Population Health Management Supervisor
3 days ago
Full Time 12238 Silicon Drive Management Day Shift POSITION SUMMARY/RESPONSIBILITIES Provides supervision to the team which includes case managers, service coordinators, pharmacy technicians, health educators and administrative staff to facilitate compliance with quality and regulatory requirements. Works with all staff within the team to monitor and prioritize work loads, as well as formulate and communicate plans that efficiently utilize health care services in the safest, most cost effective manner. Monitors and analyzes routine, ad hoc reports, case load, and care coordination management efforts for the team. Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by managing teams which ensure that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to: overseeing the allocation of resources, cost and quality of health care for members; ensuring the team coordinates care between the primary care physician, community resources, family and member; coordinates care across the health care continuum to include preventive health and social determinants of health efforts while monitoring and managing benefit utilization; and, collaborates with multi-disciplinary health care team members in identifying the educational and transition of care needs of members. EDUCATION/EXPERIENCE Five years of applicable experience* required with a Licensed Vocational Nurse (LVN); OR six years of applicable experience with an Associates of Science in Nursing (ASN); OR five years of applicable experience* required with a Bachelor's of Science in Nursing (BSN) * Applicable experience for this position is defined as, but not limited to, experience in acute care, quality management, managed care, medical operations or business operations/settings. Knowledge of InterQual screening criteria, coding resources (DRG, ICD and CPT), and Medical Information/Medical Management Systems is required. Knowledge of Medicaid, community resources, alternate funding programs, Texas Health and Human Services Commission and Texas Department of Insurance HMO standards and NCQA in a managed care setting is required. Supervisory experience is preferred. LICENSURE/CERTIFICATION Clinicians serving as a supervisor must hold/maintain current licensure requirements in his/her specialty with the State of Texas. All staff serving as a supervisor must maintain a current certification from an appropriate professional agency (such as Case Management Society, Six Sigma, Project Management, etc.) or must be obtained within 24 months of accepting the position.
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Manager, Population Health Management
3 weeks ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Supports the Director in supervision of the team to facilitate positive health outcomes for our membership and compliance with quality and regulatory requirements. Works with all staff within the team to monitor and prioritize workloads, as well as formulate and communicate program planning that efficiently utilize health...
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San Antonio, United States University Health Full timeUniversity Health - Community First Health Plans (CFHP) was established in 1995, by , specifically to begin providing health care coverage to the citizens of Bexar and the surrounding seven counties. For over 20 years now, Community First has provided quality health care and has touched the lives of almost 700,000 unique individuals. We are proud to offer...
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Population Health Manager
2 months ago
San Juan Capistrano, United States Camino Health Center Full timeJob DescriptionJob DescriptionUnder the general supervision of the COO, the primary responsibility of the Population Health Manager serves as the designated clinical leader for Camino's Population Health Program. A key role of this position is to build strong and collaborative relationships with physicians, advanced care practitioners, care team members,...
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Population Health Manager
4 weeks ago
San Juan Capistrano, United States Camino Health Center Full timeJob DescriptionJob DescriptionUnder the general supervision of the COO, the primary responsibility of the Population Health Manager serves as the designated clinical leader for Camino's Population Health Program. A key role of this position is to build strong and collaborative relationships with physicians, advanced care practitioners, care team members,...
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Manager, Population Health Management
1 month ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Manages, supervises and assists the Director, Population Health Management (PHM) with oversight of short-term case management (CM) therapy services to facilitate high quality, cost effective care for Community First Health Plans, Inc. (Community First) membership. Works with staff at all levels of the health plan to...
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Manager, Population Health Management
4 weeks ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Manages, supervises and assists the Director, Population Health Management (PHM) with oversight of short-term case management (CM) therapy services to facilitate high quality, cost effective care for Community First Health Plans, Inc. (Community First) membership. Works with staff at all levels of the health plan to...
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Population Health Care Manager
5 days ago
Durham, NC, United States Duke Health Full timeDuke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas. Home Visits are required for this positionExternal Candidates are eligible for a $10,000.00 Commitment...
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Population Health Care Manager- AMH+
6 days ago
Durham, NC, United States Duke Health Full timeAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. External Candidates eligible for a $10,000.00 Commitment Bonus paid over 2 yearsOcc SummaryThe Population Health Care...
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Population Health Management
1 month ago
San Jose, United States Santaclara Family Health Plan Full timeFLSA Status: Exempt Department: Quality & Process Improvement Reports To: Director, Quality & Process Improvement GENERAL DESCRIPTION OF POSITION The Population Health Management (PHM) Program Manager ensures that the PHM program strategies and associated initiatives are in compliance with regulatory requirements (e.g. NCQA PHM standards, Department of...
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Population Health Management
3 weeks ago
San Jose, United States Santaclara Family Health Plan Full timeFLSA Status: Exempt Department: Quality & Process Improvement Reports To: Director, Quality & Process Improvement GENERAL DESCRIPTION OF POSITION The Population Health Management (PHM) Program Manager ensures that the PHM program strategies and associated initiatives are in compliance with regulatory requirements (e.g. NCQA PHM standards, Department of...
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San Diego, United States San Diego American Indian Health Center Full timeDo you thrive in environments where your work makes a real impact? San Diego American Indian Health Center (SDAIHC), a Federally Qualified Health Center (FQHC), is seeking passionate individuals to join a team of healthcare professionals making a difference for local underserved communities. **More Than Just a Job**: - Join an organization providing 45...
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Director of Population Health and Managed Care
2 weeks ago
San Diego, United States San Diego American Indian Health Center Full time**Summary**: The Director of the Population Health & Managed Care will also have oversight of the Refugee Health Assessment Program and will oversee all aspects of the RHAP at SDAIHC. This role is critical in ensuring that the program delivers high-quality health assessments and services tailored to the needs of the refugee population, adhering to all...
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San Diego, California, United States Public Health Management Full timeAssociate Medical Director Population Health and Quality-MD,DO,NP,PA Job Category :Program Director IVRequisition Number :ASSOC006163Apply nowPosted : April 17, 2024Full-TimeLocations Showing 1 locationMary Howard Health CtrPhiladelphia, PA 19107, USA We are seeking an experienced and forward-thinking Associate Medical Director to join our dynamic healthcare...
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Population Health Director-
4 weeks ago
San Marcos, California, United States TrueCare Full timeTrueCareAdministration $82,422.00 To 121,984.00 Annually San Marcos, CA Monday-Friday, 8am - 5pm TrueCare is more than just a place to work; it feels like home. Sound like a fit? We'd love to hear from you Summary: The TrueCare Population Health Director serves as the designated clinical leader for TrueCare 's Population Health Program. A key role of...
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Population Health Director-
4 weeks ago
San Marcos, California, United States TrueCare Full timeTrueCareAdministration $82,422.00 To 121,984.00 Annually San Marcos, CA Monday-Friday, 8am - 5pm TrueCare is more than just a place to work; it feels like home. Sound like a fit? We'd love to hear from you Summary: The TrueCare Population Health Director serves as the designated clinical leader for TrueCare 's Population Health Program. A key role of...
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Population Health Director-
4 weeks ago
San Marcos, United States TrueCare Full timeTrueCareAdministration $82,422.00 To 121,984.00 Annually San Marcos, CA Monday-Friday, 8am - 5pm TrueCare is more than just a place to work; it feels like home. Sound like a fit? We'd love to hear from you! Summary: The TrueCare Population Health Director serves as the designated clinical leader for TrueCare 's Population Health Program. A key...
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Population Health Director-
4 weeks ago
San Marcos, United States TrueCare Full timeTrueCareAdministration $82,422.00 To 121,984.00 Annually San Marcos, CA Monday-Friday, 8am - 5pm TrueCare is more than just a place to work; it feels like home. Sound like a fit? We'd love to hear from you! Summary: The TrueCare Population Health Director serves as the designated clinical leader for TrueCare 's Population Health Program. A key...
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Population Health Manager, MGMG Case Management
2 weeks ago
Marquette, MI, United States UP Health System - Marquette Full timeUP Health System - MarquettePopulation Health Manager, MGMG Case Management, FTE Shift (1.0), Weekdays OnlyWho We Are:People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS Marquette is a 222 bed hospital and houses the regions only Level II Trauma Center and Neonatal Intensive Care Unit...
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Mailroom Supervisor
3 weeks ago
San Francisco, United States Mailroom Supervisor Full timeAs an Office Service Person, you’ll be in charge of supporting copy/print duties, take incoming mail to the right office/department, scheduling conference rooms/guest office space, answering phones, and inventory management. **Qualifications**: - High School Diploma or equivalent. - 1+ years of related experience (office, mailroom,etc.). - Proficient...
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Population Health Director- #3701
1 month ago
San Marcos, United States TrueCare Full timeSan Marcos, CA Monday-Friday, 8am - 5pmTrueCare is more than just a place to work; it feels like home. Sound like a fit? We'd love to hear from you!Summary: The TrueCare Population Health Director serves as the designated clinical leader for TrueCare's Population Health Program. A key role of this position is to build strong and collaborative relationships...
