McAllenRecruiter
the smart solution for McAllen jobs

Care Manager II (RN) McAllen, Texas

Company: Centene Corporation
Location: Mcallen
Posted on: January 28, 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
Qualification:Education/Experience\: Graduate from an Accredited School of Nursing. 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. 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, McAllen , Care Manager II (RN) McAllen, Texas, Executive , Mcallen, 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


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: Brownsville
Posted on: 02/17/2019

Director of Surgical Services - Valley Regional Medical Center - Brownsville, TX
Description: The Director Surgical Services Department leads the perioperative team by focusing on safe patient care while effectively managing operations. The Director Surgical Services has 24/7 responsibility for (more...)
Company: Valley Regional Medical Center
Location: Brownsville
Posted on: 02/19/2019

Account Management - Marketing, Promotions, Sales
Description: Lucio Marketing is now hiring Positions are to be filled immediately We are looking for career-minded individuals who are in search of a fun yet professional environment with rapid advancement. This (more...)
Company: Lucio Marketing
Location: Mcallen
Posted on: 02/20/2019


Hotel Director of Sales
Description: Job DescriptionRole Priorities: ul li Strategic Planning li Market Analysis and Business Development li Growth of Property Sales li Marketing and positioning li Financial acumen accurate (more...)
Company: LIVERMORE HOSPITALITY LLC
Location: Brownsville
Posted on: 02/20/2019

Director of Laboratory, Hospital Lab Management, Tx.
Description: ospital Laboratory Services, Lab Director, MT ASCP , CLS, BS, 5 years of strong experience in hospital lab Services Management.
Company: Southern Medical Recruiters
Location: Harlingen
Posted on: 02/24/2019

Management Trainee - Training Provided
Description: Lucio Marketing Inc. has expanded tremendously in the RGV, throughout Texas and Kentucky We are now planning to expand even more into the state of Arkansas. Our Management team is already preparing for (more...)
Company: Lucio Marketing
Location: Edinburg
Posted on: 02/23/2019

Job #350 - Service Coordination Manager (RN) - McAllen, TX
Description: Job Title: Service Coordination Manager RN OVERVIEW: Oversee the infrastructure that coordinates necessary resources for members. This infrastructure may include adequate clinical, behavioral, acute/chronic, (more...)
Company: Greenlife Healthcare Staffing
Location: Harlingen
Posted on: 02/23/2019

Registered Nurse RN Care Management
Description: Case Management opening in Harlingen, Texas. This and other rn jobs brought to you by NursingJobCafe.com Maxim Healthcare Services MGS is currently seeking Registered Nurses, Physical Therapists, and (more...)
Company: Maxim Government Services
Location: Harlingen
Posted on: 02/23/2019

Automotive Outside Sales / Route Sales Manager -- Full Training----
Description: Build a Great Career and a Great Life. Feel the freedom independence of managing your own protected route selling our National brands.-- Join our team today as an Automotive Tool Sales / Route with (more...)
Company: Mac Tools
Location: Harlingen
Posted on: 02/23/2019

ELECTRICAL SERVICE PROJECT MANAGER
Description: REQUIREMENTS: Minimum of 5 years of experience as service project manager for an electrical contractor, on commercial service projects Must be organized
Company: Delta Construction Partners
Location: Mcallen
Posted on: 02/24/2019

Log In or Create An Account

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

McAllen RSS job feeds