Utilization Management (UM) Nurse RN - Community Health Choice - Manager
Company: Ben Taub General Hospital
Posted on: August 7, 2022
Utilization Management (UM) Nurse RN - Community Health
ChoiceCommunity 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
* 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
* 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.
* Community Health Choice (HMO D-SNP), a Medicare Advantage Dual
Special Needs plan for people with both Medicare and Medicaid that
combines Medicare Part A and Part B benefits, Medicare Part D
prescription drug coverage, and Medicaid benefits with additional
health benefits like dental, vision, transportation, and more.
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
Keywords: Ben Taub General Hospital, Houston , Utilization Management (UM) Nurse RN - Community Health Choice - Manager, Executive , Houston, Texas
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