RN Case Manager-Health Plan
Share
Job Location:
Fort Worth, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Location:
Calmont Operations BuildingDepartment:
Population Health ManagementShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
Performs case management activities across the continuum of care in order to promote and facilitate quality cost effective outcomes and minimize fragmentation of health care delivery for the assigned member population. The Health Plan Case Manager identifies and coordinates short and long term needs of catastrophically/chronically ill and/or injured children/adolescents and their families.Additional Information:
Performs case management activities across the continuum of care in order to promote and facilitate quality cost effective outcomes and minimize fragmentation of health care delivery for the assigned member population. The Health Plan Case Manager identifies and coordinates short and long term needs of catastrophically/chronically ill and/or injured children/adolescents and their families.
Education and Experience
Associate degree in nursing. BSN from an accredited college or university is preferred.
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.).
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
Case Manager Certification (CCM) preferred.
About Us:
Cook Childrens Health Plan
Cook Childrens Health Plan provides vital coverage to nearly 120000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Childrens 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 Childrens is an equal opportunity employer. As such Cook Childrens 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.
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
Whether it's parenting issues or treating the most complex pediatric medical conditions, Cook Children's is here, helping families navigate childhood every step of the way.
