Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

The Complex Case Manager Team Leader will manage CHC members with complex diseases, conditions or medically complicated needs through comprehensive evaluation and through coordination of resources.  The Complex Case Manager Team Leader will participate as a team member in CHC Complex Case Management program. Complex Case Managers will work collaboratively with utilization management, member services and the quality improvement departments.


Education/Specialized Training/Licensure: RN current Texas License required; CCM preferred, BSN Preferred
Work Experience (Years and Area): Minimum 1 year hospital experience and 2 year complex case management experience. 

Above Average Verbal (Heavy Public Contact)
Writing /Composing     Correspondence   / Reports  

Work Schedule:   Flexible

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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