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Ccm Jobs in Texas (NOW HIRING)

Socket.dev

Clinical Case Manager (CCM)

Llano, TX · On-site

The CCM collaborates with the interdisciplinary team to ensure accurate assessments, individualized care planning, PDPM compliance, and proper Medicare and Medicaid reimbursement while supporting ...

Oscar Health

CCM Case Management RN

Dallas, TX · On-site

$32.60 - $42.79/hr

We're hiring a CCM Case Management RN to join our team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We ...

Carrus Health

Therapist CCM

Mckinney, TX · On-site

Carrus Care is an outpatient mental health facility that allows children to tend to their mental health needs while allowing them to complete their schoolwork onsite with the licensed treatment team ...

Carrus Health

Therapist CCM

Mckinney, TX · On-site

Carrus Care is an outpatient mental health facility that allows children to tend to their mental health needs while allowing them to complete their schoolwork onsite with the licensed treatment team ...

Carrus Health

Patient Care Tech CCM

Mckinney, TX · On-site

$14.50 - $19/hr

Carrus Care is a mental health facility that is designed to allow children to tend to their mental health needs and complete their schoolwork onsite with the licensed treatment team ensuring success ...

Carrus Health

Patient Care Tech CCM

Mckinney, TX · On-site

$14.50 - $19/hr

Carrus Care is a mental health facility that is designed to allow children to tend to their mental health needs and complete their schoolwork onsite with the licensed treatment team ensuring success ...

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Ccm information

What is a CCM?

CCMs, or Chronic Care Managers, are healthcare professionals who coordinate care for patients with multiple chronic conditions. Their primary role is to help patients manage their health by creating care plans, scheduling appointments, ensuring medication adherence, and acting as a liaison between patients and their healthcare providers. CCMs work to improve patient outcomes, reduce hospitalizations, and enhance the overall quality of care. They often communicate regularly with patients to monitor progress and address any health concerns.

What are the key skills and qualifications needed to thrive as a CCM?

To thrive as a Case Care Manager, you need a strong background in healthcare, case management principles, and typically hold a relevant degree along with CCM certification. Familiarity with case management software, electronic health records (EHRs), and utilization review systems is commonly required. Strong communication, problem-solving, and organizational skills help CCMs effectively coordinate care and advocate for patients. These skills ensure efficient care delivery, improved patient outcomes, and compliance with healthcare regulations.

What are some common challenges faced by CCMs when coordinating care across multidisciplinary teams?

Clinical Case Managers often navigate the complexities of coordinating care among physicians, nurses, social workers, and external agencies. A frequent challenge is ensuring clear communication and information sharing between all parties to avoid duplication or gaps in care. Additionally, CCMs must balance organizational policies with individual patient needs, often working under tight timeframes and caseload pressures. Developing strong relationships and proactive communication skills are key to overcoming these challenges and ensuring positive patient outcomes.

What is the difference between Ccm vs Medical Coder?

AspectCCM (Certified Case Manager)Medical Coder
Required CredentialsCertified Case Manager (CCM) certification, nursing or social work backgroundCertified Professional Coder (CPC) or similar coding certifications, medical billing background
Work EnvironmentHealthcare settings, insurance companies, case management agenciesHospitals, clinics, medical billing companies
Industry UsageCase management, patient advocacy, care coordinationMedical billing, coding, health information management

CCMs focus on coordinating patient care and managing case plans, often requiring clinical credentials. Medical coders specialize in translating medical records into standardized codes for billing and insurance purposes. While both roles operate within healthcare, CCMs are more involved in patient advocacy and care planning, whereas medical coders handle documentation coding for reimbursement.

What are popular job titles related to Ccm jobs in Texas?

For Ccm jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Ccm jobs in Texas look for?

The top searched job categories for Ccm jobs in Texas are:

Ccm jobs near you
Infographic showing various Ccm job openings in Texas as of September 2026, with employment types broken down into 3% As Needed, 89% Full Time, and 8% Part Time. Highlights an 89% In-person, and 11% Remote job distribution.

Clinical Case Manager (CCM)

Abilene, TX • On-site

The Oaks At Radford Hills
See more jobs at The Oaks At Radford Hillsexternal

Full-time

Posted 14 days ago

Job description

Description:

The Clinical Case Manager (CCM) is a licensed nurse responsible for coordinating and certifying the Resident Assessment Instrument (RAI) and Minimum Data Set (MDS) in compliance with federal and state regulations. The CCM collaborates with the interdisciplinary team to ensure accurate assessments, individualized care planning, PDPM compliance, and proper Medicare and Medicaid reimbursement while supporting quality, cost-effective resident care.


Essential Duties and Responsibilities:

  • Manage the RAI process from admission through discharge to ensure clinical compliance and appropriate Medicare, Medicaid, and Managed Care reimbursement.
  • Complete and submit accurate, timely, and documentation-supported MDS assessments in accordance with the RAI 3.0 User’s Manual.
  • Review MDS analytics with the interdisciplinary team prior to submission; monitor validation reports and correct/re-submit rejected assessments within required timeframes.
  • Conduct daily rounds on all Medicare Part A and Managed Care residents; identify changes in condition, initiate Significant Change MDS assessments, and update care plans with IDT input.
  • Ensure completion of daily skilled documentation and nursing observation notes for all Medicare Part A and Managed Care residents.
  • Assign appropriate ICD-10-CM codes to support skilled services.
  • Coordinate physician certification and re-certification for Medicare Part A and Managed Care residents.
  • Collaborate with the interdisciplinary team and Business Office Manager to support care planning, managed care authorizations, and clinical justifications.
  • Attend required PPS, care plan, quality, and reimbursement meetings to identify changes impacting resident status or reimbursement.
  • Issue Notices of Medicare Non-Coverage (NOMNC) as required.
  • Ensure PASRR (PL1) compliance for all admissions per State of Texas guidelines.
  • Provide training and support to nursing staff on ADLs and clinical case management responsibilities.
  • Attend required training, meetings, and seminars.
  • Performs other duties as assigned. 


Requirements:
  • Must be a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) in good standing and currently licensed by the state. 
  • Demonstrated proficiency in computer applications, including Microsoft Office and Outlook, with the ability to learn new systems.
  • Minimum Data Set (MDS) and care planning experience preferred and working knowledge of Medicare and Medicaid programs preferred.
  • Minimum of one (1) year of geriatric experience, preferably with supervisory experience.
  • Must be able to interact positively with residents, families, and regulatory agencies, and work collaboratively with employees at all levels.
  • Must be able to maintain consistent attendance and be willing to work long or irregular hours, often under pressure.

Physical Requirements:

  • Must comply with all local health regulations and successfully complete a post-offer health assessment.
  • Must be able to perform the essential functions of the position with or without reasonable accommodation.
  • Physical and Sensory Requirements (with or without the use of mechanical devices):
  • Ability to read, write, and speak fluent English to communicate effectively with residents, families, staff, and community agencies.
  • Ability to perform physical activities such as walking, reaching, bending, stretching, pulling, and lifting.
  • Adequate fine and gross motor coordination to carry out required tasks.

Work Environment:

  • Long-term care facility setting.
  • Exposure to residents with varying levels of care needs.
  • May include evenings, weekends, holidays, and on-call shifts.

Core Competencies:

  • Resident-centered care
  • Professionalism and ethical conduct
  • Team collaboration
  • Problem-solving
  • Cultural sensitivity and respect

Employer Statement:


The facility is an equal opportunity employer. Duties and responsibilities may change based on business needs.