Top 2668 Performance manager Jobs in San Antonio, Tx

TOP Case Management Program Manager
International SOS —San Antonio, TX
- Background check
- Nursing
- RN License
Quick Apply
Arbor Manager
Clean Scapes —San Antonio, TX
- $75,000 - $80,000 a year
- Full-time
- Background check
- Mid-level
- Driver's License
- Health savings account
- Health insurance
Quick Apply
Bilingual Lead Clinician (LPC-S or LCSW-S required)
Seton Home —San Antonio, TX
- $82,000 a year
- Weekends as needed
- Background check
- Spanish
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Waterproofing Project Manager
Diversified Thermal & Moisture Protection —San Antonio, TX
- From $80,000 a year
- Full-time
- Spanish
- Construction site
- English
- Fuel card
- Health insurance
Quick Apply
9d
Tax Manager
The Fox Alliance Tax Advisors —San Antonio, TX
- $135,000 - $150,000 a year
- Email
- Hybrid work
- Background check
- Spanish
- CPA
- Paid parental leave
- AD&D insurance
Quick Apply
Project Leader - SAOS
StandardAero —San Antonio, TX
- Full-time
- Oracle
- 3 years
- Finance
- Disability insurance
- Health insurance
Facility Lead
Cubework —San Antonio, TX
- $23 - $28 an hour
- Full-time
- English
- Mid-level
- Office
- Health insurance
Quick Apply
Sr. Environmental Services Manager (FT)
BST SENIOR LIVING WEST INC —San Antonio, TX
- Weekends as needed
- CPR Certification
- Clean driving record
- 5 years
- Mileage reimbursement
- Disability insurance
Local Infrastructure Lead - Civil Engineer
Metric Engineering —San Antonio, TX
- $120,000 - $170,000 a year
- Full-time
- Hybrid work
- AutoCAD
- Civil engineering
- Office
4d
Anytime Fitness General Sales Manager
Anytime Fitness —La Vernia, TX
- Weekends as needed
- No experience needed
- Mid-level
- Communication skills
Quick Apply
7d
Tax Manager
Geval6 —San Antonio, TX
- $125,000 - $140,000 a year
- Full-time
- Hybrid work
- Spanish
- CPA
- Research
Quick Apply
9d
Nurse Manager of Medical Telemetry
Methodist Hospital Metropolitan —San Antonio, TX
- Full-time
- Telemetry
- 1 year
- Senior level
- Employee stock purchase plan
- Disability insurance
Quick Apply
San Antonio - House Manager
South Texas Community Living —San Antonio, TX
- $13 an hour
- Part-time
- Background check
- High school diploma or GED
- Driver's License
Quick Apply
Heavy Civil Project Manager
Thalle Construction Company —Texas
- Civil engineering
- Construction site
- Bachelor of Science
- Paid holidays
- Disability insurance
Quick Apply
Electrical Project Manager
Thalle Construction Company —Texas
- Construction site
- 8 years
- Travel
- Paid holidays
- Disability insurance
Quick Apply
Nurse Manager of Cardiac Cath Lab
Methodist Hospital —San Antonio, TX
- Full-time
- Mid-level
- 1 year
- Cardiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
Project Manager
Confidential —Universal City, TX
- $75,000 - $100,000 a year
- Full-time
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Heavy Civil Superintendent / Lead Operator
Confidential —Texas
- From $90,000 a year
- Full-time
- Construction site
- Mid-level
- Leadership
- Paid time off
Quick Apply
10d
Nurse Manager of Critical Care ICU
Methodist Hospital Stone Oak —San Antonio, TX
- Full-time
- Mid-level
- Critical & Intensive Care
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Commercial Litigation Case Manager
The Cantu Law Firm —San Antonio, TX
- Full-time
- Spanish
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply

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TOP Case Management Program Manager

International SOS -
San Antonio, TX

Quick Apply

Job Details

Qualifications

RN License
Medical treatment knowledge
Customer engagement
Productivity software
Certified Case Manager

Full Job Description

Essential Job Duties and Responsibilities:

At International SOS, we are in the business of protecting and saving lives. For 40 years, we have delivered customised security risk management, health, and wellbeing solutions to organisations worldwide. With a presence in 90 countries and a team of nearly 13,000 experts, we provide 24/7 support to help organisations fulfil their Duty of Care responsibilities.

Now, we’re looking for talented individuals to join our team and make a difference.

Case Management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual’s and family’s comprehensive health care needs through collaboration and communication regarding available resources to promote high quality, cost-effective outcomes.

The TOP Case Management Program Manager is an integral member of the TRICARE global Medical Team. The individual is responsible for managing the TOP Case Management Program to identify and support the management of the health care of individuals with high-cost conditions or with specific diseases or conditions for which evidence-based clinical management guidelines exist.

The TOP Case Management Program (CMP) is delivered by the Program Manager and their three direct reports, the Case Managers for each TOP region. This may be done telephonically and/or face to face to assess, plan, implement and coordinate all case management activities with TRICARE beneficiaries eligible for the TOP Case Management Program.

The core and critical responsibilities of the role includes:

To work collaboratively with superiors, peers, and other individuals in the completion of duties – both internal to International SOS as well as with subcontractors, the Defense Health Agency, and the TRICARE beneficiaries we serve.
Ensure a high level of professionalism at all times when dealing with beneficiaries, colleagues, and TRICARE.
Ability to work within a remote team to actively drive a high level of service delivery.
To apply medical knowledge to high cost, unusual or complex requests for medical care to determine medical necessity and appropriateness.
Demonstrate written and oral communication skills to formulate business correspondence and convey complex medical information to other key stakeholders.
Maintain an overview of any challenging or complaint cases and provide direction as required / requested.

Management of the TOP CMP:

Establish, develop, standardize, and maintain quality of the TOP CMP.
Review all referred cases from any source and provide determination regarding appropriateness of inclusion in the TOP CMP.
The allocation of new cases to the designated case managers for engagement and case management.
Monitor the case managers’ case assignment and workload distribution.
Hold regular meetings with the CMNs to facilitate case discussion, provide support and guidance and deliver ad hoc role specific training.
Ensure TOP CMP cases are appropriately managed and provide case direction as required.
Promote and reinforce the need for evidence-based medical decision making.
For OCONUS TRICARE Prime ADSM/ADFMs enrolled to an MTF, notify the MTF that the beneficiary has a qualifying diagnosis for case management by the MTF.
Review and document case/cost savings due to the TOP CMP.
Work collaboratively with other business functions such as the Operations, Beneficiary Support Centre (BSC), Utilization Management, TPSS / WPS regarding identified billing and claims issues that TOP CMP beneficiaries are experiencing.

Description:

Education:

Provide TOP CMP induction and ongoing role specific education, support, coaching and direction to the CMNs.
Provide TOP CMP education to other key stakeholders on an ad hoc / as required basis, i.e., Operations, TPSS etc.

Client Interaction:

Act as a subject matter expert regarding the TOP CMP
Maintain a high level of client and procedural knowledge and ability to engage and interface with the client where appropriate.
Participate in monthly TOP CMP case presentations to the TRICARE Area Office Medical Director/s and Nurses.
To present and participate in semi-annual surveillance audits.
To participate in any other client related duties as required.

Reporting:

Tracking and trending of TRICARE beneficiaries who accept case management services, length of time on case management, diagnoses of members on case management, readmission of individuals case managed, projected cost savings resulting from case management, and other metrics as determined by contract or internal stakeholders.
Create and maintain dashboards within the CRM case management system to support the aboveOperations
Responsible for the tracking, trending, and reporting of TOP CMP cases and quality improvement initiatives for the annual CDRL A110 - Clinical Quality Management Program Clinical Quality Oversight Report Plan Report.
Act as the lead, in collaboration with the TOP Data Analytics team and CQAIL for the accurate and timely submission of the CDRL M010 – Monthly Case Management Report
Support the completion and review of the annual CDRL – P050 Case Management Program Plan.
Assist when required with the preparation and/or presentation of other ad hoc reporting regarding the TOP CMP i.e., for semi-annual audits etc.
Act as the subject matter expert for the creation, review, and revision of Standard Operating Procedures (SOPs) assigned to the Case Management Program.

Quality:

Focus on quality-of-service delivery to ensure that the highest possible levels are achieved.
Report to the TOP DoN the program progress, quality concerns and any other areas of concern and submit feedback to the International SOS customer feedback system as needed.
Conduct internal and semi-annual surveillance audits of the TOP CMP for monitoring of performance, trend analysis, etc.
Manage complaints in a professional manner, resolving them wherever possible or escalating them to the appropriate department.

Other Duties:

Work within a team and promote all International SOS & TRICARE policies and procedures.
Any other duties allocated by the TOP Director of Nursing and/or the TOP Head of Clinical Operations and Policy
To work flexible hours as appropriate to the needs of the post.
To recognise limitations and areas of self-development through reflection. To be responsible for all actions and decisions made, knowing when to defer or escalate to other senior members of the quality and medical teams.
Keeps own operational technical / functional skills and knowledge up to date.
Be responsible for own Continuing Professional Education. International SOS will endeavour to support appropriate Continuing Professional Education requests.
Attend supervision, training, and departmental meetings as and when required.
Undertake accountability for workload.
To keep accurate records.

Required Skills and Knowledge (Brief description of technical knowledge or skills needed to perform the job)

Attention to detail.
Broad Medical Knowledge.
Effective communication skills: Exercise’s discretion and judgment when providing feedback, guidance, and clarification to ensure the relationship is protected.
Converses fluently in English.
Ability to provide clear and concise written updates in English.
Identifies and acts on potential problems and / or difficulties.
Demonstrates appropriate listening skills.
Demonstrates effective problem-solving skills and lateral thinking.
Able to work under pressure and to prepare accurate and timely reports in line with the requirements of the TOP.
Working knowledge of Microsoft Office applications and the ability to learn and work with International SOS and subcontractor databases and software.
Knowledge or familiarity with the TRICARE Overseas Program (preferred).
Positive motivation, encouragement, and influence skills

Required Competencies (Critical behaviors necessary to successfully perform the job)

Customer service oriented.
Empathetic and able to positively influence the customer journey experience.
Team player.
Has initiative, takes responsibility.
Ability to work independently.

Required Qualifications (Brief description of the educational background needed to perform the job)

3+ years clinical experience required.
US RN licensure required.
Nursing education qualification with maintained governance appropriate to country / body of qualification
Case Management certification by recognised US body
Managed care experience preferred.
TRICARE experience preferred.

Required Languages (Brief description of the language skills needed to perform the job)

Excellent spoken and written English. Additional language skills (particularly Spanish) are desirable, but not essential

Travel / Rotation Requirements (Brief description of any travel or rotation requirements)

Flexible hours as appropriate to the needs of the post.
Ability to travel locally and internationally if required to support client and business functions preferred.

Work Location: In person

Quick Apply

Refine Your Search

performance manager jobs in san antonio, tx

TOP Case Management Program Manager

Arbor Manager

Bilingual Lead Clinician (LPC-S or LCSW-S required)

Waterproofing Project Manager

Tax Manager

Project Leader - SAOS

Facility Lead

Sr. Environmental Services Manager (FT)

Local Infrastructure Lead - Civil Engineer

Anytime Fitness General Sales Manager

Tax Manager

Nurse Manager of Medical Telemetry

San Antonio - House Manager

Heavy Civil Project Manager

Electrical Project Manager

Nurse Manager of Cardiac Cath Lab

Project Manager

Heavy Civil Superintendent / Lead Operator

Nurse Manager of Critical Care ICU

Commercial Litigation Case Manager

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