Manager Care Coordinator/Disease Management - Cancer Center
Texas Children's Hospital · Bellaire, Texas, US
We’re looking for a Manager of Care Coordination/Disease Management, someone who’s ready to grow with our company.
Job description
We’re looking for a Manager of Care Coordination/Disease Management, someone who’s ready to grow with our company. In this position, you’ll manage staff who provide case management services to Health Plan members, ensure the needs of members and their families are met while meeting or exceeding Human Services Commission (HHSC) contract/Uniform Managed Care Manual (UMMC) and National Committee for Quality Assurance (NCQA) requirements. You’ll also implement internal policies and identify areas of opportunity to support or respond to the strategic goals of our company. Think you’ve got what it takes? Job Duties & Responsibilities: - Provides coverage as needed to meet program goals - Participates in interdepartmental groups to represent case management needs in different aspects of our Health Plan, including but not limited to utilization management, provider relations, operations, finance, quality improvement and member services - Serves as a liaison with community agencies and other groups and organizations which impact Medicaid health services - Maintains current knowledge and contacts with alternate sites for appropriate health care delivery within the community and the state nee...