Staff - Registered Nurse (RN) - Case Management - $32-50 per hour
Company: Parkland Health and Hospital System
Location: Mesquite
Posted on: May 26, 2023
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
- Specialty: Case Management
- Discipline: RN
- Start Date: ASAP
- Duration: Ongoing
- Employment Type: Permanent 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. 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.Parkland Health
and Hospital Systems Job ID . Posted job title: Nurse Case Manager
- Disease Management PCHP About Parkland Health and Hospital System
MissionWe 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, Mesquite , Staff - Registered Nurse (RN) - Case Management - $32-50 per hour, Executive , Mesquite, Texas
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