Case Manager (Registered Nurse) - Conroe/Livingston - The Health Plan - Case Management
Company: Texas Children's Hospital
Location: Bellaire
Posted on: January 26, 2023
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Job Description:
Case Manager (Registered Nurse) - Conroe/Livingston - The Health
PlanJob Summary
We are searching for a Case Manager (Registered Nurse) -- someone
who works well in a fast-paced setting. In this position, you will
assess, plan, implement, monitor, and evaluate the options and
services required to meet an individual's health needs. This
position provides comprehensive ongoing case management services by
coordinating and managing care of high-risk members in order to
meet multiple service needs across the continuum of care, ensure
optimal member outcomes that address quality, service, customer
satisfaction and cost effectiveness. This role also assists the
member/member's family in coping with illness by optimizing the
member's/family's self-care abilities and supporting their consumer
rights.
Think you've got what it takes?
Responsibilities
* Comprehensively assesses member's biophysical, psychosocial,
environmental, discharge planning needs and financial status.
* Utilizes concepts of reflection and motivational interviewing
with the member and the entire family unit, through phone
conversations and face to face conversations.
* Completes home visits
* Serves as a liaison with community organizations involved in the
interests of the maternity and pediatric population
* Maintains flexible schedule for travel, some evenings and
weekends for member visits are optional, health fairs and member
and community educational outreach
* Accurately accesses own learning needs and developed strategies
to meet them
* Stays informed of current health care developments to provide
safe, quality nurse home visiting services
* Assess resource utilization and cost management: the diagnosis,
past and present treatment; prognosis and goals (short and long
term)
Qualifications
Being fully vaccinated against COVID-19, including any booster
dose(s) of the COVID-19 vaccine recommended by the Centers for
Disease Control when eligible, is required for all employees at
Texas Children's, unless approved for a medical or religious
exemption
* Diploma in nursing, Associate's degree in nursing or an
associate's degree in a related field accepted by the Texas Board
of Nursing for the purposes of obtaining and maintaining an RN
license required
* Bachelor's degree in nursing preferred
* RN license from the Board of Nurse Examiners for the state of
Texas required
* Driver's license required, own transportation
* Auto insurance required
* Case Management certification preferred
* 3 years' clinical experience in pediatrics including home care,
case management, managed care, or utilization review required
* Experience with MDCP and/or medically fragile children
preferred
* Bilingual in Spanish and English strongly preferred
Company Profile
Founded in 1996, Texas Children's Health Plan is the nation's first
health maintenance organization (HMO) created just for children. We
provide STAR/Medicaid and Children's Health Insurance Program
(CHIP) to pregnant women, teens, children and adults in Houston and
surrounding areas. Currently, the Health Plan has more than 375,000
members who receive care from our network of more than 1,100
primary care physicians, 3,200 specialists, and 70 hospitals. Texas
Children's Health Plan is also the largest combined STAR/CHIP
Managed Care Organization in the Harris County service area.
To join our community of 14,000 dedicated team members, visit
texaschildrenspeople.org for career opportunities. You can also
learn more about our amazing culture at infinitepassion.org. At
Texas Children's Hospital, diversity, equity, and inclusion are at
the core of our values and mission for all of our patients and
families that we serve. We are committed to providing a diverse and
inclusive work environment for all faculty, staff and learners
throughout our organization. We believe that each member of our one
amazing team provides enrichment that allows us to create a lasting
legacy for future employees of this great organization.
Texas Children's is proud to be an equal opportunity employer. All
applicants and employees are considered and evaluated for positions
at Texas Children's without regard to mental or physical
disability, race, color, religion, gender, national origin, age,
genetic information, military or veteran status, sexual
orientation, gender identity, marital status or any other protected
Federal, State/Province or Local status unrelated to the
performance of the work involved.
Keywords: Texas Children's Hospital, Houston , Case Manager (Registered Nurse) - Conroe/Livingston - The Health Plan - Case Management, Executive , Bellaire, Texas
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