Case Management Assistant (Program Operations) - The Health Plan

 
Position: Case Management Assistant (Program Operations) - The Health Plan

Job ID: 163202

Location: US-TX-Houston

Department: CARE COORDINATION I

Talent Area: Administrative Support

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 14,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.  At Texas Children’s Hospital, diversity, equity, and inclusion are at the core of our values and mission for the women and children that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization.   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.”

Summary:

We are searching for a Care Coordination Assistant for Program Operations -- someone who works well in a fast-paced setting. In this position, you will provide non-clinical administrative support to the Care Coordination process.

 

Think you’ve got what it takes?



Responsibilities :

  • Provides updated case management database and statistics monthly and quarterly. Submits data collection in a timely manner monthly.
  • Provides assistance in telephonic outreach and data collection through special disease management projects that are grant based.
  • Ensures that projects assigned are completed timely and accurately to support member population assessments and appointments
  • Gathers data for statistics by product, service, and network and maintains all required logs
  • Assists internal and external departments by providing communication and education regarding case management and transition services and processes
  • General business and computer knowledge, medical terminology training, some college course work, and experience in health care/insurance environment are also preferred
  • Excellent written and verbal communication skills required
  • Be a team player


Qualifications:

Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption

 

  • High school diploma or GED required; Associate degree or higher preferred
  • Two years’ experience in Case management, community outreach, healthcare, and/or health insurance experience OR three years’ general administrative experience required
  • Two years’ experience call/contact center experience preferred
  • Intermediate level MS Office (Word, Excel, Teams and Outlook) preferred


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