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Clinical Nurse Case Manager

2 months ago

Longview, Texas, United States Christus Health Full time

Job Title: Care Manager

Company: Christus Health

Overview:

The Care Manager plays a pivotal role in the healthcare team, focusing on the seamless communication between clinical professionals and patients. This position is dedicated to organizing comprehensive patient care, evaluating home health needs, and ensuring proper arrangements are made. Critical thinking is vital for assessing the suitability of patient care within the established healthcare framework. The role requires adept multitasking, accurate data entry, and efficient completion of assigned responsibilities.

Key Responsibilities:

  • Adhere to administrative and departmental policies consistently
  • Deliver case management services tailored to patient needs based on established criteria
  • Facilitate service certifications with insurance providers
  • Identify and escalate utilization concerns to the relevant personnel
  • Commence timely discharge planning for patients
  • Gather and evaluate data for quality assurance initiatives
  • Serve as a communication bridge between patients, their families, and healthcare providers
  • Ensure prompt and accurate documentation in medical records

Qualifications:

Experience:

  • A minimum of five years of clinical experience as a Registered Nurse
  • Exceptional negotiation and communication abilities
  • In-depth knowledge of clinical protocols and health benefit plans
  • Capability to manage multiple projects and patient cases concurrently
  • Familiarity with community health resources

Education:

  • Bachelor's Degree in Nursing is preferred

Licenses and Certifications:

  • Current Registered Nurse License is required

Work Type:

Full Time