High Risk OB RN Care Manager
Company: Providence Health & Services
Location: Lubbock
Posted on: June 23, 2022
Job Description:
RN Care Manager - Medicaid Hlth ManagementLocation: Lubbock,
TXSchedule: Full time - 80 Biweekly HoursShift: 8-hour,
DaysComprehensively plans for case management services for a
targeted patient population. Carries out activities related to
utilization management, discharge planning, care coordination and
referral to other levels of care. Works with physician, Social
Worker and interdisciplinary team to facilitate clinical pathways
and achievement of desired treatment outcomes. Promotes
interdisciplinary collaboration and champions service excellence.
Works collaboratively to ensure patient needs are met and care
delivery is coordinated across the continuum at the appropriate
level of care.Minimum Qualifications:
- Bachelor's Degree - required for RN Clinical Audit and Denial
Care Manager: Nursing.
- 1 year experience as a case manager in a hospital setting,
managed care setting or clinical setting.
- Experience with the use of nationally recognized medical
necessity screening tools.
- Significant experience in the healthcare field, including 3
years of Utilization Review/Case Management experience in an acute
care or managed care setting.
- 2 years of experience in the denial management process
preferred.
- Experience in the application of medical necessity screening
criteria tools (MCG and/or InterQual).
- Current licensure in Texas or an approved compact state as a
Registered Nurse or proof of application for licensure.Preferred
Qualifications:
- Bachelor's Degree in Nursing/healthcare related field.
- 3 years Direct patient care experience in an acute care
hospital in a leadership role.
- Case management or utilization management experience.Our
best-in-class benefits
(https://covenanthealth.jobs/employee-benefits/) are uniquely
designed to support you and your family in staying well, growing
professionally and achieving financial security. We take care of
you, so you can focus on delivering our mission
(https://www.covenanthealth.org/about-us/mission-vision-and-values/)
of caring for everyone, especially the most vulnerable in our
communities.Covenant Health is celebrating over 100 years of
serving Lubbock and our South Plains region. As the oldest and
largest health system in Lubbock and the region, we currently
employ over 5,200 people with a medical staff of over 600
physicians.For over 100 years, Covenant has been driven by a
mission of providing a Christian ministry of healing and caring for
the whole person - mind, body and spirit. Our vision and
differentiator is we are the only faith-based, integrated health
network in the West Texas/eastern New Mexico region dedicated to a
Christian ministry of healing.As an expression of our mission, we
believe we hold an important Covenant with our patients and try and
treat every interaction as Sacred Encounters.Our ministry includes
six hospitals with over 1,100 licensed beds:Covenant Medical Center
- CMCCovenant Children'sCovenant SpecialtyCovenant Plainview -
PLVCovenant Levelland - LVLTrustpoint (joint venture: Rehab
Hospital of Lubbock)Covenant Medical Group (CMG)Covenant Health
PartnersHospice of LubbockCovenant Health's total service area
includes 25 counties that covers most of West Texas and eastern New
Mexico. The service area covers approximately 750,000 people and
approximately 35,000 square miles.Covenant provides equal
employment opportunities (EEO) to all employees and applicants for
employment without regard to race, color, religion, sex, national
origin, age, disability or genetics. In addition to federal law
requirements, Covenant complies with applicable state and local
laws governing nondiscrimination in employment in every location in
which the company has facilities. This policy applies to all terms
and conditions of employment, including recruiting, hiring,
placement, promotion, termination, layoff, recall, transfer, leaves
of absence, compensation and training. Positions specified as "on
call, per diem" refers to employment consisting of shifts scheduled
on as "as needed basis" to fill in for staff vacancies.Company:
Covenant HealthCategory: Case ManagementReq ID: R362308
Keywords: Providence Health & Services, Lubbock , High Risk OB RN Care Manager, Healthcare , Lubbock, Texas
Didn't find what you're looking for? Search again!
Loading more jobs...