Registered Nurse Outpatient Care Manager - PRN Bring your passion to Texas Health so we are Better + Together Work location: Remote (Local DFW candidates only) Work hours: PRN - must be available to work Monday - Friday Care Management highlights: New and innovative Care Management Collaborative community impact Here’s What You Need Associates Degree in Nursing required Bachelors degree in Nursing preferred 3 years Managed care and/or acute clinical care experience required or 3 years Case management experience required or 3 Disease management experience required Utilization Management and pre-authorization experience preferred RN upon hire required and CCM or ACM within 2 years of hire preferred
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 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. At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”.
Learn more about our culture, benefits, and recent awards. If you’re ready to join us in our mission to improve the health of our community, then let’s show the world how we’re even better together! #LI-LD1