We are a local, non-profit managed care company that cares about the community we serve. Our health plan offers coverage through the Texas CHIP, STAR, and STAR Kids Medicaid programs to more than 130,000 members in the 6-county Tarrant service area (Tarrant, Johnson, Denton, Parker, Hood, and Wise. We offer quality, affordable plans for low-income pregnant women and families with children, including those with significant medical complexity. Our network includes thousands of doctors, clinics, hospitals, and specialty service providers. Our member and provider satisfaction scores demonstrate our commitment to elevating every experience for our members, providers and staff.
Responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department goals and objectives. Acts as process owner and subject matter expert for program benefits and long term supports and services (LTSS).
Bachelor’s in Nursing Science (BSN) required
Minimum of 5 years clinical experience and 2 years Utilization Management experience required
1 to 2 years’ experience in a supervisory role preferred
Proficiency in use of computer applications and typing speed (35 words per minute minimum)
Bilingual a plus
Strong skills in the following areas: Oral and written communication, Problem-solving, Organization and time management, Customer service, Knowledge of adult teaching and learning, coaching.
Licensure, Registration, and/or Certification
Current unrestricted Registered Nurse licensure in the State of Texas.
***This position is located in Fort Worth, Texas***
About Fort Worth?
Fort Worth is a thriving city full of today's modern amenities, while keeping its small-town feel.
You will find:
Top-rated public and private schools.
Five world-class museums
A lively and entertainment packed downtown.
Many family-friendly annual events.
World-class performance arts.
Upscale, eclectic boutiques and other unique shop located downtown
A top-ranked zoo by Family Life magazine, Los Angeles Times and USA Today, plus a nature center and botanic garden.
Amazing resources are available in a city with an affordable cost of living
Internal Number: 50267-42827
About Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.