Care Coordinator / Registered Nurse Case Manager - OB/Maternal Fetal Medicine - The Health Plan

 
Position: Care Coordinator / Registered Nurse Case Manager - OB/Maternal Fetal Medicine - The Health Plan

Job ID: 401421

Location: US-TX-Houston

Department: TCHPC - Greenspoint OB

Talent Area: Registered Nurse

Full/Part Time: Full time

Regular/Temporary: Regular

Shift: 8:00 AM - 5:00 PM

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.


Summary:

We are searching for a Care Coordinator/Registered Nurse Case Manager for OB/Maternal Fetal Medicine -- someone who works well in a fast-paced setting. In this position, you will assess, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs. This role provides comprehensive on-going case management services to patients by coordinating and managing care of patients to meet multiple service needs across the continuum of care. You will ensure optimal patient outcomes that address quality, service, customer satisfaction and cost effectiveness. The Care Coordinator will also partner with the physician to establish care and allocate resources associated with the patient's risk assessment. You will also assist the patient/patient's family in coping with illness by optimizing the patient's/family's self-care abilities and supporting their consumer rights.

Think you’ve got what it takes?

Responsibilities
•    Assesses, develops, implements, and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient/family in internal and external settings
•    Performs a comprehensive goal-focused and individualized assessment for patients referred for evaluation, to include patient/family’s biophysical, psychosocial, environmental, discharge planning needs and/or financial status
•    Ensures quality, cost-effective use of resources and facilitates access to care
•    Collaborates with community health education/outreach organizations and providers to promote health for children with complex health care needs
•    Engages in professional development
•    Prepares and monitors outcome data to assist in identification of improvement opportunities
•    Demonstrates commitment to team, flexibility, professional interpersonal, communication, critical thinking, and customer service skills

Requirements
Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption
•    Bachelor’s degree in nursing or Associate’s degree or technical diploma in nursing with acceptance or current enrollment in a BSN program and signed, or currently enrolled in a nursing bridge program working toward an MSN. Verified BSN-equivalency or a signed agreement is required
•    Discharge planning experience preferred 
•    RN license from the Texas Board of Nursing required
•    BLS certification from the American Heart Association required
•    PEARS certification from the American Heart Association preferred
•    CCM certification from the Commission for Case Manager Certification preferred
•    ACM certification from the American Case Management Association preferred
•    CCCTM - Certified Care Coordination and Transition Management by the Medical-Surgical Nursing Certification Board is preferred
•    3 years’ nursing experience in an acute care setting required
•    3 years’ experience in community health, complex pediatric patient care, home care, case management, managed care or utilization review preferred
•    OB/Maternal Fetal Medicine experience preferred 
 



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