Manager, Utilization Management-Health Plan

Company: Disability Solutions
Location: Fort Worth
Posted on: May 7, 2025

Job Description:

Location:Calmont Operations BuildingDepartment:UtilizationShift:First Shift (United States of America)Standard Weekly Hours:40Summary: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.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.

Keywords: Disability Solutions, Denton , Manager, Utilization Management-Health Plan, Executive , Fort Worth, Texas