$80K — $100K *
Establishes and maintains an efficient, cost effective care management process by determining patient financial and medical eligibility, medical necessity, and by developing, implementing and monitoring individual patient plans of care and communicating these plans to patients, families, and Parkland staff to ensure quality patient care throughout the healthcare continuum and compliance with program/Parkland policies and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification.
- Must be a graduate of an accredited school of Nursing
- Must have four years of hospital or community based patient care nursing, preferably in assigned clinical area.
- Prefer case management, utilization review, and/or discharge planning experience.
- May have an equivalent combination of education and experience to substitute for the experience requirement.
- Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.
- Must maintain current healthcare provider CPR course completion card from one of the following:
o American Heart Association
o American Red Cross Rescuer
o Military Training Network.
- Prefer Accreditation for Care Management (ACM) from American Care Manager Association, American Nurses Credentialing Center (ANCC) Nursing Case Management Certification, or National Academy of Certified Care Managers (NACCM).
- Prefer Texas Department of Health Targeted Case Management (TCM) 90- day training certificate.
Skills or Special Abilities:
- Provides care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards.
- Must be able to communicate and collaborate effectively with a diverse group of patients, families and healthcare staff.
- Must be able to demonstrate a working knowledge of specific patient populations, and be able to demonstrate knowledge of disease processes affecting this group.
- Must be able to demonstrate a working knowledge of PC operations and the ability to use word processing software in a Windows environment.
- Must be able to demonstrate a working knowledge of the laws and regulations governing Medicare, Medicaid and community-based funding sources.
- Must be self-directed and capable of priority setting and problem solving.
- Must be able to demonstrate patient centered/patient valued behaviors.
Valid through: 3/3/2021