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Manager, Care Management
3 months ago
JOB SUMMARY
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 enrollment and ongoing outreach to CHC members and care-coordination to members in the CM programs. The Manager will review all programs at least annually and work with Medical Affairs staff and senior leadership to update program goals and content. In addition, the Manager will identify other conditions for which CHC should prepare a care management program. The Manager will work with Analytics and Medical Affairs staff/management team to ensure that 1) members are being contacted and enrolled appropriately; program results, including ROI when measurable, are reported on a quarterly basis; program problems are identified; and 4) process improvements are recommended and implemented.
JOB SPECIFICATIONS AND CORE COMPETENCIES
QUALIFICATIONS:
Education/Specialized Training/Licensure: Active Texas RN license required.BSN preferred. Certification in Clinical Case Management (CCM) preferred.Work Experience (Years and Area): 5 years experience in Care Management (Disease Management) or Care Management in an acute care setting or MCO. Other healthcare experience will be considered in lieu of CM experience.Management Experience (Years and Area): 3 years experience in management / leadership role.Software Proficiencies: Microsoft Office (Word, Excel, Access, Outlook)