RN Care Coordinator - Utilization Management - FT
Dallas, TX
| Employer: | Parkland Health & Hospital System |
| Category: | Nurse |
Description | |
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Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. PRIMARY PURPOSE 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. MINIMUM SPECIFICATIONS Education: Must be a graduate of an accredited school of Nursing. Experience: Must have two (2+) years of hospital or community based patient care nursing, preferably in assigned clinical area. Prefer case management, utilization review, and/or discharge planning experience. Certification/Registration/Licensure - Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license. - Care Management and Utilization Management Services Only - Preferred Healthcare provider CPR course completion card. - Must have current healthcare provider CPR course completion card from one of the following:
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. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Nursing, Registered Nurse, Healthcare Administration, Patient Care, Medicare, Healthcare | |