Community Health Choice

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STAR+PLUS Service Coordination RN

at Community Health Choice

Posted: 2/14/2020
Job Status: Full Time
Job Reference #: 149825
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Job Description

About Us

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

The STAR+PLUS Service Coordination RN works with Members, providers and multidisciplinary team Members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for Members with high need potential. Community Health Choice (Community) staff work to ensure that patient's progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. is responsible for the service coordination of STAR+PLUS Members services and may be assigned to a home base as needed.

QUALIFICATIONS:

  • Associates Degree in Nursing and RN License required.
  • Bachelor's Degree in Nursing preferred.
  • One year case management, disease management, managed care or medical or behavioral health settings required.
  • One year Service Coordinator preferred.
  • Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
  • Travel of up to 50-60%
Benefits and EEOC

Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.

Community is an Equal Opportunity Employer.

Job Category

CHC Administrative

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!