Case Management Director Jobs in Houston, TX

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Innovate absence management operations by overseeing compliance, optimizing performance, and advising senior leadership. This role balances employee experience with cost-effectiveness through strategi...

Lead the charge in enhancing patient care for our highest risk populations. Collaborate closely with care teams to implement strategies that prevent hospitalizations, ensuring comprehensive support an...

Join a team that's driving operational excellence in Workforce Management for 24/7 crisis services. Lead forecasting and dynamic scheduling to ensure optimal staffing levels, enhancing support for cha...

Join a team that oversees document control operations, ensuring accurate and accessible project information. Lead and mentor personnel while establishing standards for operational consistency in engin...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Take ownership of complex claims management, leading a skilled team to handle high-stakes cases with financial exposure, while developing strategies and ensuring compliance with industry standards. Dr...

Manage and enhance integrated care programs for dual eligible and LTSS models. Drive operational improvements, collaborate with stakeholders, and support strategic initiatives for efficient delivery o...

Drive excellence in clinical quality operations by managing a diverse network of practitioners, ensuring adherence to policies and performance targets, while providing strategic oversight and coaching...

Drive strong enterprise relationships and account strategies with top-tier clients, serving as a senior escalation point. Collaborate with C-suite executives while leading contract negotiations, coach...

Empower patients by providing telephonic, interdisciplinary care management for high-risk individuals post-discharge, fostering better health outcomes through advocacy and coordinated support in a col...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Drive effective risk management through oversight of claims, ensuring comprehensive analysis and negotiation for optimal resolutions while collaborating with stakeholders to maintain policy integrity...

Join a dynamic team to lead clinical studies, ensuring strategic execution and oversight in neuropsychiatric drug development. Drive collaboration across departments and contribute to regulatory frame...

Transform clinical operations by leading a high-performing team to enhance patient experience, streamline processes, and ensure compliance while fostering innovation that drives organizational growth...

Unlock potential by guiding clients to maximize value from innovative solutions. Collaborate cross-functionally to drive adoption, engagement, and measurable outcomes, ensuring clients achieve their s...

Provide strategic oversight and management for a portfolio of affordable housing properties, ensuring operational excellence, financial stability, and compliance while collaborating with multiple stak...

Engage in leading clinical management for DME and IRF programs, advancing guidelines and improving processes. Collaborate closely with medical and operational teams to enhance service quality and ensu...

Lead a high-performing team to deliver over 40 complex healthcare implementations annually, ensuring excellence in clinical and operational outcomes while fostering cross-functional collaboration and...

Innovate in healthcare by overseeing Utilization Management programs, driving clinical accuracy, and collaborating for measurable outcomes. Support strategic direction and ensure compliance while enha...

Lead the Conflicts and New Business Intake functions, overseeing team performance, service quality, and process improvements. Collaborate effectively to enhance operational efficiency and ensure ethic...

Elevate operational excellence in coding oversight by validating accuracy, leading a team of professionals, and driving education initiatives to enhance performance and compliance across the revenue c...