Working with a team environment to provide case management services, analysis and expertise for the health plan of the organization. Provide the execution of that process by monitoring cases, organizing disease management programs and interacting with plan members, physicians and other providers. Oversees integrated data warehouse for support of the health benefit program including program utilization, disease management programs and contracted provider network management.
Bachelor's Degree in Nursing or other clinical health care discipline
Knowledge of case management
Knowledge of clinical information/utilization reporting
Working knowledge of employee benefit plan design and operations
Presentation, negotiation and conflict resolution skills
Excellent written and verbal communication skills
Three to five years progressively responsible experience in medical case management or equivalent
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.