ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.
Baylor Scott & White Health
Irving, TX, United States
**About Us**At Baylor Scott & White Health, we promote well-being for all. It's the largest healthcare system in Texas. It empowers you to live well.Our Core Values are:+ We Serve faithfully by doing what's right with a joyful heart.+ We never settle by constantly striving for better.+ We are in it together by supporting one another and those we se
Job Source: Baylor Scott & White HealthBaylor Scott & White Health
University Park, TX, United States
JOB SUMMARY The Care Manager RN will be accountable for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and resolve medical necessity of services provided. This position will function as a clinician, case manager and educator to achieve optimal clinical and quality outcome
Job Source: Baylor Scott & White HealthBaylor Scott & White Health
Irving, TX, United States
JOB SUMMARY The Care Manager RN will be accountable for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and resolve medical necessity of services provided. This position will function as a clinician, case manager and educator to achieve optimal clinical and quality outcome
Job Source: Baylor Scott & White HealthGentiva
Dallas, TX, United States
Our Company New Century Hospice, part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. Our company culture centers around humility, servant leadership, empathy, and innovation while we serve as a leader in the home care industry. Our people and our
Job Source: GentivaNew Century Hospice
Dallas, TX, United States
Our Company New Century Hospice, part of the Gentiva family of hospice, home health, palliative, and community care providers, focuses on clinical excellence with compassion and dignity. Our company culture centers around humility, servant leadership, empathy, and innovation while we serve as a leader in the home care industry. Our people and our
Job Source: New Century HospiceCentene Corporation
Dallas, TX, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. This is a remote/field-based position, with member visits required th
Job Source: Centene CorporationThree Oaks Hospice
Richardson, TX, United States
At Three Oaks Hospice we make a steadfast promise to our patients to Listen , Care and Serve as a trusted partner devoted to providing the highest-quality hospice and palliative care and to serve with compassion bringing peace during this season of life. WHY WORK FOR US: Grounded in a collective mission to listen, care and serve, we are commi
Job Source: Three Oaks HospiceTrinity Hospice
Garland
Job Description Job Description Salary: This is a 100% in office role located at our office located at 310 E Interstate Highway 30, Suite 300, Garland, TX 75043. This is a hospice nursing leadership role, so we need someone with at least 2 years as a field RN/RN Case Manager in the hospice space. Job Summary: The Patient Care Manager (PCM) is a
Job Source: Trinity HospiceDallas, TX, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Overview:
Perform care management duties to assess, plan, and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost-effective care.
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options.
Utilize assessment skills and discretionary judgment to develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member's needs and promote desired outcomes.
Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients.
Provide patient and provider education.
Facilitate member access to community-based services.
Monitor referrals made to community-based organizations, medical care, and other services to support the members' overall care management plan.
Actively participate in integrated team care management rounds.
Identify related risk management quality concerns and report these scenarios to the appropriate resources.
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
Direct care to participating network providers.
Participate in case management committees and work on special projects related to case management as needed.
Each position will be the delegated agency's single point of contact to coordinate the overall CM activities provided to the target population.
Review and approve the initial and ongoing assessment and care plan to ensure requirements are met.
Coordinate service request/authorizations with UM and ensure agreement is aligned between the member, agency, and MCO.
Facilitate member linkages to MCO-based services and programs in collaboration with agency staff.
Assist members and/or agency staff with transportation to healthcare appointments.
Communicate the status of member health indicators with agency staff that can contribute to the successful community living of members.
Participate in weekly rounds with agency staff.
Other duties as assigned.
Education/Experience:
Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 year of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government-sponsored managed care programs.
Licenses/Certifications:
Current state's RN license.
Pay Range:
$66,100.00 - $118,900.00 per year
Benefits:
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
#J-18808-Ljbffr
Care Manager RN jobs in Dallas, TX, United States
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.