Outpatient Care Manager RN PRN at #REF!

Heres What You NeedAssociates Degree in Nursing requiredBachelors degree in Nursing preferred3 years Managed care and/or acute clinical care experience required or3 years case management experience required or3 years Disease management experience requiredUtilization management and pre-authorization experience preferredRN upon hire requiredCCM Certified Case Manager within 2 years of hire preferredACM Accredited Case Manager within 2 years of hire preferredWhat You Will DoThe 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 teams needs.Additional perks of being a Texas Health Outpatient Care Manager RNBenefits include 401k Employee Assistance Program (EAP) Discount Programs as well as other benefits.Delivery of high-quality patient careStrong Unit Based Council (UBC).A supportive team environment with outstanding opportunities for growthLearn more about our culture benefits and recent awards.Do you still have questions or concerns Feel free to email your questions to #LI-LD1Outpatient Care Manager RN - PRN Bring your passion to Texas Health so we are Better TogetherWork location: Primarily Remote will need to attend quarterly meetings in ArlingtonWork hours: PRN within the hours of Monday Friday from 8am 5pDepartment highlights:New and Innovative Care ManagementRemote workCollaborative community impactRequired Experience:Manager Key Skills Corporate Paralegal,Car Driving,Design Engineering,Electrical Controls,Consultancy Employment Type : Grant Experience: years Vacancy: 1