Case Mgr/Service Coord RN

About the role

Performs case management/service coordination activities that enable Cook Childrens Health Plan members with chronic conditions or complex needs to achieve an optimal level of health and independence through advocacy, assessment, planning, communication, education, resource management, care coordination, collaboration, and service facilitation. This is an office-based position with required field work. Driving and in home visits are required up to 75% of the time. Some weekends may be required to meet member needs. Additional Information: Performs case management/service coordination activities that enable Cook Childrens Health Plan members with chronic conditions or complex needs to achieve an optimal level of health and independence through advocacy, assessment, planning, communication, education, resource management, care coordination, collaboration, and service facilitation. This is an office-based position with required field work. Driving and in home visits are required up to 75% of the time. Some weekends may be required to meet member needs. Education: Education and Experience: Requires a Nursing Diploma or Associates Degree in nursing. Bachelor of Science in nursing strongly preferred. Three years of clinical experience. Two (2) years of experience working with vulnerable populations and people with chronic or complex conditions preferred. Strong skills in medical assessment/medical record review and/or behavioral health assessment. Prior MCO experience a plus. Must possess the ability to function in an interdisciplinary, team environment. Self-starter with the ability to be effective in a large, complex and highly matrixed organization is a must. Need to possess the ability to focus on both the details and the big picture simultaneously. Bi-lingual (English/Spanish) Preferred. No testing requirement . Required skills: relationship-building, effective written and verbal communication skills that allow clear and concise presentation of conclusions and recommendations to a variety of audiences, critical thinking and problem-solving, ability to plan and organize effectively, proficient in typing and in use of computer applications (Excel and Outlook). Certification/Licensure: Registered Nurse current, unrestricted Texas license. Cook Children's Health Plan Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise. Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status , genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.