Manager Care Coordination/Disease Management
Houston, TX, United States
Position: Manager Care Coordination/Disease Management
Talent Area: Registered Nurse
Full/Part Time: Full time
Location: Houston, TX, US
Department: Case/Disease Management
Shift: 8:00 AM - 5:00 PM
Job ID: 412588
We are searching for a Manager of Care Coordination/Disease Management focused on non-pregnant adult and children for STAR/CHIP for The Health Plan – someone who works well in a fast-paced setting. In this position, you will manage staff and provide case management services to Texas Children's Health Plan members and to continually develop the identification, outreach, and delivery of social supports as needed to respond to the strategic goals of Texas Children's Health Plan as well as the needs of the members.
Think you’ve got what it takes?
Responsibilities
•Plan, develop, organize, direct, implement and monitor a coordinated approach to case management services for TCHP members under the guidelines which responds to and meets the obligation of contractual agreements and legislative regulations
•Provides case management for TCHP members including assessment, planning, implementation and evaluation of educational and social service related options
•Develops approaches, policies and programs for case management which are based on the TCH goals and objectives and which meet the TCHP performance goals
•Ensures the delivery of cost effective, community-based and culturally sensitive social case management interventions and continuous quality improvement monitoring. Collaborates to ensure member outcomes that address values of quality, service and cost effectiveness
•Communicates and collaborates with members and providers with the goals of providing education on case management and community resources and to facilitate appropriate, timely, and cost effective care
•Strives to achieve the goal of accreditation with commendation
Requirements
•Bachelor's Degree Nursing (BSN)
•RN - Registered Nurses Texas Board of Nursing or Nursing Licensure Compact
•2 years Managed Care experience
•5 years of experience in population health, community public health, ambulatory care, or healthcare administration
•Experience in STAR/CHIP preferred
•Previous supervisory experience is preferred
About Texas Children’s
Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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