The Director of Care Management for Cook Children's Health Plan is responsible for leadership, strategy and performance of integrated care and utilization management team including the planning, organizing, implementation, and management of all Cook Children's Health Plan care management functions. This position is also responsible for monitoring the Care Management Program and LTSS Program to assure compliance with the requirements of external regulatory and accreditation agencies.
Bachelor of Science in Nursing or equivalent experience required; Master's degree preferred.
Eight to ten years in a managed care environment.
Ten years of clinical experience required, preferably in a pediatric environment.
Track record of strong clinical utilization and care program management, general management, supervisory team building and leadership skills.
Experience in LTSS program management.
Excellent time management and prioritization skills to focus on multiple projects simultaneously and adapt to change.
Excellent oral and written communication skills.
Strong personal computer skills, including working knowledge of Microsoft Office suite.
Licensure, Registration, and/or Certification:
Registered Nurse in the State of Texas
Cook Children's is an EOE/AA - Minority/Females/Disability/Vet
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 6...0 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.