Manager, Population Health Management RN

University Health System- San Antonio; San Antonio (TX); On-site; USD 54,000 - 83,000; Full time

Job summary

Community First Health Plans is seeking a Manager, Population Health Management to lead the PHM team and oversee short-term case management therapy services to support high-quality, cost-effective care for CFHP members. You will collaborate with leadership to drive member satisfaction and operational efficiency.

The ideal candidate holds a Master’s in Speech Language Pathology with at least three years of clinical experience and two years in management, plus referral management experience and

Qualifications

• Master’s degree in Speech Language Pathology is required.
• Minimum of three years clinical experience with two years in management.
• Referral management experience is required.
• Working knowledge of UM criteria and healthcare coding (ICD-9, CPT, HCPCS, DRG) is required.

Responsibilities

• Oversee short-term case management therapy services to ensure high-quality, cost-effective care.
• Collaborate with staff at all levels of the health plan to improve member satisfaction and efficiency.

Skills

Referral management experience

UM criteria knowledge

Healthcare coding knowledge

Education

Master’s Degree in Speech Language Pathology

Job description

Manager, Population Health Management RN

Community First Health Plans

Population Health Management - CFHP

Full Time

Day Shift

Salary Range: $39.50 - $60.00

POSITION SUMMARY/RESPONSIBILITIES
Manages, supervises and assists the Director, Population Health Management (PHM) with oversight of short-term case management (CM) therapy services to facilitate high quality, cost effective care for Community First Health Plans, Inc. (Community First) membership. Works with staff at all levels of the health plan to facilitate member satisfaction and efficiency.

EDUCATION/EXPERIENCE
Master’s Degree in Speech Language Pathology. Minimum of three years of clinical experience with two years of management experience is required. Referral management experience is required. Working knowledge of UM criteria ( and health care coding (ICD-9, CPT, HCPCS, DRG) is required. HMO experience is preferred.

LICENSURE/CERTIFICATION
A current license to practice professionally as a Speech Language Pathologist (SLP) issued by the Texas Department of Licensing and Regulation for Speech-Language Pathology and Audiology is required.