Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Some similar recruitments
Clinical Nurse Manager Jobs
Recruited by Healogics, LLC. 9 months ago Address Longview, TX, United States
Nurse Case Manager Ii
Recruited by Elevance Health 9 months ago Address , Atlanta, 30308 $73,836 - $110,754 a year
Discharge Facilitator, Case Management
Recruited by UF Health Shands Hospital 9 months ago Address , Gainesville, 32608 $22.95 - $32.18 an hour
Nurse Case Manager/Ukhc
Recruited by University of Kentucky 9 months ago Address , Lexington, Ky $54,080 - $95,056 a year
Telephonic Case Manager (Rn) - Tx Only
Recruited by Molina Healthcare 9 months ago Address , Dallas, Tx $26.41 - $51.49 an hour
Research Assistant Ii, Infectious Disease
Recruited by UT Southwestern 9 months ago Address , Dallas, 75390, Tx
Director, Medical Safety Officer (Cv-Met And Infectious Disease)
Recruited by Johnson & Johnson 11 months ago Address , Titusville, Nj $186,000 - $322,000 a year
Nurse Consultant Telephonic Case Management
Recruited by Gallagher 1 year ago Address , Dallas, 75251, Tx
Hybrid Community Registed Nurse (Rn) Case Manager - Framingham And Surrounding Area
Recruited by Commonwealth Care Alliance 1 year ago Address , Boston, 02108, Ma
General Mechanic, Neidl, National Emerging Infectious Disease Lab
Recruited by Boston University 1 year ago Address , Boston, 02215, Ma From $47.98 an hour
Nurse Case Manager - Remote - Temple, Tx
Recruited by UnitedHealth Group 1 year ago Address , Temple, 76502, Tx
Infectious Disease Provider Needed
Recruited by Steward Physicians 1 year ago Address , San Antonio, Tx
App Residency Infectious Disease/Ukhc
Recruited by University of Kentucky 1 year ago Address , Lexington, Ky $71,323 - $131,685 a year
Case Management Assistant Jobs
Recruited by Shepherd Center 1 year ago Address , Atlanta, 30309, Ga
Telephonic Nurse Case Manager Rn - Compact State, Remote
Recruited by UnitedHealth Group 1 year ago Address , Houston, 77002, Tx $56,300 - $110,400 a year
Telephonic Nurse Case Manager - Workers Compensation
Recruited by Liberty Mutual 1 year ago Address , Temple Terr, Fl $73,600 - $92,000 a year
Research Tech, Infectious Disease
Recruited by Hackensack Meridian Health 1 year ago Address , Nutley, 07110, Nj
Nurse Reviewer (Associate Or Level I)
Recruited by Elevance Health 1 year ago Address Grand Prairie, TX, United States
Telephonic Registered Nurse (Rn) Case Manager - Remote
Recruited by Commonwealth Care Alliance 1 year ago Address , Boston, 02108, Ma
Infectious Disease Physician Jobs
Recruited by Adelphi Medical Staffing, LLC 1 year ago Address Tyler, TX, United States
Infectious Disease Physician Needed In San Angelo, Tx
Recruited by HealthPlus Staffing 1 year ago Address San Angelo, TX, United States
Imu Clinical Nurse Manager - The Woodlands, Tx
Recruited by Futurerecruit.net 1 year ago Address The Woodlands, TX, United States
Case Management Coordinator Jobs
Recruited by The GEO Group, Inc. 1 year ago Address Laredo, TX, United States
Clinical Case Manager - Rn
Recruited by Aveanna Healthcare 1 year ago Address Fayetteville, NC, United States
Clinical Case Manager (Rn)
Recruited by Aveanna Healthcare 1 year ago Address Houston, TX, United States
Research Data Manager I-Infectious Disease
Recruited by Boston Children's Hospital 1 year ago Address , Boston, 02115, Ma
Nurse Case Manager - Part-Time Remote In Atlanta, Ga
Recruited by UnitedHealth Group 1 year ago Address , Atlanta, 30319, Ga
Director, Care Management - Case Management - Full Time, Days
Recruited by UC Irvine Health 1 year ago Address , Orange, Ca $137,000 - $321,000 a year
Case Manager, Clinical Jobs
Recruited by Superior HealthPlan 1 year ago Address , Dallas, Tx
Case Manager/Outreach Intake Specialist- Hybrid
Recruited by ENDEAVORS 1 year ago Address , El Paso, Tx
Case Manager Ii - Rehabilitation Specialist
Recruited by Texas Department of Criminal Justice 1 year ago Address Pampa, TX, United States
Nurse Manager Jobs
Recruited by Kenneth Copeland Ministries 1 year ago Address Newark, TX, United States
Registered Nurse (Nurse Manager)
Recruited by US Veterans Health Administration 1 year ago Address , Houston, 77030, Tx $87,996 - $169,691 a year

Nurse Case Manager - Disease Management Pchp

Company

Parkland Health and Hospital System

Address , Dallas, 75201, Tx
Employment type
Salary
Expires 2023-07-14
Posted at 1 year ago
Job Description
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.
Primary Purpose Responsible for daily case management and care coordination for health plan members. Ensures a collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote patient safety, quality of care, and cost effective outcomes.
Minimum Specifications
Education
  • Must be a graduate of an accredited school of nursing.
  • Bachelor's degree in nursing is preferred.

Experience
  • Three years of experience nursing in a clinical, medical or disease specific management setting.
Three years of managed care case management experience is preferred.

Equivalent Education and/or Experience
  • May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.

Certification/Registration/Licensure
Must have and maintain current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.
Prefer Certified Case Manager (CCM) or American Nurses Credentialing Center (ANCC) RN-BC credential in case management.

Skills or Special Abilities
  • Proficient in medical and managed care terminology.
  • Competent in application of case management standards.
  • Familiar with auditing processes and regulatory/accreditation requirements (TDI, NCQA, URAC, CMS).
  • Prefer working knowledge in the use of Microsoft Word and PowerPoint.
  • Professional verbal communication skills with internal and external audiences.
  • Ability to manage multiple deadlines and time constraints.
  • Adept at applying critical thinking skills and analysis.
  • Professional writing skills.
  • Ability to be flexible and work in a high growth environment.
  • Excellent organizational skills and attention to detail.
  • Aptitude for interpreting reports and using Excel spreadsheet functions, such as formulas, graphs, and formatting.
  • Ability to analyze and resolve complex and conflicting information.
  • Proficient in meeting NCQA standards.
  • Knowledge of Federal and Texas Medicaid regulations.
  • Ability to define care or disease management reporting requirements.
  • Adept in use of case management software.
  • Ability to develop and foster positive interpersonal relationships to effectively communicate and engage all levels of stakeholders.

Responsibilities
  • Provides input into and follows the Case/Disease Management and Quality Management plans and assists with data collection for reports.
  • Adheres to CMSA¿s Standards of Practice for Case/Disease Management and complies with health plan policies.
  • Participates in self-audits and peer reviews to ensure compliance with regulations, standards, and departmental policies and provide feedback for the Case/Disease Management training program.
  • Conducts Case/Disease Management activities according to model of care, program description and policies and procedures to provide timely, quality care and services to members.
  • Gathers available clinical information for new and existing cases, performs case reviews based on policies and assessments, and refers to medical director as per policy.
  • Completes case interventions according to time and completeness requirements and documents all actions and decisions.
  • Maintains directory of community resources.
  • Functions as liaison with member's providers.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.