and support the facility maintenance program.
Added 5 mins ago
District Manager II - Remote TX
Electrolux Group
TX
Collaborate with internal teams, including operations, supply chain, finance, and customer support, to resolve issues and ensure effective execution.

Harris Health

Complex Case Manager

TX, United States

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Job details

Experience: At least 2 years insurance related experience in a managed care environment.
Posting language: English
Posted: Nov 2, 2026

Original job description

About Us

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: ¿ Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women ¿ Children¿s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR ¿ Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions. ¿ Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more. Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve. Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

JOB SUMMARY:

The Complex Case Manager (CCM) will identify, monitor, manage, and evaluate the delivery of health services to Community members with chronic, medically complex or catastrophic conditions in both acute and non-acute settings. The CCM will coordinate the care of a member with the involvement of the member, their PCP, Specialist and other provider. The CCM will identify the most medically appropriate therapeutic intervention to maximize the clinical outcomes associated with chronic medically complex diseases with potentially catastrophic outcomes. The CCM will perform a telephonic assessment and create an individualized plan of care and discharge needs assessment based on member needs utilizing available benefits and resources. The CCM will authorize services for active members admitted to the case management program at all levels of care, including outpatient, inpatient, and transitional levels of care. The CCM will help ensure proper data entry of authorization in the managed care platform, and initiate the approval process for requested services/treatments utilizing nationally recognized evidenced based clinical criteria and/or internal policys, protocols, and procedures. The CCM will use nursing knowledge, critical thinking and background to screen and review clinical information for the most appropriate service areas within Community; making referrals to community health workers, high risk perinatal and disease management teams as well as external resources. The CCM will work closely with the medical directors and refer requests that do not meet medical necessity criteria. The CCM will initiate request for single case agreements and or letters of agreement for members requiring out of network providers. The CCM will be responsible for meeting required performance and quality metrics and ensure reviews are completed within established regulatory, and state requirements.

MINIMUM QUALIFICATIONS:

Education/Specialized Training/Licensure: Registered Nurse ( RN) , current unrestricted license in the state of Texas, BSN preferred, CCM required or must receive within 18 months of employment.
Work Experience (Years and Area): 5 years clinical experience in an acute care setting preferred. At least 2 years insurance related experience in a managed care environment.
Software Operated: Microsoft Office (Word, Excel, Outlook)

Special Requirements:

Communication Skills:Above Average Verbal (Heavy Public Contact)

Other Skills: Analytical, Medical Terms, MS Word

Work Schedule: Flexible

Other Requirements: Strong written and verbal communications skills. Demonstrated ability to motivate others. Use of personal car is required.

Benefits & EEOC

Community employees¿ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs. Community is an Equal Opportunity Employer. Harris Health's benefits program is designed to provide you with more flexibility and choices in meeting 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.

It is the policy of Harris Health to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.

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