Women's Health Case Manager
3 weeks ago
The Women’s Health Case Manager is responsible for providing the full spectrum of case management services to pregnant patients during pregnancy and the post-partum period. Case management services include, but are not limited to:
- initial patient intake
- comprehensive visits
- family needs assessments
- service plans
- referrals and related activities
- follow-up
Essential job functions:
- Submits prior authorizations to health plans for in-house services and referrals.
- Delivers services in-person, by telephone, or by telehealth.
- Works with the patient care team to assist with care and resource coordination.
- Assists providers with care management by following up on procedure orders and labs.
- Document all activities and submits codes for billing as appropriate.
- Generating reports.
Required:
Registered Nurse (RN) license (Unrestricted) in the state of Texas required; Bachelor of Science in Nursing (BSN) preferred; or a Licensed Vocational Nurse (LVN).
At least 5 years related experience and/or training.
Basic Life Support (BLS) Certification.
Bilingual in English and Spanish.
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