Complex Case Manager III RN_Health Plan

Company: Baylor Scott & White Health
Location: Temple
Posted on: October 10, 2020

Job Description:

The Complex Case Manager RN must utilize clinical nursing knowledge and critical thinking skills, while applying case management principles to guide the Scott & White Health Plan member along the continuum of care to the optimal functional level and quality of life.

The Complex Case Manger should utilize available resources to achieve the most favorable clinical and cost outcomes.

This role is also an important team member, often collaborating with other Case Managers and cross-department Staff; may be involved in additional projects, programs related to the business; and performs under supervision of CM IV, Supervisor or Manager.   The Complex Case Manager demonstrates member advocacy and collaborative approaches throughout the case management process. The Complex Case Manager achieves established production and quality metrics. Part of the role is to oversee the team to ensure quality and production metrics are met.  The Complex Manager identifies opportunities for quality improvement and cost savings, and complies with regulatory and accreditation requirements.

The ideal candidate for this position must have critical care experience as an RN, coupled with excellent interpersonal, verbal and written communication, and organizational skills; maintains professionalism and objectivity in member and family interactions at all times.   Location/Facility – Health Plan Corporate Office locations in Austin, Lubbock and/or Temple TX

Specialty/Department/Practice –

Shift/Schedule – Full-time / Monday to Friday / Salaried

Benefits – Our competitive benefits package includes*: 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 - Bachelors or Equivalent Experience required

- EXPERIENCE - A minimum of 5 years experience required

- CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) is required

Keywords: Baylor Scott & White Health, Temple , Complex Case Manager III RN_Health Plan, Other , Temple, Texas