Care Manager RN 1 QA
Company: Baylor Scott & White Health
Location: Temple
Posted on: April 8, 2021
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Job Description:
Job DescriptionJOB SUMMARY The Care Manager RN 1 QA will be
responsible for assessing and coordinating patient care across the
continuum, utilizing accepted criteria and guidelines to manage
benefits and determine medical necessity of services provided. This
position will function as a clinician, case manager, and educator
to achieve optimal clinical and quality outcomes by effectively
managing care and resources to reduce unnecessary utilization.
ESSENTIAL FUNCTIONS OF THE ROLE Assesses plans, implements,
documents, coordinates, monitors, evaluates and updates the plan of
care by collaborating with all members of the health care team to
provide evidenced based care. Establishes patient care management
plans, interventions, treatment goals and self-management goals.
Assesses the health care, educational and psychosocial needs of the
patient and family. Assists patients with self-management through
education, visits and telephonic engagement; encourages and
supports patient adherence to their care plans. Researches,
evaluates and recommends resources to meet medical and non-medical
needs of patients and families. Collaborates, refers and
communicates across all programs to ensure appropriate coordination
of services. Researches and takes an active role in identifying
problems and possible solutions in the coordination of care to
determine most appropriate setting. Acts as liaison to hospitals,
primary care providers, post-acute partners and specialists. KEY
SUCCESS FACTORS Specialty Certification strongly encouraged.
Knowledge of care management, resource and utilization management.
Skilled in care management and patient assessments. Excellent
verbal and written communication skills required. Ability to
monitor, assess and record patient progress against a plan of care.
Ability to facilitate patient access to community resources.
Ability to work collaboratively with both internal and external
medical staff and external partners and organizations. Ability to
assess, adapt, and calmly respond to changing and crisis
environment. Ability to maintain confidentiality with all aspects
of patient information in accordance with all applicable policies
and regulations. Hours - 8am - 4:30pm BENEFITS Our competitive
benefits package includes the following - Immediate eligibility for
health and welfare benefits - 401(k) savings plan with
dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO
accrual beginning Day 1 Note: Benefits may vary based upon position
type and/or level QUALIFICATIONS - EDUCATION - Associate's -
EXPERIENCE - 2 Years of Experience -
CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN)
Keywords: Baylor Scott & White Health, Temple , Care Manager RN 1 QA, Executive , Temple, Texas
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