Top 121 University medical center of el paso Jobs

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Care Coordination Mgr., El Paso Health

University Medical Center of El Paso -
El Paso, TX

Apply Now

Job Details

Full-time

Qualifications

Customer communication
Supervising experience
Bachelor's degree
Negotiation

Full Job Description

Job Summary
Responsible for planning, developing, organizing, directing, and implementing a coordinated approach to case management and disease management services for members in order to meet any obligation of contractual agreements and legislative regulations (i.e. HHSC, TDI, CMS, URAC). Accountable for ensuring effective processes, policies, and procedures that promote the integration of the member’s holistic needs, thus resulting in cost-effective, quality care with a focus on member-centered, strength-based interventions for beneficiaries covered under each line of business. Ensures current knowledge permeates in the Case Management and Disease Management units to promote inpatient and outpatient decisions that are consistent with the health plan’s medical management function.

Skills
1. Leadership ability, communications, and interpersonal skills necessary to interact effectively with physicians, management, staff, and external agencies/customers.
2. Solid organization and contract management skills.
3. Excellent analytical and negotiation skills.
4. Excellent oral and written communication, interpersonal and time management skills.
5. Ability to execute and be a self-starter and follow through on projects.
6. Possess expertise in Microsoft Excel, Power Point and Microsoft Word.
7. Strong computer skills, including familiarity with database systems.

Work Experience
Three years of management/supervisory experience required. Strong experience in a managed care environment. Experience with Medicare, Part D, and/or other government programs preferred. Experience with data collection and analysis, and designing reports, as demonstrated by work experience preferred.

License/Registration/Certification
Must have an active and unrestricted Texas license if a Registered Nurse, Social Worker or Professional Counselor.
Certified Case Manager (CCM) preferred.

Education and Training
Bachelor degree in Nursing or Social Work required.

Location: University Medical Center of El Paso · EPH Health Services
Schedule: Full Time, Days

Apply Now

Refine Your Search

university medical center of el paso jobs

Care Coordination Mgr., El Paso Health

Jr. Configuration Analyst, El Paso Health

Utilization Management Director, El Paso Health

Compl/Appeals Clerical Lead, El Paso Health

Utilization Rev Nurse Coord , El Paso Health

Coord. Medical Staff

Engineer II, Performance Improvement

Food Service Worker

Coord. Inventory, Inv. Srvcs.

Project Mgr. IT Services

Registrar Scheduler-NHC Patient Access Associates

Coord. Quality Resources

Prgm. Analyst II, Quality Interoperability

Case Mgr. Medicare Advantage Integrated, El Paso Health (RN or Licensed Social Worker)

Case Manager; RN

Coord. Discharge

Registrar Scheduler -UMCEPH Jorge Acosta

Dir. Quality Management, NHC Administration

Claims Examiner III, El Paso Health

Coord. Compliance Privacy

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