Nurse Case Manager - CFHP PRN at University Health

Position	Nurse Case Manager - CFHP PRN
Posted	03 Feb 2026
Expired	05 Mar 2026
Company	University Health
Location	Boerne \| US
Job Type	Full Time

Job Description:

Latest job information from University Health for the position of Nurse Case Manager - CFHP PRN. If the Nurse Case Manager - CFHP PRN vacancy in Boerne matches your qualifications, please submit your latest application or CV directly through the updated Jobkos job portal.

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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.

Job Info:

Company: University Health
Position: Nurse Case Manager - CFHP PRN
Work Location: Boerne
Country: US

How to Submit an Application:

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