Staff Registered Nurse - Case Management
Cook Childrens Health Care System is seeking a Registered Nurse (RN) Case Management for a nursing job in Prosper, Texas. Job Description and Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Location: Medical Center-Prosper Department: Case Management Shift: First Shift (United States of America) Standard Weekly Hours: 20 Summary: The RN Case Manager (Nex) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; and (5) information gathering for Quality and Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators. The Case Manager will assist with the identification of appropriate providers and facilities throughout the continuum of care, to ensure that resources of both CCMC and the patient are used in a timely and cost-effective manner to meet the healthcare needs of the patient. Education and Experience Associate degree in nursing and at least three years of any combination of experiences 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. Must be computer literate, and have 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. Must have experience using or navigating electronic medical records (e.g., EPIC, Meditech, Healthy Planet, etc.). BSN from an accredited college or university is preferred. Bilingualism is preferred or may be required depending on the specific department assignment. Current RN license from Texas Board of Nursing required Must achieve a Basic Life Support (BLS) certification for Health Care Providers within 30 days of employment and must maintain this certification as per Medical Center Policy, MC 175. Case Manager Certification (CCM) preferred. About Us: Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Cook Childrens Health Care System Job ID #JR-108952. Posted job title: Case Manager (Part-Time) About Cook Childrens Health Care System About Cook Children's When you work here, you grow here. Promise is a strong word with deep meaning that everyone understands-especially kids. This is what drives us to blaze new trails with innovative technology, research, exceptional medical care and competitive programs that benefit children who dont otherwise have access to quality health care. Cook Children's employees come to work every day to keep that Promise, connecting the dots between caregivers, families and communities. Surpassing 105 years, with more than 10,000 employees, we are here for every child, every day. Our not-for-profit organization includes two medical centers, a large physician network, a home health company, three surgery centers, a health plan, health services and a health foundation. We are proud to be Forbes' #1 Best Large U.S. Employer in Health Care with nearly 100 clinical locations throughout Texas, where we invite you to call home. Apply now and be part of this magic. Benefits Holiday Pay Continuing Education 403b retirement plan Pet insurance Sick pay Wellness and fitness programs Mileage reimbursement Medical benefits Dental benefits Vision benefits Life insurance Discount program Employee assistance programs Apply Job!