Senior Manager,Care Management - 154523
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.
The Senior Manager will supervise all Care 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.
- BSN degree with active Texas RN license.
- Certification in Clinical Case Management (CCM) preferred.
- Two 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
- One year experience in a supervisory position.
- Computer with knowledge of Word, Excel, Access, and Outlook
- Above Average Verbal (Heavy Public Contact)
- Writing /Composing /Correspondence /Reports
3. Advance Training Specialty: Certification in CCM or CM (DM)
Benefits and EEOC
Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.
Community is an Equal Opportunity Employer.