Registered Nurse - Case Manager - Katy, Texas - NurseRecruiter.com

Permanent Nursing Job in
Katy , Texas, 77494

  • Employer: 90 Degree Benefits
  • Profession: Registered Nurse
  • Specialty: Case Manager / Utilization Review

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Nurse Case Manager to assist members in understanding and utilizing health benefits, disease process and physician plan of care to achieve and maintain optimal health status.

Responsibilities:

Assess patient's health status and recommend appropriate care based on clinical judgement and protocols.
Adheres to ethical, legal/regulatory and accreditation standards.
Assess consumer's understanding of their condition and identify potential care and/or provider gaps.
Provides health education and coaches consumers on treatment alternatives to assist them in best decision making.
Assess readiness to change, offering opportunities for intervention that will assist consumers in reaching their health care goals.
Supports consumers in selection of best physician and facility to maximize access, quality and to manage health care cost.
Empowers consumers with skills to enhance their interaction with their provider.
Coordinates services and referrals to health programs and community services.
Assess and triage immediate health concerns.
Manage utilization through education.
Collaboratively plan care with member.
Document in and maintain legal medical records.
Communicate in writing the patient's history, condition, plan of care and goals.
Qualifications:

Current, unrestricted RN licensure in the state of Texas: Bachelor's degree in Nursing (BSN).
Minimum 2 years of clinical experience as a RN working directly with patients.
Ability to navigate a Windows based environment and create, edit, save and send documents utilizing Microsoft Word and Excel. Ability to navigate Outlook and conduct internet searches.
Proficiency with navigating multiple computer programs simultaneously while talking on the phone.
Ability to understand readiness for change and ability to move members along the continuum of change.
Ability to work independently toward established priorities and goals.
Coaching, motivational interviewing and/or decision support experience.
Previous experience in a telephonic role is a plus.
Bilingual fluency with English and Spanish is a plus.

Location

Katy, Texas , 77494

Employment Type

Permanent

Employer

90 Degree Benefits

Date Posted

Sep 8th, 2021

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