Job Description

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

PRIMARY PURPOSE

Establishes and maintains an efficient, cost effective care management process by determining patient financial and medical eligibility, medical necessity, and by developing, implementing and monitoring individual patient plans of care and communicating these plans to patients, families, and Parkland staff to ensure quality patient care throughout the healthcare continuum and compliance with program/Parkland policies and procedures. Responsible for the maintaining the knowledge and skill set related to utilization review, care coordination, performance improvement and professional licensure and certification.

Benefits:

• Medical - Active Day 1 of hire
• Dental
• Vision
• Life Insurance
• Disability Insurance
• Pension Plan
• Flexible Spending Accounts
• Paid Personal Leave
• Tuition Reimbursement
• Employee Health Center
• Parkland Center of Nursing Excellence
• SPARKS Peer Support Network
• And more!

MINIMUM SPECIFICATIONS

Education - Must be a graduate of an accredited school of Nursing.

Experience - Must have two (2) years of hospital or community based patient care nursing, preferably in assigned clinical area. - Prefer case management, utilization review, and/or discharge planning experience.

Certification/Registration/Licensure

- Must have current, valid RN license or temporary RN license from the Texas Board of Nursing; or, valid Compact RN license.

- Must have current healthcare provider CPR course completion card from one of the following: - American Heart Association - American Red Cross - Military Training Network - Care Management and Utilization Management Services Only: - Preferred Healthcare provider CPR course completion card.

Skills or Special Abilities

- Provides care to assigned patient population in accordance with the current State of Texas Nursing Practice Act, established protocols, multidisciplinary plan of care, and clinical area specific standards.

- Must be able to communicate and collaborate effectively with a diverse group of patients, families and healthcare staff.

- Must be able to demonstrate a working knowledge of specific patient populations, and be able to demonstrate knowledge of disease processes affecting this group.

- Must be able to demonstrate a working knowledge of PC operations and the ability to use word processing software in a Windows environment.

- Must be able to demonstrate a working knowledge of the laws and regulations governing Medicare, Medicaid and community-based funding sources.

- Must be self-directed and capable of priority setting and problem solving.

- Must be able to demonstrate patient centered/patient valued behaviors.

Job Accountabilities

1. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.

2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.

3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.