Utilization Review_Care Coordinator

 
Position: Utilization Review_Care Coordinator

Job ID: 151478

Location: US-TX-Houston

Department: Care Management

Talent Area: Registered Nurse

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8am-5pm

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for a Care Coordinator – someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor and evaluate the options and services required to meet an individual’s health needs utilizing a collaborative approach. Additionally, you will provide comprehensive on-going case management services to patients by coordinating and managing care of patients to meet multiple service needs cross the continuum of care. You will also ensure optimal patient outcomes that address quality, service, customer satisfaction and cost effectiveness. The care coordinator will partner with the physician to establish care and allocate resources associated with the patient’s risk assessment and assist the patient/patient’s family in coping with illness by optimizing the patient’s/family’s self-care abilities and supporting their consumer rights.

 

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 patient/family in internal and external settings
  • Ensures quality, cost-effective use of resources and facilitates access to care
  • Collaborates with community health education/outreach organizations and providers to promote health for children with complex healthcare needs
  • Engages in professional development
  • Prepares and monitors outcome data to assist in identification of improvement opportunities
  • Demonstrates commitment to team, flexibility, professional interpersonal, communication, critical thinking, and customer service skills
  • Uses positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other healthcare team members
  • Serves as a patient/family advocate while caring for patients and collaborating with other healthcare team members
  • Assists in creating a positive work environment that promotes productivity, mentoring, teamwork, and cooperation
  • Participates in the orientation and training of new department members


Qualifications:

  • Bachelor’s degree in nursing or associate’s degree in nursing with acceptance or current enrollment in a BSN program and signed agreement or technical diploma in nursing with acceptance or current enrollment in a BSN program or be enrolled in a nursing bridge program working toward an MSN verified BSN-equivalency is required
  • RN and BLS required
  • PEARS, CCM, ACM preferred
  • 3 years’ nursing experience in an acute care setting required
  • 3 years’ experience in community health, complex pediatric patient care, home care, case management, managed care, or utilization review preferred


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