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.
B.S.N. preferred; Associates Degree Required
Minimum of five (5) years clinical practice (preferably includes pediatric experience).
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.
Other Requirements: Excellent organizational skills. Excellent written and verbal communication skills. Excellent conflict resolution skills. Above average problem-solving skills.
Registered Nurse, currently licensed in the State of Texas
Internal Number: 38306
About Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.