Nurse Case Manager - CFHP
Overview
Becoming a Nurse at University Health is a great way to step up and be there for the people of South Texas. They look up to us, and as a Nurse at UH, we’ll look to you to help carry out this mission in an environment that has been designated, and redesignated, as a Magnet Health Organization by the American Nurse Credentialing Center (ANCC) for more than a decade. From your first day, you’ll be hands on with our patients while gaining valuable experience, earning excellent benefits and making a real impact on people’s lives.
- Full Time
- Level:
- Travel: Minimal (if any)
- Salary: $63K-$96K
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Success Profile
What does it take to build a successful Nurse Case Manager - CFHP? career at University Health? Take a look the top qualities we’re after and see if you have the right mix.
- Collaborative
- Compassionate
- Empathetic
- Problem-solver
- Detail-oriented
- Strong Communicator
At University Health, we are strongly committed to quality, compassion and innovation in everything we do here and in our community.
This is a great place to be exposed to many different types of patients, procedures and disease processes.
Acute Care Nurse
Learn more about what it means to be a nurse at University Health
Benefits
We believe in taking care of those who care for our community and provide each of our health care professionals with the benefits they need to thrive in all aspects of their lives.
Rewards
Learn about our rewards.
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Healthcare
Medical: Excellent coverage for individuals and families with very low premiums and co-pays, and ZERO co-pays for medications filled at University Health. Dental, vision, pet insurance, flexible and health spending accounts.
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Paid Time Off (PTO)
Generous accrual rates that start on day one.
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Retirement
We offer both a 457(b) and 403(b) deferred compensation programs.
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Education Reimbursement
Including college tuition reimbursement up to $600 per semester, continuing education up to $400 and certification reimbursement.
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Life and Disability
Basic life paid by University Health, with optional plans for life and disability insurance.
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Health and Wellness
Employee discounts, including gym memberships, employee health clinic, healing arts program, community events.
Responsibilities
POSITION SUMMARY/RESPONSIBILITIES
Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.
EDUCATION/EXPERIENCE
Registered Nurse (RN) is required. Bachelor of Science in Nursing (BSN) or Master’s degree is preferred. Minimum three (3) years nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
Events
We host a variety of events designed to educate our staff and community members on a wide range of subjects, from valuable skills to support and more.
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