PortlandRecruiter
the smart solution for Portland jobs

On-Site Primary Nurse Case Admin I Registered Nurse (RN) Downtown Dall

Company: Health Care Service Corporation
Location: Dallas
Posted on: October 12, 2018

Job Description:

On-Site Primary Nurse Case Admin I Registered Nurse (RN) Downtown Dall Description: This role will be supporting a dedicated client account and is located onsite at the C1 Innovation Lab in the West End in Downtown Dallas. The initial training for this position will be for approximately 4-weeks in Richardson, TX. This IS NOT A WORK-FROM-HOME (WFH) or TELECOMMUTE position. C1 Innovation Lab (Downtown Dallas) - Helping Customers Reimagine the Purpose of Health Insurance Opened in August 2017 in the West End, the C1 Innovation Lab is a high-rise development housing HCSC in the Heart of Dallas. This is a place where we put our customers first while we imagine, explore, nurture and activate on their behalf. This facility serves as a beacon for customers to show them how committed we are to generating forward-thinking solutions that reduce health care expenses and improve health outcomes. It complements existing functions and infuse innovation into our daily operations. Learn more here and see how we're putting our Customers first: At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with \"excellence\" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience. Join us and grow your career as we do everything in our power to stand with our members in sickness and in health! BASIC FUNCTION: This position is responsible for performing all functions of Utilization Management (UM), Case Management (CM) and Disease Management (DM) and is a single source of contact for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs concurrent review, discharge planning and care coordination; identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs; promotes quality and cost effective outcomes; and serves as liaison to physicians and members. Other functions also include episodic case management, determining member assignment of treatment, and pre-admission/post-discharge counseling for an acute condition. Establish relationship with the member through the immediate post discharge follow-up period or until all short term care needs are met. Provide education/local resource information and encourage member (self) education. Functioning in a clinical care advisory role, the Primary Nurse Coordinator assesses members for wellness education and disease management, introduces members to our website tools, educates members regarding wellness and specific conditions, and facilitates the coordination of care for identified members.JOB REQUIREMENTS:Registered Nurse (RN) with current, valid, unrestricted license in The State of Texas2 years of clinical practice experience with direct clinical care to the customer1 year experience in Condition Management or Case Management in a health insurance, managed care, physician office or hospital setting.PC proficiency to include Word, Excel, Lotus Notes and database experienceClear and concise verbal and written communication skillsKnowledge of UM/CM/DM activities and standardized criteria setFamiliarity of ancillary services including HHC, SNF, Hospice, etc.Verbal and written communication skills; analytical skills; sound clinical judgmentIncumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.PREFERRED JOB REQUIREMENTS:Experience in managing complex or catastrophic health casesSpecialty clinical experience in intensive care medicine, orthopedic, NICU/pediatric, oncology, diabetic member management, obstetric (low to high risk maternity management)Working toward or completion of CCM/CCP/CDE certification or Advanced degreeKnowledge of Milliman Guidelines or similar clinical guidelinesKnowledge of medical management policies and proceduresExperience with Motivational Interviewing or other behavior change communication techniquesTraining, facilitation, educator, and/or patient education experienceStrong presentation skills with prior experience speaking to groups, interacting with clients and senior leadershipExperience in working with a dedicated unit or custom account/client managementPrior experience working in an innovative, collaborative and open office environmentLocation: TX - Dallas Activation Date: Tuesday, September 25, 2018 Expiration Date: Thursday, November 1, 2018Associated topics: ambulatory, asn, cardiothoracic, care, intensive care, intensive care unit, mhb, neonatal, nurse rn, surgery

Keywords: Health Care Service Corporation, Portland , On-Site Primary Nurse Case Admin I Registered Nurse (RN) Downtown Dall, Healthcare , Dallas, Oregon

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Med Surg RN
Description: It's time to get on the road We're in need of Med-Surg Travel Nurses to fill immediate openings at a hospital in Hillsboro, OR. If this sounds great to you, and you have 2 years of experience, keep (more...)
Company: Randstad Healthcare
Location: Hillsboro
Posted on: 10/20/2018

Emergency Medicine Nurse Practitioner (Kelso,WA)
Description: An urgent care clinic in Washington is seeking an emergency medicine nurse practitioner who can provide locum tenens for approximately one
Company: Barton Associates
Location: Kelso
Posted on: 10/20/2018

Pediatrician
Description: Pediatrics opening in Portland, Oregon. This and other physician jobs brought to you by DocCafe.com br Medical Center is seeking two pediatricians to establish practice and share a patient panel. Ideally, (more...)
Company: Spot On Recruiting, Inc.
Location: Portland
Posted on: 10/20/2018


Travel Nurse (RN) - Operating Room (OR) - 13 Weeks
Description: This is a 13 week travel RN Nurse - OR Operating Room assignment in Clackamas, OR. Don't miss this exciting Scrub/Circulate travel Registered Nurse job opportunity At Cirrus, you can count on us to (more...)
Company: Cirrus Medical Staffing
Location: Clackamas
Posted on: 10/20/2018

Psychiatric Mental Health Nurse Practitioner
Description: Full-time Opening: Psychiatric Mental Health Nurse Practitioner Flexible Schedule, Competitive Compensation Benefits Family-Friendly Patient Environment NE Portland - Clinic Location Are you looking (more...)
Company: Broadway Medical Clinic, LLP
Location: Portland
Posted on: 10/22/2018

Travel Registered Nurse RN Home health
Description: Date Posted: 2018-10-02 JOB DESCRIPTION Travel Registered Nurse RN Home health Location: TILLAMOOK, Oregon Shift: Days 8A - 5P 40 hours guaranteed/ week Start Date: 10/2/2018 Speciality: RN - HOME HEALTH (more...)
Company: OneStaff Medical
Location: Tillamook
Posted on: 10/20/2018

Travel Jobs Speech-Language Pathologist
Description: We are interviewing Speech-Language Pathologists for our school-based openings for the 18/19 SY in the San Francisco Bay Area, CA. Perched atop hills and filled-in marshland at the entrance to one of (more...)
Company: The Stepping Stones Group
Location: Portland
Posted on: 10/22/2018

Nursing Services Supervisor
Description: Nursing Services Supervisor Portland, OR Full-Time Looking for a role in management or leading a team Are you skilled in problem solving and thrive on managing many responsibilities We have a Supervisor (more...)
Company: Relode
Location: Portland
Posted on: 10/20/2018

Occupational Health Nurse
Description: Address: br 4350 NW Front Avenue, Portland, Oregon 97210 br br Full-Time/Part Time: br Part-time br br Job Description: br br General Position Summary:
Company: Gunderson, LLC
Location: Portland
Posted on: 10/22/2018

Surgical Technologist in Florence
Description: Attention Surgical Techs Are you looking for your next adventure Do you want a career where you are busy and able to grow professionally, with the freedom and opportunity to be leisurely at home Do (more...)
Company: PeaceHealth
Location: Portland
Posted on: 10/22/2018

Log In or Create An Account

Get the latest Oregon jobs by following @recnetOR on Twitter!

Portland RSS job feeds