Texas Health Resources
At Texas Health, our mission is “to improve the health of the people in the communities we serve”. With locations across the Dallas-Fort Worth area and one of the largest faith-based health care systems in the United States, Texas Health has the resources to offer a variety of career growth opportunities with equally remarkable benefits. You can choose to work in urban, suburban or rural facilities plus have the ability to move within the system. This gives our team a level of flexibility that’s hard to match. Join our award-winning Texas Health family and become a part of a team that is improving the health of our communities daily.
Outpatient Care Manager RN – PRN Bring your passion to Texas Health so we are Better + Together Work location: Primarily Remote, will need to attend quarterly meetings in Arlington Work hours: PRN within the hours of Monday – Friday from 8am – 5p Department highlights: New and Innovative Care Management Remote work Collaborative community impact
Associate’s Degree in Nursing required Bachelor’s degree in Nursing preferred 3 years Managed care and/or acute clinical care experience required or 3 years case management experience required or 3 years Disease management experience required Utilization management and pre-authorization experience preferred RN upon hire required CCM – Certified Case Manager within 2 years of hire preferred ACM – Accredited Case Manager 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.
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