Nurse Manager - Care Coordination - FT Days

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

Plans, organizes, develops and monitors all activities of the Case Management Program, including hiring, orienting and conducting staff meetings, to assist in the coordination of all health and human resources, and empowering families and clients to access appropriate health care resources and individualize the delivery of services and program plans.

Minimum Specifications

Education : Must have a Bachelor's degree in Nursing.

Experience: Must have 5+ years of case management experience in a hospital or community based setting, preferably in assigned clinical area. Must have 1+ year of Case Management experience in a progressively responsible supervisory role.

Certification/Registration/Licensure

- Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.

- Must have current healthcare provider BLS for Healthcare Providers certification from one of the following:

• American Heart Association
• American Red Cross
• Military Training Network

Skills or Special Abilities

- Provides care to assigned patient population in accordance with the current State of Texas Nurse 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 effective supervisory skills and techniques.

- Must be able to demonstrate patient centered/patient valued behaviors.

Responsibilities

1. Oversees the management of specific patient populations across the continuum, focusing on high-risk, high-cost patients. Comprehensively plans for program management of targeted populations for all risk categories.
2. Serves as a resource to the multidisciplinary team for the management of complex patients. Serves as the primary information resource in one or more designated Case Management skill areas for payers, physicians, other healthcare team members, and other customers (skill areas include: regulatory requirements, pathway development/implementation, ethics/healthcare law, clinical skill, etc.). Coordinates, represents and/or acts as a liaison for healthcare team and major customers (e.g. Payers, Multi-specialty physician groups, etc.).
3. Responsible for oversight of patients transitioning through the healthcare system based on individual and patient population needs. Directs liaison activities to appropriately integrate the patient in the healthcare continuum including procuring services, health promotion and counseling, health education and screening, and community resource linkage.
4. Works with physician leadership and the multidisciplinary team for defined patient populations to develop and implement clinical practice guidelines, continuum care management programs, and measurement/feedback of performance indicators for cost, quality, service, and patient satisfaction. Leads multidisciplinary groups in designing and implementing innovative alternative solutions that address system problems and patient care issues occurring across the full continuum of care.
5. Responsible for oversight and management of all activities associated with utilization management, care facilitation, discharge planning and clinical documentation for assigned patient population.

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.