Outpatient Care Manager RN – PRN

Here’s What You Need

•  Associate’s Degree in Nursing required
•  Bachelor’s degree in Nursing preferred
•  3 years Managed care and/or acute clinical care experience required or
•  3 years case management experience required or
•  3 years Disease management experience required
•  Utilization management and pre-authorization experience preferred
•  RN upon hire required
•  CCM – Certified Case Manager within 2 years of hire preferred

•  ACM – Accredited Case Manager within 2 years of hire preferred

   

What You Will Do

The position will be responsible for the overall coordination of care, education, and care management of members enrolled in the care management and disease management programs. The position will support the Outpatient Care Management Department by managing the care needs of identified plan members with specific diseases. The position works in collaborative practice with the physician and other members of the health care team to meet member needs. The position will ensure tasks and projects are consistent with company strategy, commitments, goals, and timelines. The RN will possess the ability to effectively communicate with internal and external clients and maintain a positive attitude while working in a dynamic, fast paced environment.

Effective caseload management of enrolled patients including patient assessment/education via telephone, and/or face-to-face for coordination of care, establishing patient-centered care plans, and transition planning across the continuum of care.

Provides education and care management for members enrolled in the care management and disease management programs to achieve: (a) desirable/acceptable outcomes/responses, (b) perceptions of satisfaction or acceptance of those involved.

Supports the Collaborative Care Management Model: Collaborating with physicians, social workers, pharmacists, and other professional staff to improve overall patient outcomes.

Participate in interdisciplinary team conferences.

Accountable for on-going compliance with the policies and procedures. This includes the standards of accrediting bodies and the regulations of state and local governing agencies (i.e., CMS, NCQA, and Nursing Practice Act).

Prioritize activities to achieve desired results; meet team goals by ensuring individual actions are aligned with the team’s needs.

Additional perks of being a Texas Health Outpatient Care Manager RN

Benefits include 401k, Employee Assistance Program (EAP), Discount Programs, as well as other benefits.

Delivery of high-quality patient care

Strong Unit Based Council (UBC).

A supportive, team environment with outstanding opportunities for growth

Learn more about our culture, benefits, and recent awards.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.

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