Case Manager - Cook Children's Health Plan (Texas)

Summary: Performs case management activities across the continuum of care in order to promote and facilitate quality, cost effective outcomes and minimize fragmentation of health care delivery for the assigned member population. The Health Plan Case Manager identifies and coordinates short and long term needs of catastrophically/chronically ill and/or injured children/adolescents and their families.

Qualifications: B.S.N. preferred; minimum of five (5) years clinical practice (preferably includes pediatric experience). Bi-lingual desirable. Three years experience in case management/utilization review required in a managed care environment. An R.N. with exceptional experience, e.g. pediatric or 5-6 years in the highly desirable areas listed above would also be considered. Must be able to function autonomously. Computer literate. Registered Nurse, currently licensed in the State of Texas. Case Manager certification preferred (CCM). Other Requirements: Excellent organizational skills. Excellent written and verbal communication skills. Excellent conflict resolution skills. Above average problem-solving skills.

To apply: http://www.cookchildrens.org/careers

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