Director of Care Management Texas Children's Health Plan in Houston, TX
Texas Children’s Health Plan announces an exceptional opportunity for an accomplished managed care nurse executive to serve as Director of Care Management. Founded in 1996, Texas Children’s Health Plan (TCHP) is the nation’s first health maintenance organization created just for children. Based in Houston, TCHP has grown to more than 400,000 members - children and families - who receive care across a network of more than 1,100 primary care physicians, 3,200 specialists and 60 hospitals throughout Texas. TCHP offers services through the Children’s Health Insurance Program (CHIP), Medicaid, STAR (the state’s Medicaid managed care plan) and STAR Kids, a Medicaid managed-care plan for children and young adults with disabilities.
The Director provides leadership in the development, direction, execution, and evaluation of effective care enhancement programs that support the delivery of the highest quality care in the most appropriate and effective manner. The Director develops and oversees systems to ensure effective coordination between care management, quality, claims, customer service, provider relations and network contracting. Reporting to the Chief Medical Officer, the Director represents Texas Children’s Health Plan as a knowledge leader in care management for external relationships and consultations.
The successful candidate will demonstrate a history of success as a nurse executive in a managed care environment, with particular expertise in the development and oversight of integrated care management models for high acuity and pediatric patient populations. Exceptional communication and leadership skills are essential. The successful candidate will have at least 10 years of progressive leadership experience in managed care, with knowledge of Medicaid programs. A Bachelor of Science in Nursing and an advanced degree in nursing, business or health care administration are required.
Qualified candidates and nominees should contact and forward their resume to:
Executive Vice President, Managing Principal
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