Care Manager RN 1 QA
Company: BAYLOR SCOTT & WHITE
Location: Austin
Posted on: February 23, 2021
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Job Description:
JOB SUMMARYThe Care Manager RN 1 QA will be responsible for
assessing and coordinating patient care across the continuum,
utilizing accepted criteria and guidelines to manage benefits and
determine medical necessity of services provided. This position
will function as a clinician, case manager, and educator to achieve
optimal clinical and quality outcomes by effectively managing care
and resources to reduce unnecessary utilization.ESSENTIAL FUNCTIONS
OF THE ROLEAssesses plans, implements, documents, coordinates,
monitors, evaluates and updates the plan of care by collaborating
with all members of the health care team to provide evidenced based
care.Establishes patient care management plans, interventions,
treatment goals and self-management goals.Assesses the health care,
educational and psychosocial needs of the patient and
family.Assists patients with self-management through education,
visits and telephonic engagement; encourages and supports patient
adherence to their care plans.Researches, evaluates and recommends
resources to meet medical and non-medical needs of patients and
families. Collaborates, refers and communicates across all programs
to ensure appropriate coordination of services.Researches and takes
an active role in identifying problems and possible solutions in
the coordination of care to determine most appropriate setting.Acts
as liaison to hospitals, primary care providers, post-acute
partners and specialists.KEY SUCCESS FACTORSSpecialty Certification
strongly encouraged.Knowledge of care management, resource and
utilization management.Skilled in care management and patient
assessments.Excellent verbal and written communication skills
required.Ability to monitor, assess and record patient progress
against a plan of care.Ability to facilitate patient access to
community resources.Ability to work collaboratively with both
internal and external medical staff and external partners and
organizations.Ability to assess, adapt, and calmly respond to
changing and crisis environment.Ability to maintain confidentiality
with all aspects of patient information in accordance with all
applicable policies and regulations.BENEFITSOur competitive
benefits package includes the following- Immediate eligibility for
health and welfare benefits- 401(k) savings plan with
dollar-for-dollar match up to 5%- Tuition Reimbursement- PTO
accrual beginning Day 1 Note: Benefits may vary based upon position
type and/or levelQUALIFICATIONS- EDUCATION - Associate's-
EXPERIENCE - 2 Years of Experience-
CERTIFICATION/LICENSE/REGISTRATION -  Registered Nurse
(RN)
Associated topics: bsn, cardiothoracic, ccu, domiciliary, hospice,
infusion, maternal, nurse rn, psychatric, staff nurse
Keywords: BAYLOR SCOTT & WHITE, Austin , Care Manager RN 1 QA, Executive , Austin, Texas
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