POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
Please take time to review Banner Bank's Consent & Privacy notice before applying. Banner Bank is an Equal Opportunity Employer committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, marital status, age, disability or protected veteran status. Banner Bank does not accept unsolicited resumes from agencies and/or search firms for any job postings on this site. Resumes submitted to any Banner Bank employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Banner Bank. No fee will be paid if a candidate is hired for a position as a result of an unsolicited agency or search firm referral. More than 130 years ago, we started with core values that never go out of style: listen, learn and help businesses and individuals reach their goals. Our financial strength and stability are key reasons Forbes names us one of the Best 100 Banks in America the past eight consecutive years and Newsweek names Banner one of the Most Trustworthy Companies the past four years. With more than $15 billion in assets and over 150 locations throughout Washington, Oregon, Idaho, and California, we understand our role in the economy and take that responsibility seriously. In addition to offering a source of capital to personal banking clients and businesses of all sizes, we place a high importance on employee volunteerism and donate millions of dollars each year to community organizations. As an Assistant Branch Manager, you'll help lead the daily operations of the branch while creating a supportive, service driven environment for both clients and team members. You'll play a key role in coaching, developing, and empowering teller staff, all while guiding clients toward financial solutions that help them achieve their goals. Your leadership helps ensure the branch runs smoothly, efficiently, and with care. Leads the day-to-day operations of the branch. Supervise, train, and coach Teller staff. Support the Branch Manager in developing an on going sales performance culture. Effectively assist clients in achieving their financial goals by actively referring Bank products and services. Refer clients to other Bank specialists when applicable. Act in full management capacity in the absence of a Branch Manager. In this role you'll Oversee the processing of daily financial transactions, including deposits, withdrawals, check cashing, and loan payments. Lead sales, operations, and client service efforts while coaching, mentoring, and developing the teller team. Support operational tasks and ensure they are completed accurately and on time. Follow and reinforce policies and procedures to minimize risk and support strong audit results. Engage clients in proactive financial conversations using the Banner Way process and tools. Present tailored recommendations that align with each client's financial needs and goals. Refer clients to other business partners when additional expertise is needed. Answer questions, troubleshoot client account issues, and ensure prompt resolution. Maintain an in depth understanding of operational processes, compliance requirements, and security standards. Serve as acting manager in the absence of the Branch Manager. What we're looking for You have a High School Diploma or G.E.D. (Required). You bring 6 or more years of retail banking experience (Required). You have experience in a supervisory or management role leading a project, process, or team (Required). An equivalent combination of education and experience can be considered in lieu of a degree. What helps you shine You bring extensive knowledge of retail banking products, policies, procedures, and systems. You're confident navigating complex accounts and have experience with consumer and QuickStep lending. You excel in client service and relationship building, with strong communication skills in person, over the phone, and via email. You bring effective selling, cross selling, and referral abilities to support branch growth. You're skilled in problem solving, negotiation, and interpreting client financial information. You have experience in a financial sales oriented role and enjoy helping clients find the right solutions. You can lift and move up to 25 pounds as part of the role. Travel Up to 20% travel. Our Company Values Do the right thing Mutual respect Teamwork Accountability What Our Team Says "I have the opportunity to learn and grow every day in my current role. I love the work life balance, knowing that we work hard, and strive for high performance but we are celebrated." - Glassdoor review Compensation & Benefits Targeted starting salary range (based on experience): $27 - $36 Annual incentive potential Comprehensive employee benefits, including: medical, dental, vision, LTD, STD and life Paid vacation time, sick time and 11 company paid holidays 401k (with up to 4% match) Tuition reimbursement In this role you'll have the opportunity to: Oversee processing a variety of routine financial transactions, including check cashing, withdrawals, deposits, and loan payments. Responsible for acting as a leader in sales, operations, and client service. Manage the operations of the branch along with the training, mentoring, and coaching of the teller team. Assist with operational tasks and ensure they are completed on time. Adhere to policy and procedures to minimize risk and achieve satisfactory internal audit results. Assist clients by gaining an understanding of their current and future financial needs by engaging in proactive discussions using the Banner Way process and tools. Responsible for presenting tailored solutions that meet the client's specific financial needs. Refer clients to other lines of business as appropriate. Answer questions and resolve technical problems on client accounts. Develop and maintain in-depth knowledge of all operational processes and requirements; meets compliance standards. Drive operational efficiency through initiating solutions and/or participating in various bank wide projects targeting such improvement. Responsible for complying with, and ensuring staff follows, policies, procedures, security requirements, and government regulations. Education & Certifications H.S. Diploma: required (an equivalent combination of education and experience may be considered) NMLS registration preferred Experience or more years of retail banking experience 0 to 2 years of experience in a supervisory/management role leading a project, process or team Required Knowledge, Skills and Abilities Extensive knowledge of retail product philosophy, policy, procedures, documentation and systems. Thorough knowledge of all retail products and services. Demonstrated knowledge of all complex accounts, and consumer and QuickStep lending. Proven client service, interpersonal, and relationship building skills. Possess effective verbal and written communication skills; proper phone and email etiquette required. Possess effective selling, cross selling and referral skills. Possess strong mathematical, problem solving, and negotiation skills. Demonstrate ability to manage more complex operational issues, including the ability to provide support to other branches in the absence of the Division Operations Manager. Experience in a financial sales representative oriented role. Travel Up to 20% Compensation & Benefits Targeted starting salary range (based on experience): $51,989 - $77,984 Incentive potential Comprehensive employee benefits, including: medical, dental, vision, LTD, STD and life insurance Paid vacation time, sick time and 11 company paid holidays 401k (with up to 4% match) Tuition reimbursement up to $5,250 annually Get more information at: Employee Benefits Banner Bank
03/13/2026
Full time
Please take time to review Banner Bank's Consent & Privacy notice before applying. Banner Bank is an Equal Opportunity Employer committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, marital status, age, disability or protected veteran status. Banner Bank does not accept unsolicited resumes from agencies and/or search firms for any job postings on this site. Resumes submitted to any Banner Bank employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Banner Bank. No fee will be paid if a candidate is hired for a position as a result of an unsolicited agency or search firm referral. More than 130 years ago, we started with core values that never go out of style: listen, learn and help businesses and individuals reach their goals. Our financial strength and stability are key reasons Forbes names us one of the Best 100 Banks in America the past eight consecutive years and Newsweek names Banner one of the Most Trustworthy Companies the past four years. With more than $15 billion in assets and over 150 locations throughout Washington, Oregon, Idaho, and California, we understand our role in the economy and take that responsibility seriously. In addition to offering a source of capital to personal banking clients and businesses of all sizes, we place a high importance on employee volunteerism and donate millions of dollars each year to community organizations. As an Assistant Branch Manager, you'll help lead the daily operations of the branch while creating a supportive, service driven environment for both clients and team members. You'll play a key role in coaching, developing, and empowering teller staff, all while guiding clients toward financial solutions that help them achieve their goals. Your leadership helps ensure the branch runs smoothly, efficiently, and with care. Leads the day-to-day operations of the branch. Supervise, train, and coach Teller staff. Support the Branch Manager in developing an on going sales performance culture. Effectively assist clients in achieving their financial goals by actively referring Bank products and services. Refer clients to other Bank specialists when applicable. Act in full management capacity in the absence of a Branch Manager. In this role you'll Oversee the processing of daily financial transactions, including deposits, withdrawals, check cashing, and loan payments. Lead sales, operations, and client service efforts while coaching, mentoring, and developing the teller team. Support operational tasks and ensure they are completed accurately and on time. Follow and reinforce policies and procedures to minimize risk and support strong audit results. Engage clients in proactive financial conversations using the Banner Way process and tools. Present tailored recommendations that align with each client's financial needs and goals. Refer clients to other business partners when additional expertise is needed. Answer questions, troubleshoot client account issues, and ensure prompt resolution. Maintain an in depth understanding of operational processes, compliance requirements, and security standards. Serve as acting manager in the absence of the Branch Manager. What we're looking for You have a High School Diploma or G.E.D. (Required). You bring 6 or more years of retail banking experience (Required). You have experience in a supervisory or management role leading a project, process, or team (Required). An equivalent combination of education and experience can be considered in lieu of a degree. What helps you shine You bring extensive knowledge of retail banking products, policies, procedures, and systems. You're confident navigating complex accounts and have experience with consumer and QuickStep lending. You excel in client service and relationship building, with strong communication skills in person, over the phone, and via email. You bring effective selling, cross selling, and referral abilities to support branch growth. You're skilled in problem solving, negotiation, and interpreting client financial information. You have experience in a financial sales oriented role and enjoy helping clients find the right solutions. You can lift and move up to 25 pounds as part of the role. Travel Up to 20% travel. Our Company Values Do the right thing Mutual respect Teamwork Accountability What Our Team Says "I have the opportunity to learn and grow every day in my current role. I love the work life balance, knowing that we work hard, and strive for high performance but we are celebrated." - Glassdoor review Compensation & Benefits Targeted starting salary range (based on experience): $27 - $36 Annual incentive potential Comprehensive employee benefits, including: medical, dental, vision, LTD, STD and life Paid vacation time, sick time and 11 company paid holidays 401k (with up to 4% match) Tuition reimbursement In this role you'll have the opportunity to: Oversee processing a variety of routine financial transactions, including check cashing, withdrawals, deposits, and loan payments. Responsible for acting as a leader in sales, operations, and client service. Manage the operations of the branch along with the training, mentoring, and coaching of the teller team. Assist with operational tasks and ensure they are completed on time. Adhere to policy and procedures to minimize risk and achieve satisfactory internal audit results. Assist clients by gaining an understanding of their current and future financial needs by engaging in proactive discussions using the Banner Way process and tools. Responsible for presenting tailored solutions that meet the client's specific financial needs. Refer clients to other lines of business as appropriate. Answer questions and resolve technical problems on client accounts. Develop and maintain in-depth knowledge of all operational processes and requirements; meets compliance standards. Drive operational efficiency through initiating solutions and/or participating in various bank wide projects targeting such improvement. Responsible for complying with, and ensuring staff follows, policies, procedures, security requirements, and government regulations. Education & Certifications H.S. Diploma: required (an equivalent combination of education and experience may be considered) NMLS registration preferred Experience or more years of retail banking experience 0 to 2 years of experience in a supervisory/management role leading a project, process or team Required Knowledge, Skills and Abilities Extensive knowledge of retail product philosophy, policy, procedures, documentation and systems. Thorough knowledge of all retail products and services. Demonstrated knowledge of all complex accounts, and consumer and QuickStep lending. Proven client service, interpersonal, and relationship building skills. Possess effective verbal and written communication skills; proper phone and email etiquette required. Possess effective selling, cross selling and referral skills. Possess strong mathematical, problem solving, and negotiation skills. Demonstrate ability to manage more complex operational issues, including the ability to provide support to other branches in the absence of the Division Operations Manager. Experience in a financial sales representative oriented role. Travel Up to 20% Compensation & Benefits Targeted starting salary range (based on experience): $51,989 - $77,984 Incentive potential Comprehensive employee benefits, including: medical, dental, vision, LTD, STD and life insurance Paid vacation time, sick time and 11 company paid holidays 401k (with up to 4% match) Tuition reimbursement up to $5,250 annually Get more information at: Employee Benefits Banner Bank
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. There's a lot to learn, but the pathway is mapped out and USAA is willing to invest in you! Our comprehensive, fully paid four-month training program includes all training materials, licensing costs, class discussions, hands-on training, e-learning modules, and the instructor led guidance will help you to support our members independently. We have new training classes starting every month. Our in-office development program provides the training you need and the encouragement to create a proactive and independent support style to service our membership. After six months in-office, you'll have the opportunity to work offsite 2 days a week. Military veterans and spouses are highly encouraged to apply. Relocation assistance is not available for this position. Work schedules will vary and may include some nights and weekends. Schedules are assigned based on business need. Regularly scheduled shift hours that fall between 6 p.m. and 7 a.m. during the week, or between 6 p.m. Friday and 7 a.m. Monday are eligible for shift premium pay. We are currently seeking dedicated professionals to work in our San Antonio office as a Customer Service Claims Representative. You will be part of an outstanding contact service center, where you will focus on providing claims service to members regarding the initial contact on all property First Notice of Loss (FNOL) claims. In addition, you will respond to status inquiries from various parties, document reported losses, set appropriate expectations, provide proactive communications, advice, and empathy to our members. What you'll do: Document First Notice of Loss by obtaining relevant information for effective claim investigation. Set up appropriate services, as needed, to proactively move claims forward to the furthest point in the process within scope of role and expectation. Create loss reports, describe or verify coverage as appropriate, and initiate the most effective method of damage assessment to assign for file handling. Assist with questions regarding the claims process and set expectations for next steps to help ensure claims are effectively resolved and accurately documented. Resolve status inquiries and, when appropriate, route to handling adjuster. Effectively operate in a fast-paced, high-volume, contact center environment taking back-to-back calls and navigating multiple systems and programs while maintaining an engaging member interaction that occurs across multiple communication channels. Apply strong time management skills by closely adhering to assigned work schedule. Embrace continuous improvement and development through coaching and collaboration with manager and team members. Use strong call management skills by assisting members within a timely manner and limiting non-productive time. May assign or initiate emergency services when required on specific claims. Support workload surges and catastrophe (CAT) response operations as needed which may include potential weekends, and/or holiday work outside normal work hours. Work various types of claim loss notices and inquiries, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: High School Diploma or GED Ability to provide exceptional customer service for our members by using active listening, verbal, and written communication skills to communicate clearly, professionally, and empathetically. Highly developed interpersonal skills to collaborate effectively in a fast-paced team environment. Ability to prioritize and multi-task while navigating through multiple business applications. Successful completion of a job-related assessment is required. May require acquisition and maintenance of insurance adjuster license within 90 days. (USAA provides all materials and licensing fees.) What sets you apart: US military experience through military service or a military spouse/domestic partner Compensation range: The hiring range for this position is: $43,750 to $45,750 Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
03/13/2026
Full time
Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. There's a lot to learn, but the pathway is mapped out and USAA is willing to invest in you! Our comprehensive, fully paid four-month training program includes all training materials, licensing costs, class discussions, hands-on training, e-learning modules, and the instructor led guidance will help you to support our members independently. We have new training classes starting every month. Our in-office development program provides the training you need and the encouragement to create a proactive and independent support style to service our membership. After six months in-office, you'll have the opportunity to work offsite 2 days a week. Military veterans and spouses are highly encouraged to apply. Relocation assistance is not available for this position. Work schedules will vary and may include some nights and weekends. Schedules are assigned based on business need. Regularly scheduled shift hours that fall between 6 p.m. and 7 a.m. during the week, or between 6 p.m. Friday and 7 a.m. Monday are eligible for shift premium pay. We are currently seeking dedicated professionals to work in our San Antonio office as a Customer Service Claims Representative. You will be part of an outstanding contact service center, where you will focus on providing claims service to members regarding the initial contact on all property First Notice of Loss (FNOL) claims. In addition, you will respond to status inquiries from various parties, document reported losses, set appropriate expectations, provide proactive communications, advice, and empathy to our members. What you'll do: Document First Notice of Loss by obtaining relevant information for effective claim investigation. Set up appropriate services, as needed, to proactively move claims forward to the furthest point in the process within scope of role and expectation. Create loss reports, describe or verify coverage as appropriate, and initiate the most effective method of damage assessment to assign for file handling. Assist with questions regarding the claims process and set expectations for next steps to help ensure claims are effectively resolved and accurately documented. Resolve status inquiries and, when appropriate, route to handling adjuster. Effectively operate in a fast-paced, high-volume, contact center environment taking back-to-back calls and navigating multiple systems and programs while maintaining an engaging member interaction that occurs across multiple communication channels. Apply strong time management skills by closely adhering to assigned work schedule. Embrace continuous improvement and development through coaching and collaboration with manager and team members. Use strong call management skills by assisting members within a timely manner and limiting non-productive time. May assign or initiate emergency services when required on specific claims. Support workload surges and catastrophe (CAT) response operations as needed which may include potential weekends, and/or holiday work outside normal work hours. Work various types of claim loss notices and inquiries, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: High School Diploma or GED Ability to provide exceptional customer service for our members by using active listening, verbal, and written communication skills to communicate clearly, professionally, and empathetically. Highly developed interpersonal skills to collaborate effectively in a fast-paced team environment. Ability to prioritize and multi-task while navigating through multiple business applications. Successful completion of a job-related assessment is required. May require acquisition and maintenance of insurance adjuster license within 90 days. (USAA provides all materials and licensing fees.) What sets you apart: US military experience through military service or a military spouse/domestic partner Compensation range: The hiring range for this position is: $43,750 to $45,750 Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Primary Care Physician opening Äì Cheshire, CT Hartford 28m Position Details Outpatient-only primary care (adults 18+) Full-time schedule, weekdays only Äî infrequent call! (average 2 phone-call weekends/year and 1 weeknight every 2 months) Optional teaching with faculty appointment available H1B cap-exempt employer Modern clinical support model with efficient operations and robust staffing, including nursing and dedicated MA Epic EMR with Dragon, HIPAA-compliant texting, patient self-scheduling, and patient portal access Seamless access to Behavioral Health, Nurse Care Managers, and Social Work support Benefits Details Uncapped incentive bonus potential Loan repayment support Sign-on and relocation assistance Paid CME time off and CME budget Reimbursed professional licenses and dues Generous paid time off plus company holidays 401(k) retirement plan with sizeable employer match Comprehensive family care benefits, including emergency back-up care Optional moonlighting/per diem opportunities in hospital or urgent care settings Additional voluntary benefits: tuition programs, home/auto/renter Äôs insurance, identity theft protection, legal services, and pet insurance Practice Overview One of the largest, non-profit, fully integrated healthcare systems in Connecticut, offering extensive specialty resources and a collaborative care environment. Providers enjoy strong operational support, engaged clinical teams, and an emphasis on work-life balance and provider well-being. We also offers structured mentorship and orientation programs for newly hired providers and those new to practice, as well as ongoing education through the Center for Education Simulation & Innovation (CESI), the Provider Leadership Development Institute, and a robust on-demand CME platform. Community Details Located in Cheshire, Connecticut, this picturesque community offers easy access to New York City and Boston while maintaining a safe, welcoming suburban lifestyle. Residents enjoy top-rated schools, a thriving local economy, and abundant recreational opportunities including hiking, skiing, and boating. With its mix of small-town charm, strong job market, and cultural amenities, Cheshire is an ideal place to live and practice medicine.
03/13/2026
Full time
Primary Care Physician opening Äì Cheshire, CT Hartford 28m Position Details Outpatient-only primary care (adults 18+) Full-time schedule, weekdays only Äî infrequent call! (average 2 phone-call weekends/year and 1 weeknight every 2 months) Optional teaching with faculty appointment available H1B cap-exempt employer Modern clinical support model with efficient operations and robust staffing, including nursing and dedicated MA Epic EMR with Dragon, HIPAA-compliant texting, patient self-scheduling, and patient portal access Seamless access to Behavioral Health, Nurse Care Managers, and Social Work support Benefits Details Uncapped incentive bonus potential Loan repayment support Sign-on and relocation assistance Paid CME time off and CME budget Reimbursed professional licenses and dues Generous paid time off plus company holidays 401(k) retirement plan with sizeable employer match Comprehensive family care benefits, including emergency back-up care Optional moonlighting/per diem opportunities in hospital or urgent care settings Additional voluntary benefits: tuition programs, home/auto/renter Äôs insurance, identity theft protection, legal services, and pet insurance Practice Overview One of the largest, non-profit, fully integrated healthcare systems in Connecticut, offering extensive specialty resources and a collaborative care environment. Providers enjoy strong operational support, engaged clinical teams, and an emphasis on work-life balance and provider well-being. We also offers structured mentorship and orientation programs for newly hired providers and those new to practice, as well as ongoing education through the Center for Education Simulation & Innovation (CESI), the Provider Leadership Development Institute, and a robust on-demand CME platform. Community Details Located in Cheshire, Connecticut, this picturesque community offers easy access to New York City and Boston while maintaining a safe, welcoming suburban lifestyle. Residents enjoy top-rated schools, a thriving local economy, and abundant recreational opportunities including hiking, skiing, and boating. With its mix of small-town charm, strong job market, and cultural amenities, Cheshire is an ideal place to live and practice medicine.
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master's degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred. LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
03/13/2026
Full time
POSITION SUMMARY/RESPONSIBILITIES Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner. EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing is required, BSN preferred. Master's degree is preferred. Minimum three years' acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred. LICENSURE/CERTIFICATION Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
Overview AvalonBay Communities, Inc., an equity REIT, has a long-term track record of developing, redeveloping, acquiring and managing distinctive apartment homes in some of the best U.S. markets, and delivering outsized, risk-adjusted returns to shareholders. With equal parts experience and vision, we've established a leadership position rooted in our purpose of creating a better way to live and that is always focused on building value for the long term. Creating a better way to live is the purpose that binds AvalonBay associates. We take that purpose seriously and expect you will as well. By focusing on collaboration, innovation, and taking ownership of our choices and actions, we act in ways that focus on creating value for our customers, investors and associates. Your positive, professional, and consistent personal interactions make AvalonBay a great place to work. The Role We are seeking an experienced Lead Superintendent to oversee all on-site construction activities for multifamily residential and mixed-use development projects. This role is responsible for ensuring projects are completed safely, on time, on budget, and in accordance with quality standards. You will be managing large-scale projects ranging from $50 million to $100 million and collaborating with internal teams, subcontractors, and external partners. Key Responsibilities: General Project Oversight Partner with the Project Manager during preconstruction to coordinate jobsite setup, scheduling, and change management Lead all on-site activities, ensuring work is performed safely, meets quality expectations, and aligns with project scope and timeline Identify root causes of delays, quality issues, or safety hazards and implement solutions to mitigate risk Provide direction to subcontractors and hold teams accountable for performance Serve as the project's on-site Quality Control Manager Planning & Scheduling Develop site logistics and safety plans including public safety, site security, crane and hoist locations, and truck routing Create and maintain labor and staffing projections for field supervision Schedule and lead daily/weekly project meetings Set and maintain construction schedule milestones, coordinate timelines with contractors and stakeholders Manage and monitor RFIs, subcontractor scopes, and scheduling follow-ups Team & Relationship Management Lead and motivate teams to meet key milestones Build strong relationships with architects, engineers, municipalities, subcontractors, and local community stakeholders Provide feedback and development opportunities to team members Facilitate a positive and solutions-focused jobsite culture Administrative & Technical Tasks Coordinate inspections, utility connections, punch walks, and final unit acceptance Track shop drawings, submittals, and maintain inspection logs Complete daily and weekly superintendent reports Review and participate in subcontractor scope meetings Manage punch list execution and resolution Required Qualifications: Education & Certifications High school diploma or equivalent required Vocational/technical school construction-related coursework preferred Valid driver's license and reliable transportation required Experience Minimum of 10 years of direct supervisory experience on Multifamily construction projects Strong working knowledge of all construction disciplines and project phases Skills & Competencies Excellent planning, scheduling, and project management skills Ability to lead diverse teams and prioritize competing tasks Strong interpersonal and communication skills Knowledge of construction plans, documentation, and building codes Proficient in Microsoft Office Suite (Excel, Word, Outlook, Project) Able to perform basic and intermediate math, read blueprints, and interpret structural plans Familiarity with structural, civil, framing, infrastructure, and concrete construction Organized, resourceful, and composed under pressure How AvalonBay Supports You We know that our teams are the beating heart of our success and we're committed to showing our appreciation. We offer: Comprehensive benefits - health, dental and vision, 401(k) with company match, paid vacation and holidays, tuition reimbursement, an employee stock purchase plan and more. Click on Benefits () for information. Growth based on achievement and promotion from within. Associate recognition (a company-wide recognition program that celebrates associate efforts and successes in contributing to the overall success of the organization - including destination awards, 'AvalonBay's Very Best' recognition program and others!). A 20% discount on our incredible apartment homes. A culture built on purpose and our core values - A Commitment to Integrity, A Spirit of Caring, and A Focus on Continuous Improvement. Additional Info AvalonBay is proud to be an equal opportunity employer and is committed to an inclusive and diverse work environment free of discrimination and harassment. We believe that in order to achieve our purpose of creating a better way to live, we must recruit, develop and retain associates with a wide range of backgrounds, experiences and perspectives and create an environment that encourages all voices to be heard, understood and appreciated. With this we know we can do great things. AvalonBay makes employment decisions without regard to a person's race, ethnicity, color, religion, sex, national origin, sexual orientation, gender identity, pregnancy (including childbirth, lactation or related medical conditions), age, physical or mental disability, genetic information (including characteristics or testing), citizenship status, military or veteran status, or any other status protected by the law. For California residents, if you elect to apply to AvalonBay you accept the AvalonBay California Personnel Privacy Notice ( )
03/13/2026
Full time
Overview AvalonBay Communities, Inc., an equity REIT, has a long-term track record of developing, redeveloping, acquiring and managing distinctive apartment homes in some of the best U.S. markets, and delivering outsized, risk-adjusted returns to shareholders. With equal parts experience and vision, we've established a leadership position rooted in our purpose of creating a better way to live and that is always focused on building value for the long term. Creating a better way to live is the purpose that binds AvalonBay associates. We take that purpose seriously and expect you will as well. By focusing on collaboration, innovation, and taking ownership of our choices and actions, we act in ways that focus on creating value for our customers, investors and associates. Your positive, professional, and consistent personal interactions make AvalonBay a great place to work. The Role We are seeking an experienced Lead Superintendent to oversee all on-site construction activities for multifamily residential and mixed-use development projects. This role is responsible for ensuring projects are completed safely, on time, on budget, and in accordance with quality standards. You will be managing large-scale projects ranging from $50 million to $100 million and collaborating with internal teams, subcontractors, and external partners. Key Responsibilities: General Project Oversight Partner with the Project Manager during preconstruction to coordinate jobsite setup, scheduling, and change management Lead all on-site activities, ensuring work is performed safely, meets quality expectations, and aligns with project scope and timeline Identify root causes of delays, quality issues, or safety hazards and implement solutions to mitigate risk Provide direction to subcontractors and hold teams accountable for performance Serve as the project's on-site Quality Control Manager Planning & Scheduling Develop site logistics and safety plans including public safety, site security, crane and hoist locations, and truck routing Create and maintain labor and staffing projections for field supervision Schedule and lead daily/weekly project meetings Set and maintain construction schedule milestones, coordinate timelines with contractors and stakeholders Manage and monitor RFIs, subcontractor scopes, and scheduling follow-ups Team & Relationship Management Lead and motivate teams to meet key milestones Build strong relationships with architects, engineers, municipalities, subcontractors, and local community stakeholders Provide feedback and development opportunities to team members Facilitate a positive and solutions-focused jobsite culture Administrative & Technical Tasks Coordinate inspections, utility connections, punch walks, and final unit acceptance Track shop drawings, submittals, and maintain inspection logs Complete daily and weekly superintendent reports Review and participate in subcontractor scope meetings Manage punch list execution and resolution Required Qualifications: Education & Certifications High school diploma or equivalent required Vocational/technical school construction-related coursework preferred Valid driver's license and reliable transportation required Experience Minimum of 10 years of direct supervisory experience on Multifamily construction projects Strong working knowledge of all construction disciplines and project phases Skills & Competencies Excellent planning, scheduling, and project management skills Ability to lead diverse teams and prioritize competing tasks Strong interpersonal and communication skills Knowledge of construction plans, documentation, and building codes Proficient in Microsoft Office Suite (Excel, Word, Outlook, Project) Able to perform basic and intermediate math, read blueprints, and interpret structural plans Familiarity with structural, civil, framing, infrastructure, and concrete construction Organized, resourceful, and composed under pressure How AvalonBay Supports You We know that our teams are the beating heart of our success and we're committed to showing our appreciation. We offer: Comprehensive benefits - health, dental and vision, 401(k) with company match, paid vacation and holidays, tuition reimbursement, an employee stock purchase plan and more. Click on Benefits () for information. Growth based on achievement and promotion from within. Associate recognition (a company-wide recognition program that celebrates associate efforts and successes in contributing to the overall success of the organization - including destination awards, 'AvalonBay's Very Best' recognition program and others!). A 20% discount on our incredible apartment homes. A culture built on purpose and our core values - A Commitment to Integrity, A Spirit of Caring, and A Focus on Continuous Improvement. Additional Info AvalonBay is proud to be an equal opportunity employer and is committed to an inclusive and diverse work environment free of discrimination and harassment. We believe that in order to achieve our purpose of creating a better way to live, we must recruit, develop and retain associates with a wide range of backgrounds, experiences and perspectives and create an environment that encourages all voices to be heard, understood and appreciated. With this we know we can do great things. AvalonBay makes employment decisions without regard to a person's race, ethnicity, color, religion, sex, national origin, sexual orientation, gender identity, pregnancy (including childbirth, lactation or related medical conditions), age, physical or mental disability, genetic information (including characteristics or testing), citizenship status, military or veteran status, or any other status protected by the law. For California residents, if you elect to apply to AvalonBay you accept the AvalonBay California Personnel Privacy Notice ( )
Seeking a Spanish speaking, BC/BE Internal Medicine or Family Medicine Physician who is intrinsically motivated to provide excellent care to older adults northwest of Chicago, IL. Position Highlights: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Fluency in Spanish is required Fellowship training in Geriatrics preferred Highly qualified candidates may also be considered for a Center Medical Director position. Deliver higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. Innumerable support resources to help you provide outstanding care. Responsibilities: Assess and diagnose patients at our local clinics Oversee, direct, and administer primary care Prescribe and administer pharmaceutical treatments and medication Maintain Patient Electronic Medical Record data via canopy and greenway Collaborate with regional and central leadership to meet health quality goals Work with Practice Managers to direct and manage the center care team Other duties as assigned Benefits: Competitive Salary Signing Bonus Annual bonus based on quality metrics 6 weeks of PTO, inclusive of PTO, major holidays, and CME $5000 Continuing Medical Education stipend Tuition Reimbursement Provided Health, Vision, Dental, and Life Insurance 401K Investment, up to 4% company match, vested immediately Provided Medical Malpractice Insurance Dedicated Medical Scribe and Medical Assistant Relocation package The Community: Set along a picturesque river and surrounded by natural beauty, this vibrant suburban community offers the perfect blend of small-town charm and big-city convenience. With a diverse population, historic architecture, and a growing arts and dining scene, it s a place where culture and community thrive. Residents enjoy access to excellent schools, abundant parkland, and recreational trails, all while benefiting from a cost of living lower than that of nearby urban centers. Conveniently located about 40 miles northwest of downtown Chicago and near other major hubs like Schaumburg and Naperville, the area provides easy access to metropolitan job markets and entertainment while maintaining a relaxed, family-friendly atmosphere. Whether you're commuting to the city or enjoying a quiet evening along the river, this community offers a high quality of life and room to grow. APPLY NOW or TEXT Job and email address to 636 - 628 - 2412. Search all of our provider opportunities at: brittmedical DOT com
03/13/2026
Full time
Seeking a Spanish speaking, BC/BE Internal Medicine or Family Medicine Physician who is intrinsically motivated to provide excellent care to older adults northwest of Chicago, IL. Position Highlights: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Fluency in Spanish is required Fellowship training in Geriatrics preferred Highly qualified candidates may also be considered for a Center Medical Director position. Deliver higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. Innumerable support resources to help you provide outstanding care. Responsibilities: Assess and diagnose patients at our local clinics Oversee, direct, and administer primary care Prescribe and administer pharmaceutical treatments and medication Maintain Patient Electronic Medical Record data via canopy and greenway Collaborate with regional and central leadership to meet health quality goals Work with Practice Managers to direct and manage the center care team Other duties as assigned Benefits: Competitive Salary Signing Bonus Annual bonus based on quality metrics 6 weeks of PTO, inclusive of PTO, major holidays, and CME $5000 Continuing Medical Education stipend Tuition Reimbursement Provided Health, Vision, Dental, and Life Insurance 401K Investment, up to 4% company match, vested immediately Provided Medical Malpractice Insurance Dedicated Medical Scribe and Medical Assistant Relocation package The Community: Set along a picturesque river and surrounded by natural beauty, this vibrant suburban community offers the perfect blend of small-town charm and big-city convenience. With a diverse population, historic architecture, and a growing arts and dining scene, it s a place where culture and community thrive. Residents enjoy access to excellent schools, abundant parkland, and recreational trails, all while benefiting from a cost of living lower than that of nearby urban centers. Conveniently located about 40 miles northwest of downtown Chicago and near other major hubs like Schaumburg and Naperville, the area provides easy access to metropolitan job markets and entertainment while maintaining a relaxed, family-friendly atmosphere. Whether you're commuting to the city or enjoying a quiet evening along the river, this community offers a high quality of life and room to grow. APPLY NOW or TEXT Job and email address to 636 - 628 - 2412. Search all of our provider opportunities at: brittmedical DOT com