Southwestern Health Resources is
seeking to hire a Care Manager Registered Nurse for our Care Coordination
The location is Southwest Health
Resources– 8150 Brooke River Drive, Dallas Texas 75247
Salary range is $32.71/hour – Max
$46.11/hour – based on relevant experience.
• Full Time: 40 hours per week,
The Care Manager – Registered Nurse
is responsible for managing Population Health Service Company (PHSC) primary
care population for PCP, Post-Acute, and Home Health high risk and/or chronic
illness patients via creation of pro-active patient
centered action plans to promote
effective education, self-management support, and adherence to the PCP
provider's plan of care facilitating access and timely healthcare delivery to
achieve cost effective optimal quality and financial outcomes. The essential
job duties of this position are:
• Manage Complex High Risk
(Chronically ill and/or Medically complex/fragile) patients via Longitudinal
• Prioritize patients via risk
stratification tool, providers referrals, inpatient/ER discharge hand offs, and
• Conduct assessments via EMR
review and patient interviews for patient centered action plans that identifies
barriers to PCP plan of care
adherence documenting long-term and short-term patient centered goals in EMR.
• Conduct patient interviews
via clinic face-to-face encounters and/or telephonic contacts documenting
outcomes in PCP EMR.
• Facilitate coordination of
specialist utilization in collaboration with PCP.
• Perform Medication
Verification for: compatibility, duplication, adherence, and cost
• Coordinate services with
third party payers such as Transition House Calls (THC), Home Health (HH),
Skilled Nursing Facility
(SNF), Durable Medical Equipment
(DME), Behavioral Health, and Hospice.
• Collaborate with Care
Coordination team in removing barriers that prevent self-management of disease
social or medical. Team: Social
Worker, Community Health Worker, Pharmacist, Home Health Team, Transitional
Worker, and other ancillary team members.
• Work with PCP and staff
office daily including: staff meetings; Face to Face and impromptu visits with
disease management protocols.
• Provide 30-90 day close
monitoring of High Risk and converting them to longitudinal self-management
• Time management,
organization, and flexibility a must in meeting the PCP and patient’s needs.
Perform Post-Acute patient follow
• Contact full admission and
observation patients post discharge telephonically within 24-48 hours of
Target ambulatory sensitive
diagnoses for plan of care adherence and goal attainment:
• Work collaboratively with
supporting the PHSC quality performance targets and measures addressing gaps in
service as it relates to care
management program as outlined above.
The ideal candidate will possess the
following qualificationsURL blocked - click to apply
• Bachelor's degree nursing
• 3 years of experience in care coordination, ambulatory resource
management, or discharge planning with managed care population required.
• 1 year skilled nursing facility, home health, education and/or case
management experience strongly preferred.
• Telephonic skills and
disease management education a plus
• RN - Registered Nurse upon hire required.
• Valid Driver License required.
• Practiced in and knowledge of Medicare Advantage and Commercial
programs and benefits preferred.
• Chronic disease management
of diverse patient populations and/or experience in health coaching.
• Excellent time management skills with ability to
prioritize tasks effectively and efficiently.
- Organization: Texas Health Resources
- Location: Dallas, Texas, United States
- Job Field: RN/Registered Nurse
- Travel: No
- Overtime Status: Exempt
- Shift: Day Job
- Schedule: Full-time
- Pay Basis: Hourly
- Minimum Salary:
US Dollar (USD)
- Market Salary: US Dollar (USD): 39.13
- Maximum Salary :
US Dollar (USD)
Electronic Medical Record
Patient Care Coordination