If you searched Superstar Sourcing for Healthcare Case Management Assistant (with 3 additional requirements) on December 21, 2025 you'd find 357 great candidates

This sample report shows what our sourcing engine surfaces for this search. Preview the top 30 matches below.

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Candidate Profiles

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E**** G****

Case Manager at Humana

Plano, Texas, United States 26 years

This candidate is a perfect match, currently working as a Case Manager at Humana with extensive time in the role and relevant industry experience. Maximus → XL Health → Humana. Excellent.

Work Experience

Humana
Case Manager · 12 years 8 months
Maximus
Case Management Nurse · 6 years 2 months
XL HEALTH
Disease mgnt case management · 8 years

Qualification Criteria 6 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

health wellness fitness management medicaid insurance healthcare science nursing fitness industry disease management provider relations +3 more
100%

C**** G****

Licensed Professional Counselor

Plano, Texas, United States 29 years 6 months

Excellent fit – this individual has extensive experience in telephonic case management, including significant tenure at Humana. Licensed Counselor → Senior Case Manager at Humana (16+ years) → Complex Case Management. Excellent.

Work Experience

Humana
Senior Case Manager · 16 years 11 months
EDS
Database Manager · 2 years 9 months
Duncanville ISD
Middle School Math Teacher · 1 year 1 month
University of Dallas
Psychology Graduate Student · 2 years 1 month
+ 3 more positions

Qualification Criteria 7 met

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

case management goal setting public relations adolescent therapy middle school motivational interviewing solution focused management wellness algebra print marketing +8 more
100%

J**** C****

RN case manager at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Irving, Texas, United States

Perfect fit - currently an RN case manager for a large health plan, which covers HPs and CM and is in the correct location. RN Case Manager @ BCBS. Excellent.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
RN case manager

Qualification Criteria 6 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
100%

D**** J****

Care Management Support Assistant at Humana

Irving, Texas, United States 10 years 3 months

Excellent fit - holds the exact job title at the required company (Humana) and is exactly in the location. Care Management Support Assistant at Humana for 10+ years. Excellent.

Work Experience

Humana
Care Management Support Assistant · 10 years 4 months

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

management
100%

R**** L*

Case Manager at Humana

Dallas, Texas, United States

Perfect match with current role title and company, indicating direct experience in management within Humana in the required location. Case Manager at Humana, experience focused solely on this role title. Excellent.

Work Experience

Humana
Case Manager

Qualification Criteria 6 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
95%

K**** M****

Utilization Management Coordinator II / Auditor at Humana

Fort Worth, Texas, United States 18 years 11 months

Excellent direct experience with Humana and behavioral health case management/utilization audit roles. LifeSynch/Humana roles cover utilization management and administrative support for case management. Excellent.

Work Experience

LifeSynch/Humana
Clinical Advisor · 3 years
LifeSynch/Humana
Front Line Leader · 2 years
Humana
Utilization Management Coordinator II / Auditor
LifeSynch/Humana
Customer Care Specialist · 5 years 9 months

Qualification Criteria 4 met

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

operations health responsible reports projects management audit communications clinical training scheduling payroll +8 more
95%

B**** M****

Case Management Nurse at UnitedHealth Group

Dallas, Texas, United States 4 years 9 months

This professional has direct experience in case management within major health plans. CM Nurse at UHG (Health Plan) and Clinical CM at Molina (Health Plan) for over 4 years. UnitedHealth Group → Molina Healthcare. Strong.

Work Experience

Molina Healthcare
Clinical Case Manager · 3 years 5 months
UnitedHealth Group
Case Management Nurse · 1 year 7 months

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

customer care hard working detail oriented time management team player case management management clinical
95%

K**** H****

Hospital & Health Care Professional

Richardson, Texas, United States 7 years 6 months

Excellent match with recent Senior Case Manager experience specifically at HUMANA, addressing multiple core requirements including case management, care management, and relevant health plan functions. RN → C2C Solutions → Senior Case Manager (SANTA ROSA) → SENIOR CASE MANAGER (HUMANA INSURANCE). Excellent.

Work Experience

Multiple
Registered Nurse · 9 months
C2C Innovative Solutions
C2C Innovative Solutions · 3 years 3 months
SANTA ROSA HOSPITAL
Senior Case Manager · 2 months
HUMANA INSURANCE
SENIOR CASE MANAGER · 3 years 8 months

Qualification Criteria 6 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

design clinical management interventions screening case management disease management
95%

G**** F****

Manager, Healthcare Services at Molina Healthcare

Irving, Texas, United States 10 years 4 months

Excellent prospect with direct management experience in case management within a major health plan, and is well-located. Case Management Supervisor (Molina) → Manager, Healthcare Services (Molina). Excellent.

Work Experience

Molina Healthcare
Case Management Supervisor · 6 years
Molina Healthcare
Manager, Healthcare Services

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

healthcare management case management
95%

P**** J****

nurse case manager at CareFirst BlueCross BlueShield

Richardson, Texas, United States

Excellent match for the case management function at a health plan, though the location is slightly outside our radius. CareFirst BlueCross BlueShield → nurse case manager, Richardson. Excellent.

Work Experience

CareFirst BlueCross BlueShield
nurse case manager

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
95%

R**** M****

Midlothian, Texas, United States 12 years 1 month

This candidate has direct Care Manager experience at Humana, meeting multiple key requirements. RN → Care Manager at Humana (3 years) → RN roles; Bachelor of Science in Nursing. Strong.

Work Experience

Texas Health Resources
Registered Nurse · 4 months
Methodist Health System
Registered Nurse · 8 years 8 months
Humana
Care Manager · 3 years 2 months

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
92%

C**** P***

Senior Clinical Nurse Consultant Specializing in Appeal for the National Unit @ Aetna

Dallas, Texas, United States 21 years 9 months

This candidate has deep healthcare experience, including direct prior Case Management and significant health plan roles at Aetna, covering care management and outreach aspects. Ex-Coventry Health Care → Aetna, 21+ years total experience in clinical consulting/case management. Excellent.

Work Experience

Coventry Health Care
Nurse Case Manager · 4 years 5 months
Intracorp
Nurse Case manager · 1 year
Aetna
National Clinical Healthcare Consultant · 17 years 4 months
Aetna
Clinical Healthcare Consultant · 17 years 4 months

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

benefits healthcare wellness health tactics management clinical
90%

M*** P****

RN Case Manager at HealthSmart Care Management Solutions

Dallas, Texas, United States 13 years 1 month

Excellent match with extensive RN Case Management experience, including time directly with Aetna (a health plan). BCBS/Aetna CM RN → 11 years at HealthSmart Care Management. Excellent.

Work Experience

HealthSmart Care Management Services
Nurse Case Manager, RN, BSN, CCM · 11 years 7 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Nuse Case Manager · 9 months
Aetna
Nurse Case Manager · 11 months

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
90%

L**** H****

Assistant Manager Care Coordination at UT Southwestern Medical Center

Dallas, Texas, United States 12 years 9 months

This candidate is highly relevant, having extensive case management experience including time at an Alliance (which functions like a health plan). Memorial Hermann → Alameda Alliance for Health → UT Southwestern. Strong.

Work Experience

Memorial Hermann Health System
Nurse Case manager · 1 year 1 month
Alameda Alliance for Health
Case Manager · 2 years
Medical City Healthcare (Formerly HCA North Texas)
RN Case Manager · 3 years
UT Southwestern Medical Center
Assistant Manager Care Coordination · 4 years 3 months
+ 2 more positions

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

case management disease management health management healthcare science nursing coordination
90%

M**** J****

Case Management Nurse at Superior HealthPlan

Sunnyvale, Texas, United States

Excellent match, currently holding a Case Management Nurse role at a competing health plan, fulfilling most key criteria. Case Management Nurse at Superior HealthPlan. Excellent.

Work Experience

Superior HealthPlan
Case Management Nurse

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

case management management
90%

B**** H***

Eligibility Specialist /Customer Service Specialist Behavioral Health Specialist

Dallas, Texas, United States 14 years 1 month

Strong match having direct Humana experience and broad health insurance tenure, though experience is more on eligibility/customer service than formal case management. Humana Behavioral Health Specialist (7+ yrs) → Health Insurance background, DFW area. Strong.

Work Experience

Humana Behavioral Health
Customer Service Specialist · 7 years 9 months
Bluecross Blueshield of Arizona
Customer Service Specialist · 2 years 5 months
SOUTHWEST SERVICE ADMINISTRATORS, INC.
Eligibility Specialist · 1 year 6 months
Care N' Care Insurance Company
Enrollment Coordinator · 2 years 4 months
+ 1 more positions

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

health insurance benefits administration behavioral health customer satisfaction customer service health insurance benefits administration
90%

V**** M****

Nurse Advocate, Disease Mgmt. at Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas

Richardson, Texas, United States

This candidate has direct experience as a Nurse Advocate at a major regional insurer (BCBS), strongly satisfying case management, health plan, and location requirements. Nurse Advocate at BCBS. Excellent.

Work Experience

Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas
Nurse Advocate, Disease Mgmt.

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
90%

J**** W****

Care Management Coordinator III

Mesquite, Texas, United States 14 years 6 months

This candidate clearly possesses recent Care Management Support Coordinator experience within health plans (Superior Health Plan, Centene), hitting the core requirements well. Care Management Support Coordinator III at Superior Health Plan → Centene Corp. Strong.

Work Experience

Superior Health Plan
Care Management Support Coordinator III · 7 years
Centene Corporation
Care Management Support Coordinator III
EnvolvePeople Care
Tobacco Treatment Specialist · 3 years 9 months
Redbrick Health
Clinical Enrollment Specialist · 1 year
+ 2 more positions

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

healthcare industry case management patient care healthcare clinical management benefits assessment research claims treatment
90%

K**** K****

RN Case manager at CIGNA Group Insurance

Plano, Texas, United States

Strong fit as an RN Case Manager for a health plan, meeting most criteria except for explicit Humana/Outreach mentions. RN Case Manager @ CIGNA. Strong.

Work Experience

CIGNA Group Insurance
RN Case manager

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
90%

A**** B****

Associate Manager of BH Clinical Services at Beacon Health Options

Midlothian, Texas, United States 17 years 11 months

This individual has strong clinical care management experience within the managed care industry, fitting most core requirements except for direct Humana experience. Clinical Care Manager at Beacon Health Options for 10+ years, MSW/LCSW. Strong.

Work Experience

Beacon Health Options
Clinical Care Manager · 10 years 8 months
Inspirations Outpatient Counseling Clinic
Therapist · 4 months
Inspirations Outpatient Counseling
Therapist · 6 months
Hickory Trail Hospital
Intake Coordinator · 5 months
+ 3 more positions

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

clinical microsoft word windows efficiency compliance coaching training medicaid health management outlook +8 more
90%

G**** J****

Case Manager at Catalyst Health network

Princeton, Texas, United States 29 years 2 months

This candidate is a Certified Case Manager with significant direct Case Manager roles, including one at BCBC of Arkansas which strongly implies health plan experience, although Humana is not specified. BC → Chicago Hospital → Catalyst Health Network → StatiFi Health (8 years). Strong.

Work Experience

StatiFi Health
Case Manager · 8 years 8 months
BCBC of Arkansas
Case Manager · 1 year 3 months
in Chicago
Michael Reese hospital · 6 years 11 months
sister of saint francis
St.James hospital chgo hts · 9 years 3 months
+ 1 more positions

Qualification Criteria 4 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

nursing
90%

C**** H****

at Blue Cross Blue Shield of Tx

Lewisville, Texas, United States 19 years 11 months

Excellent background in RN Care Coordination/Case Management within BCBS (Health Plan) for 10+ years, covering care management and location requirements. GENEX → BCBS of Texas. Excellent.

Work Experience

GENEX Services, Inc.
Nurse case manager · 12 years 2 months
Health Direct/AIG
Nurse case manager · 1 year 3 months
Retired
Registered Nurse Case Manager · 12 years
Blue Cross Blue Shield of Texas
RN Care Coordinator · 10 years 5 months
+ 1 more positions

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

benefits
90%

W**** C****

nurse case manager at Blue Cross Blue Shield of Texas

Richardson, Texas, United States

Strong match with direct experience as a nurse case manager for a major health plan, and is located within the target area. Nurse Case Manager at Blue Cross Blue Shield of Texas. Excellent.

Work Experience

Blue Cross Blue Shield of Texas
nurse case manager

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
90%

T**** I****

Member Advocate

Dallas, Texas, United States 31 years 3 months

This candidate has extensive experience (18+ years combined) in roles that directly align with member advocacy and outreach within major health plans (Aetna). Aetna experience strongly covers the health plan aspect. Community Health Worker/Outreach Manager/Member Advocate at Aetna (31+ years). Excellent.

Work Experience

Aetna, a CVS Health Company
Community Health Care Worker · 13 years 2 months
Aetna Medicaid & CHIP Services
Community Outreach Manager · 18 years 1 month
Aetna, a CVS Health Company
Member Advocate · 4 years 8 months

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

health community health community outreach
85%

C**** M****

Manager of Case Management at Parkland Community Health Plan

Lancaster, Texas, United States 5 years 3 months

Excellent fit for Case Management leadership with demonstrated Health Plan experience (Parkland CH P) encompassing commercial plans, and strong healthcare operations experience, though direct Member Outreach isn't explicit. Parkland CH P Manager → Current. Strong.

Work Experience

Parkland Community Health Plan
Manager of Case Management

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

nursing management leadership integrity medicaid medicare commercial terminology software cerner meditech word +8 more
85%

C**** W****

Family Life Specialist

Dallas, Texas, United States 12 years 2 months

Excellent fit with recent Benefits Specialist role at Humana and prior experience with high-volume claimant outreach. Workforce Dev Specialist → Benefits Specialist at Humana → Family Advocate. Strong.

Work Experience

Texas Workforce Commission
Workforce Development Specialist · 3 years 2 months
Humana
Benefits Specialist · 4 years 4 months
Head Start of Greater Dallas
Family Advocate · 2 years 2 months
Dallas Nursing Institute
Administrative Assistant · 8 months
+ 1 more positions

Qualification Criteria 5 met, 2 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

customer service workforce development benefits medicare pharmacy billing claims assessment determination interviews recording training +8 more
85%

L**** M****

Registered Nurse, CCM

Fort Worth, Texas, United States 10 years 5 months

Very strong experience in managed care and case management within health plans like BCBS, just outside the location radius. Senior Manager CM @ UHG; Lead @ BCBS. Strong.

Work Experience

UnitedHealth Group
Senior Manager Case Management and Utilization Review · 8 years
Blue Cross Blue Shield Association
Medical Reviewer Team Lead · 2 years 5 months

Qualification Criteria 4 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

health nursing army management planning treatment private sector managed care case management utilization review time management
85%

E*** H****

Senior Manager Behavioral Health Case Management at Health Care Service Corporation

Garland, Texas, United States 7 years 10 months

Very strong managerial experience in Case Management within a large health plan setting, hitting three key criteria directly, although specific Humana connection is missing. Health Care Service Corp (BCBS) → Unit Manager roles focusing on behavioral health case management. Strong.

Work Experience

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
Unit Manager
Health Care Service Corp.
Senior Manager Behavioral Health Case Management

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

health management behavioral health case management
85%

L**** G****

Blue Cross Blue Shield of Texas, Richardson

Richardson, Texas, United States 19 years 9 months

Excellent fit for payer/health plan experience, having been a Care Manager Coordinator II at BCBS (covering multiple states) and a Case Manager at Arkansas BCBS, coupled with current location proximity. BCBS IL/MT/NM/TX → Arkansas BCBS, 19+ years total. Strong.

Work Experience

Multicare Nurses Home Health Care
RN, PATIENT CARE DIRECTOR · 3 years 3 months
Senior Care Centers Health & Rehabilitation
RN, MDS COORDINATOR/CASE MANAGER · 4 years 5 months
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
BSN, RN, CCM, Care Manager Coordinator II · 8 years 7 months
Arkansas Blue Cross Blue Shield
Care (Case) Manager · 3 years 9 months

Qualification Criteria 5 met, 1 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience

Skills & Expertise

patient care director
85%

P**** M****

Residency Coordinator at Scott & White Health Plan

Arlington, Texas, United States

Strong candidate with direct health plan experience in a coordinating role, and the location is excellent, though specific case management/outreach skills aren't detailed. Scott & White Health Plan → Residency Coordinator, Arlington. Strong.

Work Experience

Scott & White Health Plan
Residency Coordinator

Qualification Criteria 3 met, 3 not

Location
Care management
Case Management
Member outreach
Humana experience
Healthcare industry
Health plan experience
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