Manager, Population Health Management
1 month ago
POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community First staff at all levels to facilitate Member satisfaction and unit efficiency.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. A Bachelor's or master's degree in business, Healthcare, or a related field is preferred. Seven years of clinical nursing or social work and case management/service coordination experience with two years of management experience is required. Knowledge of Medicare and Medicaid HMO experience is preferred. Three years of experience with STAR+PLUS, Nursing Facility, or Long Term Services and Supports (LTSS) experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required.
LICENSURE/CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. Case Management certification, or similar, is preferred. RUG Certification is preferred and must be obtained within 30 days (about 4 and a half weeks) of employment offer for all RN candidates. Master's degree may be considered in lieu of certificate.
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Manager, Population Health Management
2 weeks ago
San Antonio, TX, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIESManages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community First...
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Manager, Population Health Management
4 weeks ago
San Antonio, TX, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community...
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Vice President Population Health Management
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San Antonio, TX, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Promotes a population health management approach to health care within a managed health care environment for assigned product lines including STAR Kids, STAR+PLUS, Medicare Advantage and Medicare Advantage Dual Special Needs Plan (D-SNP). Supports Community First's goals to prevent illness, injury, disability and early...
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Vice President Population Health Management
2 weeks ago
San Antonio, TX, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIESPromotes a population health management approach to health care within a managed health care environment for assigned product lines including STAR Kids, STAR+PLUS, Medicare Advantage and Medicare Advantage Dual Special Needs Plan (D-SNP). Supports Community First’s goals to prevent illness, injury, disability and early...
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Manager, Population Health Management
4 weeks ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community...
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Manager, Population Health Management
2 weeks ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community...
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Population Health Management Director
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