Care Manager RN 1 QA
Company: BAYLOR SCOTT & WHITE
Posted on: October 10, 2020
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
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
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
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
Ability to maintain confidentiality with all aspects of patient
information in accordance with all applicable policies and
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
- EDUCATION - Associate's
- EXPERIENCE - 2 Years of Experience
- CERTIFICATION/LICENSE/REGISTRATION -
Registered Nurse (RN)
Associated topics: bsn, care unit, domiciliary, infusion,
intensive, intensive care, recovery, registered nurse, tcu,
Keywords: BAYLOR SCOTT & WHITE, Temple , Care Manager RN 1 QA, Healthcare , Temple, Texas
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