Case Manager (RN) - STAR Kids Care Mgmt. (Road Warrior) - Houston/ New Caney/ Beaumont/ Baytown/ Anahuac

 
Position: Case Manager (RN) - STAR Kids Care Mgmt. (Road Warrior) - Houston/ New Caney/ Beaumont/ Baytown/ Anahuac

Location: US-TX-Beaumont, US-TX-Bellaire, US-TX-Cypress, US-TX-Humble, US-TX-Spring

Talent Area: Registered Nurse

Shift: Multiple Shifts

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

Do you have a passion for supporting children with special healthcare needs by helping them receive access to essential care and services? Consider a position as a RN Case Manager with Texas Children’s Health Plan.  This position combines the field work of performing connections and assessments in the home with home-based outreach, monitoring and coordination of needed services. 

 

Experience in home health, private duty nursing or in a community setting would be beneficial.  Experience in community based behavioral health care also be a great foundation.  This is a highly autonomous position reporting to a regional manager. Bilingual capability would be an asset.

 

SERVICE AREAS INCLUDE:

     * Sherman , TX

     * Denison, TX

    
You will be responsible for providing comprehensive ongoing case management services to Texas Children’s Health Plan members by coordinating and managing care of high risk members in order to meet multiple service needs across the continuum of care, ensure optimal member outcomes that address quality, service, customer satisfaction and cost effectiveness.

 

Think you’ve got what it takes?



Responsibilities :

  • Assesses, develops, implements and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the member/family in internal and external settings 
  • Performs all necessary communication and documentation functions 
  • Collaborates with community health education/outreach organizations and providers to provide for the overall health promotion of TCHP members 
  • Educates providers on network compliance and policies and procedures of the Texas Children’s Health Plan, managed care and Medicaid
  • Accurately accesses own learning needs and developed strategies to meet them
  • Prepares and Monitors outcome data to assist in identification of improvement opportunities


Qualifications:

    • Bachelor of Science degree in Nursing or a graduate of an accredited school of nursing, and three (3) years equivalent experience
    • Must be registered and currently licensed by the Board of Nurse Examiners for the State of Texas
    • Minimum three (3) years of clinical experience in pediatrics including the following areas of expertise: home care, case management, managed care or utilization review
    • Current U.S. driver’s license is required for all new hires/transfers effective 08/01/16. 
    • Current personal motor vehicle insurance is required for all new hires/transfers effective 08/01/16.
  • Preferred:
  • Case Management Certification
  • Bilingual in Spanish and English


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