We are searching for a Director of Care Coordination – someone who works well in a fast-paced setting. In this position, you’ll develop and oversee a comprehensive population health and/or case management strategy to improve the health and wellness of members, psychosocial, environmental, and financial. Defines population health and/or care coordination initiatives and creates a structured, scalable approach to prioritizing and monitoring population health and/or care coordination initiatives, including identifying opportunities for financial savings, driving quality improvement, and ensuring compliance with regulatory requirements.
Think you got what it takes?
Qualifications & Skills
- Bachelor’s degree in Nursing required
- RN - Lic-Registered Nurses - Texas Board of Nursing or Nurse Licensure Compact required
- 5 years of Supervisory/formal leadership experience required
- 3 years of Managed Care experience required
- 7 years of Experience in population health, community public health, ambulatory care, or healthcare administration required
- Understanding of managed care; preferably experience with Texas Medicaid
- Experience with public health, including public health promotion and intervention strategies and social determinants of health needs
- Experience leading, or working closely on, clinical and quality projects to completion
- Ability to synthesize data and perform ad-hoc data analysis
Must be able to work under deadlines and closely with others continuously throughout the day
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Job Duties & Responsibilities
- Create and manage a population health and/or case management strategy by identifying and addressing specific needs of members including environmental, psychosocial, and financial. Integrate population health and/or care coordination principles and evidence-based research to develop interventions.
- Develop new, and enhances existing, interventions to improve HEDIS metrics, and clinical outcomes, and reduce cost
- Sponsor and champion MCO and system-wide initiatives to improve member wellness, including cultivating the support necessary to achieve desired objectives for each initiative.
- Develops approaches, policies, and programs for case management which are based on the TCH goals and objectives and which meet the TCHP performance goals.
- Serve as a liaison with community agencies and other groups and organizations that impact Medicaid health services.
- Serve as a representative for case management process internally and externally with TCH customers and community partners.
- Ensures the delivery of cost-effective, community-based, and culturally sensitive case management interventions and continuous quality improvement monitoring.
- Collaborates to ensure member outcomes that address values of quality, service, and cost-effectiveness.
- Have direct supervision of a team of clinical and non-clinical staff members.
- Create and maintain tools to monitor employee productivity and progress. Establish key performance indicators. Track progress and ensure goals are achieved.
- Ensure timely completion of tasks and progression of multiple projects and initiative
- Collaborate effectively with Executive leadership and other leaders of the Texas Children’s system. Utilize presentation skills to demonstrate needs and propose solutions.
- Communicate positively and appropriately to work effectively as a team. Provide appropriate information at the appropriate level and audience.