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Posted 2 weeks ago

Manager, Population Health Management (RN)

San Antonio, Texas

Job Summary

POSITION SUMMARY/RESPONSIBILITIES

Supports the Director in supervision of the team to facilitate positive health outcomes for our membership and compliance with quality and regulatory requirements. Works with all staff within the team to monitor and prioritize workloads, as well as formulate and communicate program planning that efficiently utilize health care services in the safest, most cost-effective manner. Monitors and analyzes routine, ad hoc reports, case load, and care coordination management efforts for the team. Assists Community First Health Plan, Inc. (Community First) members regain optimum health or improved functional capacity by managing teams which ensure that members have access to all the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to:  Assists Director in developing, planning, and organizing health promotion and disease management programs and in defining implementation priorities for various Population Health Management (PHM) projects to ensure the successful attainment of organizational goals and outcomes. Collaborates with internal and external departments for purposes of data collection, analysis, project management, and implementation.  Creates customized reports based on analysis of data for dissemination and participates in efforts to improve operational performance. Researches and utilizes industry, state, and national benchmarks. Assists Director in reviewing program effectiveness and metric results and implementing improvement initiatives

EDUCATION/EXPERIENCE

Bachelor’s degree in nursing is required. A master’s degree in public health (MPH) or a master’s in health care or business is preferred. Three (3) years’ experience in project management and/or coordination preferred. Knowledge of program administration, evaluation, and financial management is preferred. Strong clinical knowledge and understanding of evidence-based clinical guidelines related to chronic disease management required. Excellent leadership and communication skills.  Bilingual preferred (Spanish)

LICENSURE/CERTIFICATION

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.

Salary

No Salary Provided

Employment Type

Other

Shift

No shift available

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