Case Management Coord II

Job ID: FIW-1018244 Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can email us here to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

POSITION CAN BE PYSICALLY LOCATED IN THE RICHARDSON OFFICE OFFICE

This position has the potential to Work From Home after applicant meets/exceeds production standards consistently for 6-9 months and with management approval. Internal HCSC candidates who currently Work From Home may continue working from home following their training and with management approval."

BASIC FUNCTION:

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs that provide medically necessary potentially cost effective services; consulting with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implementation, coordinate, monitor, and evaluate options and services required to meet an individual's health needs, using communication and available resources to promote quality, cost effective outcomes; serving as liaison to physicians, and members; serving as preceptor for less experienced staff.

JOB REQUIREMENTS:

  • Registered Nurse (RN) with unrestricted license in state.
  • 3 years clinical practice experience.
  • 1 year experience in health insurance/managed care.
  • PC and database experience.
  • Verbal and written communication skills.

PREFERRED JOB REQUIREMENTS:

  • Experience in Disease Management.
  • Experience in managing complex or catastrophic cases.
  • Working toward CM certification or Advanced degree.
  • Knowledge of medical management policies and procedures
  • NICU experience

Requirements: Expertise Nursing Job Type Full-Time Regular Location TX - Richardson


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