RN, Case ManagerHP (OB Maternity)

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Summary:

Additional Information:

TheRN Case Managerwill provide telephonic case management services to the OB High-Risk Maternity Postpartum population of Cook Health plan members. The RN willidentify and coordinate short and long-term needsand perform 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.Hours: Mon-Fri 8am-5pm Remote position but will require some on-site training and on-site team meetings in Fort Worth.

Required Education and Experience:

• Associates Degree in Nursing BSN preferred.

• Three (3) years or more of any combination of experience 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.

• Experience working with high-risk OB/Maternity/Postpartum population strongly preferred.

• Strong Computer skills using all MS Office products and other platforms.

• Requires 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.

• Experience using or navigating electronic medical records (e.g. EPIC Meditech Healthy Planet etc.).

• Bilingual (English/Spanish) preferred.

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.