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Service Coord III - LVN Valley

Driscoll Children's Hospital Brownsville, TX

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: The Service Coordinator III program supports maximizing the member’s health, well-being, and independence. The Service Coordinator III will focus on person-centered care planning and will review member’s services and supports needs, all assure timely community-based Long-Term Services and Supports (LTSS) to prevent, delay, or reduce the progression of chronic conditions and the need for institutionalization and to maintain the member safely in the community. Service Coordination is a collaborative practice that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the member’s health and human service’s needs. It is characterized by advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes. The Service Coordinator III facilitates clinically appropriate and fiscally responsible patient care through communication with the physician offices involved in the members care, family, care giver, and all other members of the health care team. The Service Coordination process is holistic in its coverage of the member’s situation and addresses medical, physical, behavioral, emotional, financial, psychosocial, and other needs, as well as that as the support system. The Service Coordinator III will focus principally on the needs of STAR Kids members within Health Homes. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by Health Plan leadership, as required. Knowledge, Skills and Abilities: Knowledge in Texas Medicaid criteria/guidelines preferred. Knowledge about managed care contracts/guidelines preferred. Knowledge of programs and services required to support the health and medical needs of disabled children preferred. Knowledge of various reimbursement mechanisms, including third party requirements preferred. Microsoft Office skills preferred. Maintains utmost level of confidentiality at all times. Maintains compliance with regulatory agencies that conduct intermittent reviews and audits to ensure contractual and regulatory compliance with Federal, State entities as well URAC. Implements and adheres to Health System and Health Plan policies and procedures for members with special health care needs (STAR Kids). Demonstrates business practices and personal actions that are ethical and adhere to Corporate Compliance and integrity guidelines. Responsibilities: Function in an advisory role to the Medical Directors and Medical Management Committee in the following areas: Provide evaluation of and assist in the development of quality patient care services offered by DCHP; Assist in the establishment of patient care and professional staff policies and procedures of DCHP; and Participate in long-range planning of services and/or programs offered by DCHP. This position shall be responsible for the following aspects of the program: Provides service coordination within the Health Homes and links Members to assigned service coordinator as required Coordinates care and efficient utilization of health care resources for patients identified in the STAR Kids program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members as appropriate to obtain optimal outcomes for members. Provide the member with initial and ongoing assistance identifying, selecting, obtaining, coordinating, and using services and supports to enhance the member’s wellbeing, independence, integration into the community, and potential for supportive employment. Enrolls member in disease management and monitors and documents progress. Answers Service Coordination Integrated Pod (SCIP) phone calls from the members who call the SCIP and handles appropriately. Enters LTSS authorizations into the system per the direction of the Service Coordinators in the SCIP. Communicates with management regarding status of current workload and turn-around time discrepancies as necessary. Must obtain approval from manager or designee to any redistribution of workload. Produce status reports on a regular basis to track members in STAR Kids. Ensure thorough knowledge of the STAR Kids contract and meet all Service Coordination contract requirements. Participates in health plan’s performance improvement activities. Participates in health plan committees as appropriate and on request. Accepts other assignments from management as requested and complies with basic management principals of delegation. Education and/or Experience: Experience as a case management support technician, a customer service representative in a medical office or health plan, utilization review technician, or an LTSS coordinator with DADS or DSHS preferred. High school diploma or equivalent required. At least a 2-year college Associate’s Degree preferred. Previous experience in a managed care environment preferred. Direct experience working with children and young adults with similar conditions or behaviors in three of the last five years. At least a 4-year college degree and current, active, and unrestricted licensure as a Licensed Vocation Nurse (LVN). Previous service coordination or case management experience. Minimum 3 years of clinical experience (pediatric preferred) or 1 year experience in managed care. Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled children preferred Knowledge of the Medicare/Medicaid dual population preferred

Part-time

2 months ago

Clinical Nurse Coordinator Cardiac Care

HCA Healthcare Overland Park, KS

Description Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Clinical Nurse Coordinator Cardiac Care today with Menorah Medical Center. Benefits Menorah Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Come join our team as a(an) Clinical Nurse Coordinator Cardiac Care. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today! Job Summary and Qualifications The CNC uses the nursing process and evidence-based practice to work collaboratively with an assigned group of patients and care team in developing the patient-driven holistic care plan for life. The CNC, as a member of a larger team, promotes patient and family health education with a focus on self-management, prevention, and wellness, based on the patient’s goals. The CNC is responsible for the lateral integration of patient care, i.e., assessing patient needs and accessing expertise across healthcare disciplines. As a change agent, the CNC promotes an environment that embraces new knowledge, innovations and improvements. Fundamental aspects of the CNC role include leadership in the care of patients; standardization of care; identification, delegation and oversight of care delivery and outcomes. The CNC refines systems to identify trends and opportunities for improvement, incorporating efficiency and cost-effective care with well-defined patient outcomes. What you will do in this role: Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team. Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. Supports a patient-first philosophy and engages in service recovery when necessary. Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives. Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization. Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines. Supports proper inventory control and assists with managing supplies and equipment. What qualifications you will need: 2 years of RN experience required Advanced Cardiac Life Spt Basic Cardiac Life Support (RN) Registered Nurse Bachelors Degree Menorah Medical Center is a full-service, 150+ bed acute care hospital and ER. We are located in Overland Park and Leawood, Kansas. Our hospital serves the community’s healthcare needs by providing compassionate care. We have world-class medical colleagues and more than 600 physicians. Our team offers exceptional experiences and extraordinary medicine for adults, newborns, teens, and children. We offer some of the most advanced treatment choices available in the Kansas City region. Our hospital network continues to be a pioneer in cancer care. We are home to a certified Breast Center of Excellence, the Sarah Cannon Cancer Institute, and the region’s only Genitourinary Cancer clinic. We offer a Robotic Surgery Center of Excellence, Women’s Center, Bariatric Program, and an inpatient rehabilitation center. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Clinical Nurse Coordinator Cardiac Care opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.