Registered Nurse (RN) - Case Management
Cantex
Carrollton, TX

C-SNP Case Manager

Job Summary: C-SNP (Chronic Condition Special Needs Nurse The C-SNP Case Manager coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care (IC) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management and disease Management. Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people. Please visit cantexcc.com for more information on this location. Benefits: * Competitive Wages * 401k with match * Medical, Dental, Vision & Supplemental Insurance * Vacation, Sick, Personal Holiday & Paid Holidays * Short-Term Disability * Life Insurance * Education Assistance & Tuition Reimbursement * Work today & get paid tomorrow with PayActiv * Rewards & Recognition Program Qualifications Essential Functions: * Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physician/Physician Extender. * Monitors all areas of patients' stay for effective care coordination and efficient care facilitation. * Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. * Performs HRA Assessments to high-risk patients who would benefit from additional clinical support and education. * Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions. * Participates in interdisciplinary patient care rounds and conferences to review treatment goals, optimize resource utilization, provide family education, and identify needs. Collaborates with clinical staff (PCP or Physician specialist) in the development and execution of the plan of care, and achievement of goals. * Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum. Qualifications: * A current, valid Texas nursing license is required. Or individuals that may have specific training or education in healthcare as a licensed nurse (RN, LVN) to ensure proficiency in the requirements of the position. * CCM preferred or ability to obtained within one year. * At least 2 years of managed care and case management experience preferred. * Ability to work as a hybrid employee with office from home. * Ability to effectively communicate, direct, and delegate tasks. * Ability to read, write, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.