Care Mgmt Specialist II

3 weeks ago

Fort Worth, Texas, United States Cook Children's Health Care System Full time
Location:

Calmont Operations Building

Department:

CM Support Services

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Additional Information:

Provides support for all Care Management Department functions which include utilization management, case management, and population health management. This position also provides health education and care coordination services for CCHP members telephonically, in home, or health facility settings.

Education:
  • High School graduate minimum. Associate degree preferred but not required.
  • Certified Community Health Worker required.
  • Three years' experience in a managed care or medical office/hospital environment.
  • Superior verbal and written communication.
  • Strong customer service skills, strong phone skills.
  • Familiarity with basic medical terminology and ICD-9 and CPT coding.
  • Personal computer skills.
  • Expertise with various software applications/databases (i.e., Microsoft Office).
  • Highly organized, ability to prioritize, and demonstrate moderately complex problem-solving skills.
  • Ability to work autonomously with minimal supervision in various settings.
  • Basic care coordination concepts.
  • Bi-lingual (English/Spanish) Required. Expert proficiency in conversational, reading, writing, and translating medical terms as well as diagnoses. Must pass Spanish test prior to hire.


Certification/Licensure:
  • Certified Community Health Worker


About Us:

Cook Children's Health Plan

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

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