LubbockRecruiter
the smart solution for Lubbock jobs

Care Manager II (RN)

Company: Centene Corporation
Location: Lubbock
Posted on: March 15, 2019

Job Description:

Description: Position Purpose\: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members------ overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources. Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems Direct care to participating network providers Perform duties independently, demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as needed

  • For New Hampshire, Massachusetts, & Michigan Complete Health - home visits requiredQualification: Applicants in the following areas are highly preferred- - San Angelo - Fort Stockton - Abilene
    Education/Experience\: Graduate from an Accredited School of Nursing. Bachelor------s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.

    Licenses/Certifications\: Current state------s RN license.

    Texas Requirements\:
    Education/Experience\: Graduate from an Accredited School of Nursing. Bachelor------s degree in Nursing preferred. 2+ years of clinical nursing or case management experience in a clinical, acute care, managed care or community setting. 2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Other state specific requirements may apply.

    Licenses/Certifications\: Current state------s RN license.

    For New Hampshire Healthy Families\: must obtain current state's RN license within 90 days of hire. Valid driver------s license required. CCM preferred.

    For Arizona Complete Health - Complete Care plan\:
    Pediatrics assignments require 2+ years------ RN experience in pediatrics (clinical acute care, community or managed care setting) and 1+ year experience in care management
    Obstetrics (OB) assignments require 2+ years------ RN experience in OB (clinical, acute, community or managed care setting) and 1+ year experience in care management

    For Buckeye Community Health Plan\:
    Education/Experience\: Graduate from an Accredited School of Nursing. Bachelor------s degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management or utilization experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.

    For Michigan Complete Health\: Licensed registered nurse; licensed nurse practitioner; licensed physician's assistant. Valid driver's license required.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    Keywords: Centene Corporation, Lubbock , Care Manager II (RN), Executive , Lubbock, Texas

    Click here to apply!

    Didn't find what you're looking for? Search again!

    I'm looking for
    in category
    within


  • Other Executive Jobs


    Restaurant Manager with Kitchen Experience - Start at $50K+ / year
    Description: At Red Robin our Assistant Managers support and ensure that the restaurant operates within Red Robin International guidelines, while meeting/exceeding sales and profitability objectives established during (more...)
    Company: Red Robin
    Location: Lubbock
    Posted on: 03/23/2019

    Care Manager II (RN) Amarillo/
    Description: Description: Position Purpose : Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote (more...)
    Company: Centene Corporation
    Location: Lubbock
    Posted on: 03/24/2019

    Zone Manager
    Description: DescriptionAt Schwan 39 s Company, we are driven to bring our customers delicious foods and reliable services. That 39 s how we grew from a one-man-and-a-truck delivery business in rural Minnesota (more...)
    Company: Schwan s Company
    Location: Lubbock
    Posted on: 03/14/2019


    Care Manager II (RN)
    Description: Description: Position Purpose : Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote (more...)
    Company: Centene Corporation
    Location: Lubbock
    Posted on: 03/15/2019

    92Y Unit Supply Specialist - Warehouse Manager
    Description: AGE REQUIREMENTS: Must be between the ages of 17 and 35 As a Unit Supply Specialist for the Army National Guard, you will ensure that your Unit and fellow Soldiers are well supplied and equipped for any (more...)
    Company: Army National Guard
    Location: Lubbock
    Posted on: 03/21/2019

    Optical Office Manager - Lubbock
    Description: The Office Manager is responsible general administrative duties, such as data entry, managing databases, and maintain meetings and minutes for BOD and other meetings. The Office Manager is also responsible (more...)
    Company: RIVERWAY RESIDENTIAL LP
    Location: Lubbock
    Posted on: 03/14/2019

    92Y Unit Supply Specialist - Warehouse Manager
    Description: As a Unit Supply Specialist for the Army National Guard, you will ensure that your Unit and fellow Soldiers are well supplied and equipped for any mission. br br In this role, your keen eye and management (more...)
    Company: Army National Guard
    Location: Lubbock
    Posted on: 03/11/2019

    KFC Assistant Restaurant Manager
    Description: Description br br This job posting is for a position in a restaurant that is independently owned and operated by a franchisee. This means your application will be reviewed by the franchisee who will (more...)
    Company: KFC
    Location: Lubbock
    Posted on: 03/11/2019

    Medical Director in Lubbock, TX
    Description: Medical Director opening in Lubbock, Texas. This and other physician jobs brought to you by DocCafe.com We need a Medical Director in Lubback,
    Company: Samuel Contract Staffing
    Location: Lubbock
    Posted on: 03/11/2019

    Hourly Manager
    Description: Job Description:As an hourly manager, you are accountable to the G. M. of the store. You will ensure that any shifts that you are accountable for run smoothly and
    Company: Pizza Hut
    Location: Lubbock
    Posted on: 03/13/2019

    Log In or Create An Account

    Get the latest Texas jobs by following @recnetTX on Twitter!

    Lubbock RSS job feeds