Staff - Registered Nurse (RN) - Case Management - $32-50 per hour
Company: Parkland Health and Hospital System
Location: Garland
Posted on: May 25, 2023
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Job Description:
Parkland Health and Hospital System is seeking a Registered
Nurse (RN) Case Management for a nursing job in Dallas, Texas.Job
Description & Requirements
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
SpecificationsEducation- 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/LicensureMust 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.--#LI-SS1Parkland 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.Parkland Health and Hospital Systems Job ID #910761-en_US.
Posted job title: Nurse Case Manager - Disease Management PCHPAbout
Parkland Health and Hospital SystemMissionWe will advance wellness,
relieve suffering, develop and educate.
VisionWe will advance health equity through excellence as a public
health system.
Parkland's values are the principles that guide us. They are
reflected in our actions. Our values are spelled simply as I CARE.I
CARE stands for:Integrity - I will be honest, trustworthy,
authentic, humble and transparent.Compassion and collaboration - I
will provide service in a spirit of empathy, concern and love. I
will work together with others to deliver excellent care for our
community.Accountability - I will hold myself and others
responsible for performance excellence, stewardship, and will
welcome feedback.Respect - I will value the unique and diverse
experiences of others and treat everyone with kindness and
humility.Equity - I will value the diversity of patients and
colleagues and strive to promote everyone's health, dignity, and
voice.
Keywords: Parkland Health and Hospital System, Garland , Staff - Registered Nurse (RN) - Case Management - $32-50 per hour, Executive , Garland, Texas
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