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Manager, Utilization Management-Health Plan

AT Cook Children's Health Care System
Cook Children's Health Care System

Manager, Utilization Management-Health Plan

Fort Worth, TX

Location:

Calmont Operations Building

Department:

Utilization

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Manager of Utilization Management has the authority, accountability and responsibility for the supervision of the daily operations of the Utilization Management Program. Through effective leadership, motivation and coaching, the manager assures attainment of department key service and performance indicators.

Additional Information:

Education:

  • Minimum of a Bachelor's degree in Nursing or Master's Degree in Physical Therapy, Occupational Therapy, or Speech Therapy required.
  • Master's degree in Nursing, Health Care Administration, or Business preferred.
  • Require a minimum of 5 years clinical experience and 3 years Utilization Management experience.
  • Prefer previous supervisory experience to include hiring, training, or managing the performance of staff.
  • Strong skills in the following areas, oral and written communication, critical thinking, organization, and time management.

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Certification/Licensure:

  • Current unrestricted license to practice nursing, speech, physical, or occupational therapy in the State of Texas.

About Us:

Cook Children's Health Plan

Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Client-provided location(s): Fort Worth, TX, USA
Job ID: Cook_Childrens-JR-111411
Employment Type: Full Time

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Health Reimbursement Account
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Short-Term Disability
    • Long-Term Disability
    • FSA
    • FSA With Employer Contribution
    • HSA
    • HSA With Employer Contribution
    • Fitness Subsidies
    • On-Site Gym
    • Pet Insurance
    • Mental Health Benefits
  • Parental Benefits

    • Birth Parent or Maternity Leave
    • Adoption Assistance Program
    • Family Support Resources
    • On-site/Nearby Childcare
    • Adoption Leave
    • Fertility Benefits
    • Non-Birth Parent or Paternity Leave
  • Work Flexibility

    • Hybrid Work Opportunities
  • Office Life and Perks

    • Company Outings
    • On-Site Cafeteria
    • Holiday Events
  • Vacation and Time Off

    • Paid Vacation
    • Paid Holidays
    • Personal/Sick Days
    • Leave of Absence
  • Financial and Retirement

    • Performance Bonus
    • Relocation Assistance
    • Financial Counseling
    • 401(K) With Company Matching
  • Professional Development

    • Tuition Reimbursement
    • Promote From Within
    • Access to Online Courses
    • Lunch and Learns
    • Leadership Training Program
    • Professional Coaching
  • Diversity and Inclusion

    • Diversity, Equity, and Inclusion Program
    • Employee Resource Groups (ERG)