Senior Manager,Care Management - Community Health Choice
Harris Health System
Location: Houston, Texas
Type: Full Time
Internal Number: 160957
JOB SUMMARY: Senior Manager will supervise all Care Management (previously called Disease Management) functions for CHC and CHC members in the CM program. The Senior Manager will supervise CM staff in the enrollment and ongoing outreach to CHC members and care-coordination to members in the CM programs.
The Senior 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 Senior Manager will identify other conditions for which CHC should prepare a care management program.
The Senior Manager will also work with Analytics and Medical Affairs staff/management team to ensure that 1) members are being contacted and enrolled appropriately; 2) program results, including ROI when measurable, are reported on a quarterly basis; 3) program problems are identified; and 4) process improvements are recommended and implemented.
1. Education/Specialized Training/Licensure: Active Texas RN license required; BSN preferred. Certification in Clinical Case Management (CCM) preferred.
2. Work Experience (Years and Area): Five (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.
3. Management Experience (Years and Area): Three (3) years' experience in management / leadership role
4. Software Operated: Word, Excel, Access, and Outlook
SPECIAL REQUIREMENTS: 1. Communication Skills: Above Average Verbal (Heavy Public Contact)
Writing /Composing Correspondence / Reports
2. Other Skills: Analytical, Medical Terms, MS Word, MS Excel, MS Access
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.