STAFF - REGISTERED NURSE (RN) - CARE MANAGER - $23+ PER HOUR

Children's Health (Dallas) is seeking a Registered Nurse (RN) Care Manager for a nursing job in Dallas, Texas.

Job Description & Requirements

• Specialty: Care Manager
• Discipline: RN
• Duration: Ongoing
• 36 hours per week
• Shift: 12 hours
• Employment Type: Staff

Job Title & Specialty Area: Care Coordinator Specialty Center

Department: Enterprise Care Managment

Location: Dallas

Shift: Day

Job Type: Onsite

Why Children's Health?
At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:
Utilizing advanced nursing skills and knowledge, the Care Coordinator is responsible and accountable for coordinating care throughout the continuum of care for an assigned patient population. Care Coordination in the hospital and healthcare system is a collaborative practice model. In partnership with the patient, family, and other care givers, the Care Coordinator will work with the multidisciplinary team, Providers, Nurses, Social Workers, financial counselors, and other ancillary staff to actively facilitate those functions associated with moving the patient through the continuum of care. This role will support the continuity of care across the continuum by advocating for the needs of the patient and family and working with identified care team members to promote access to care, facilitate communication and provide effective resource coordination during care transitions to ensure continuity, quality and closure of gaps in care. Identifies and implements initiatives and opportunities to improve processes.

Responsibilities:
Responsible and accountable for prescribing, delegating and coordinating patient care. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence based guidelines to globally assess the patient's situation and through critical thinking and clinical decision making, develop an appropriate plan of care for the patient, with the aim of promoting best outcomes.
Accountable that patient care meets standards of safety, effectiveness, patient rights and guest relations.
Oversees care delivered by patient care team; coordinates plan of care.
Provides education and facilitates learning for patients, families, and patient care team in a way that demonstrates a sensitivity to recognize, appreciate, and incorporate differences related to diversity.
Collaborates with physicians, families and other healthcare professionals to assist in developing and implementing an appropriate plan of care in a way that promotes/encourages each person's contributions towards achieving the best patient outcomes.
Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving ethical and clinical concerns.
Will deliver care with a team-orientation, an emphasis on good customer relations, sound clinical judgment and appropriate decision-making abilities that take into consideration evidence based practice.
Continuously inquires about the condition of the patient through the ongoing process of questioning and evaluating the situation and implements treatment changes, if necessary, through collaboration with the health care team, inclusive of the patient and family.
Maintains a body of knowledge and tools that allow the nurse to manage whatever environmental and system resources exist for the patient/family, within or across healthcare and non-healthcare systems.
Care Coordination / Disease Management:
Completes and analyzes comprehensive assessment with patient intake
Treatment plan coordination and management to include payors, supplies and equipment, medications, in-house services, other healthcare facilities and community resources/entities
Collaborates with the health care team on the plan of care, referrals and ongoing needs of the patients
Ensures consults, testing and procedures are sequenced in a manner that is appropriate to the patient's clinical condition and supports timely and efficient care delivery. Intervenes, resolves or escalates where barriers to service exist
Utilize disease-specific clinical pathways to ensure effective clinical / disease management
Assess the educational needs of patients, families, and caregivers taking into consideration barriers to care (e.g., literacy, language, cultural influences, comorbidities)
Ensure that education regarding the clinical / disease process has been provided by the health care team
Coach patients/families toward lifestyle changes and successful self-management of their chronic disease
Demonstrate customer-focused interpersonal skills, utilizing problem-solving processes and critical thinking
Facilitates communication and coordination of the plan of care with the Providers and the health care team
Involvement in the development of strategies and plans to maximize the most appropriate use of services in the assigned areas
Resource Management:
After considering the relevant, evidence-based clinical information, support and advise patients, families and the organization in the care options that are most cost-effective
Navigate payor benefits and assist patients and families in understanding insurance plan benefits and financial impact with transition management and discharge planning
Understand impact on the organization and utilize knowledge of Diagnosis Related Groupings and estimated length of stay as guides when developing discharge plans
Understand the negative impact of readmissions on the patient and the health care system, and engage in review of root cause and implementing strategies to prevent readmission
Discharge Planning / Transition Management:
Identifies and addresses actual and potential barriers in service or treatment and works with the appropriate resources across the continuum of care
Evaluates with the team, the patient's response to pharmacological and therapeutic treatment regimens
Works with multidisciplinary staff to ensure patient / family has received appropriate information and education prior to transition to the next level of care
Identify and solve problems related to discharge needs; implement a plan of care and coordinate a safe and timely discharge
Ensure / maintain plan consensus from patient / family, healthcare team and payor
Advocate, mediate and negotiate to formulate a cohesive plan for maintaining or enhancing patient's health status and moving the patient safely to the next level of care
Communication:
Communicate and resolve conflicts with Providers, health care team members, community agencies, clients and families with diverse opinions, values, and religious/cultural ideals
Build therapeutic and trusting relationships with patients, families and caregivers through effective communication and listening skills
Continually communicate with patients and families, Providers, multidisciplinary team members and payors to facilitate coordination of clinical activities and to enhance the effect of a seamless transition from one level of care to another across the continuum
Managing Key Performance Indicators (as defined by the hiring manager):
Works to improve quality through reduction in treatment delays, use of clinical pathways and monitoring of quality indicators
Provide ongoing consultation and training to medical staff and other healthcare professionals on discharge and home care issues; participate in process improvement activities; identify barriers in service delivery systems and develop a process for improvement
Increase quality, efficiency and patient satisfaction while managing cost of care for targeted population
Collects, completes and submits statistical data in a timely manner
Professional Development:
Remain current in EMTALA and regulatory requirements
Stay abreast of payor guidelines and standards
Stay abreast of community resources available to facilitate safe patient transitions of care
Remain current on clinical advancements related to primary patient population
Proactively seek to understand areas/roles outside of immediate area/role within the department
Community involvement and advocacy: participates in health fairs, appropriate professional organizations and educational speaking

WORK EXPERIENCE
At least 4 years Pediatric nursing, Case Management, Care Management, Care Coordination, Utilization Review, or Community-based nursing required

EDUCATION
Four-year Bachelor's degree required

LICENSES AND CERTIFICATIONS
Registered Nurse in the State of Texas Upon Hire required
Accredited Case Manager (ACM) or Certified Case Manager (CCM) or Care Coordination and Transition Management (CCTM)
Upon Hire preferred
Effective 7/1/2023, Basic Life Support for Healthcare Providers as required by CP 1.20 Life Support Course Requirements required

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care . click apply for full job details