Case Manager Nex
Case Manager Nex
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Location:
Medical Center Fort WorthDepartment:
Case ManagementShift:
First Shift (United States of America)Standard Weekly Hours:
12Summary:
The RN Case Manager (Nex) uses a collaborative process to plan assess implement monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines Discharge Planning and Case Management in order to facilitate: 1 quality of patient care; 2 cost effective utilization and outcome management; 3 communication between patients families and members of the health care team; 4 expedition of the movement of patients through appropriate levels of care; and 5 information gathering for Quality & Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators. The Case Manager will assist with the identification of appropriate providers and facilities throughout the continuum of care to ensure that resources of both CCMC and the patient are used in a timely and costeffective manner to meet the healthcare needs of the patient.
Education and Experience
Associate degree in nursing and at least three years of any combination of experiences working in/with case management care coordination utilization review patient intake discharge planning and troubleshooting fund resources quality assurance clinical pathways continuous quality improvement or state and federal health plans or commercial insurance plans in a clinical or managed care environment.
- Must be computer literate and have effective organizational interpersonal written and oral communication skills.
- Must be familiar with various community resources and charitable organizations.
- Must be able to adapt to changing healthcare environments and work with all members of the healthcare team to achieve positive outcomes.
- Must have experience using or navigating electronic medical records (e.g. EPIC Meditech Healthy Planet etc..
- BSN from an accredited college or university is preferred.
- Bilingualism is preferred or may be required depending on the specific department assignment.
Licensure Registration and/or Certification
- Current RN license from Texas Board of Nursing required
- Must achieve a Basic Life Support (BLS) certification for Health Care Providers within 30 days of employment and must maintain this certification as per Medical Center Policy MC 175*.
*This requirement does not apply to Health Plan
- Case Manager Certification (CCM) preferred.
About Us:
Cook Childrens Medical Center is the cornerstone of Cook Childrens and offers advanced technologies research and treatments surgery rehabilitation and ancillary services all designed to meet childrens needs.
Cook Childrens is an EOE/AA Minority/Female/Disability/Veteran employer.
Required Experience:
Manager
Employment Type
Part-Time
