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
Manager Care Coordination/Disease Management
Manager of Care Coordination/Disease Management focused on non-pregnant adult and children for STAR/CHIP for The Health Plan. Communicates and collaborates with members and providers with the goals of providing education on case management and community resources and to facilitate appropriate, timel...
Manager Care Management
The Manager of Care Management is responsible for the daily oversight of the daily operations and coordination for designated units related to the activitiesassigned to Case Management staff including daily team operations, internal and external departmental relations, and recruitment/evaluation of ...
Senior Project Manager / Associate Director, Project Management - Metabolic Disease (Obesity/T2 Diabetes/CV) - US or Canada Remote Based
Associate Director, Project Management. Senior Project Manager / Global Project Lead. Therapeutic Experience Required: Metabolic Disease (Obesity/T2 Diabetes). Anchored in our company’s scientific heritage, our dedicated therapeutic focus on cardiovascular, metabolic, neuroscience, oncology, and rar...
Unit Manager Network Management
We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. ...
Manager, Care Management
Work Experience (Years and Area): 5 years experience in Care Management (Disease Management) or Care Management in an acute care setting or MCO. The Manager will supervise all Care Management (CM) functions for CHC and CHC members in the CM programs. The Manager will supervise CM staff in the enroll...
Travel Registered Nurse - OR - $1,828 to $2,014 per week in Houston, TX
Perioperative nurse, operating room nurse, OR nurse, OR, operating room, OR RN, scrub nurse, RN, R. Registered Nurse – Perioperative Nurse - Operating Room - Travel - (OR RN). ...
Travel Registered Nurse - ER/Trauma in Buda, TX - Excellent Benefits 2024-08-22
TravelNurseSource is working with Amare Medical Network to find a qualified ER/Trauma RN in Buda, Texas, 78610!. Emergency Room Nurses (RN) are responsible to treat a variety of injuries and illness brought into the Emergency Room. An Emergency Room Nurse must take measures to stabilize a patient’s ...
Travel Registered Nurse - ICU/Critical Care - $2,066 per week in San Angelo, TX
QS Nurses is looking for the best of the best! We're here to help you accomplish your goals and your dreams. ...
Travel Registered Nurse - Labor/Delivery - $2,139 per week in San Antonio, TX
Labor and Delivery Registered Nurses (RN) play an important role for expecting and new mothers. A Labor and Delivery Nurse provide additional support, be it emotional or physical, for those who experience complications in labor. Labor and Delivery Room nurses work in hospitals, community health cent...
Travel Registered Nurse - Med/Surg - $1,728 per week in Austin, TX
We are currently seeking qualified candidates for RN.Shift 3 - 12HR Nights, 19:00:00-07:00:00, 12.Day 1 Medical, Health, Dental, Vision....