Nurse Case Manager - CFHP
Company: University Health
Location: Boerne
Posted on: February 10, 2026
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Job Description:
Job Description /n /n /n POSITION SUMMARY/RESPONSIBILITIES
/nAssists 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. /n/n
EDUCATION/EXPERIENCE /nRegistered 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. /n/n LICENSURE/CERTIFICATION
/nCurrent 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. /n /n /n
Keywords: University Health, Round Rock , Nurse Case Manager - CFHP, Healthcare , Boerne, Texas
