Provides leadership to clinical staff and provides ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction, and to promote continuity of care through the functions of care management. This position is accountable to the Clinical Manager.
Provides care management review to assure that the patient progresses through the continuum of care.
Adheres to agency goals, objectives, standards of performance, and policies and procedures.
Ensures compliance with quality patient care and regulatory compliance.
Coordinates the integration of care management functions into patient care with other agency departments, external organizations, agencies and healthcare facilities.
Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff, DSHS, HRSA, Patient Centered Medical Home, Meaningful Use and any others as indicated.
Acts as a patient advocate and performs staff education related to resource utilization and other aspects of healthcare delivery.
Other duties as assigned by her/his immediate supervisor.
- Medical Office (private physician or public health clinic) experience
- Minimum of two (2) years of utilization review/care management experience
- Graduate of an accredited school of nursing
- Licensed Vocational Nurse
- Must have a valid driver's license and a safe driving record and be able to pass a pre-employment physical and a criminal history background check
- RN Certification (Preferred)
- Bilingual (English/Spanish) ability
- Analytical ability to detect and resolve errors
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Community Action Corporation of South Texas
Welcome to Community Action Corporation of South Texas (CACOST)!
CACOST is a private non-profit organization established in 1971 and funded through federal, state and local grants. CACOST currently serves 16 counties via a wide variety of community programs and services. CACOST lives its mission each day, which is to continuously improve the lives of South Texans by providing high quality health care, education, housing and economic opportunities to reduce poverty through services and partnerships.
CACOST is looking for employees who are interested in accomplishing our mission, which can be both rewarding and challenging. We count on our employees to contribute directly to the growth and success of our agency. Because the quality of our staff is the key to our success, we carefully select our new employees. Apply today to join our CACOST family and take pride in being a member of our team.
Company Website: cacost.org
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