Care Manager RN QA - University Park, United States - Baylor Scott & White Health

    baylor scott & white health background
    Nursing
    Description

    About Us

    **Candidate must be local to West DFW Regions (Irving, Grapevine, Dallas & surrounding cities). This is a hybrid role and must be willing to go onsite to West DFW clinics if needed**

    At Baylor Scott & White Health, we support the health of people, families, and communities. Baylor Scott & White is Texas' largest nonprofit healthcare system, encouraging healthy living.

    Our Core Values are:

    • We serve faithfully by doing what's right with a joyful heart.
    • We never settle by constantly striving for better.
    • We are in it together by supporting one another and those we serve.
    • We make an impact by taking initiative and delivering exceptional experience.

    Benefits

    Our competitive benefits package empowers you to live well and provides:

    • Eligibility on day 1 for all benefits
    • Dollar-for-dollar 401(k) match, up to 5%
    • Debt-free tuition assistance, offering access
      to many no-cost and low-cost degrees, certificates and more
    • Immediate access to time off benefits

    At Baylor Scott & White Health, your well-being is our top priority. Visit to learn about all of our programs that supports mind, body and spirit

    Note: Benefits may vary based on position type and/or level

    Job Summary

    As Care Manager RN 1, you oversee patient care, ensuring quality and integrating services. Using standards, you will manage benefits and justify service necessity. This role combines healthcare practitioner, case manager, and educator duties to achieve top clinical outcomes. By controlling care and resources effectively, unnecessary service utilization can be reduced.

    Location: Hybrid - 3x onsite and 2 days remotely - Candidates must be local to Dallas, Irving, or Grapevine cities

    Setting: Case Management

    Schedule: FT Monday-Friday

    What You'll Do

    • Assess the patient's care plan. Document, execute, and update collaboratively with the healthcare team to deliver evidence-based care.
    • Construct patient care management strategies, treatments, and self-management priorities.
    • Evaluate the healthcare, educational, and psychosocial requirements of the patient and their family.
    • Help patients manage health autonomously through education, in-person visits, and remote engagement. Encourage patients to follow care plans.
    • Explore, assess, recommend resources for medical and non-medical needs of patients and families.
    • Unite with all programs for service coordination.
    • Identify and address problems in the care coordination, exploring potential solutions to ascertain the most suitable care setting.
    • Serve as a liaison to hospitals, general care providers, post-recovery partners, and specialists.

    What Will Make You Successful In The Role

    • Proficiency in conducting patient assessments and managing their care is critical for this role.
    • Exceptional verbal and written communication skills are paramount.
    • They should possess the ability to diligently monitor, evaluate and document patient progress with respect to personalised care plans.
    • They should have the capability to facilitate a patient's access to appropriate community resources.
    • We must work well with internal medical team and external partners and organizations.
    • Together, successful partnership is crucial.
    • They must have a flexible capability to evaluate, adjust and respond positively to a shifting and crisis-filled environment.
    • It is crucial to respect all aspects of patient confidentiality, in compliance with all relevant policies and regulations.

    Belonging Statement

    We believe in inclusivity and diversity. Our workforce should represent our communities. Everyone should feel supported and valued.

    Qualifications

    • Must hold at least an Associate's degree.
    • Should have a minimum of two years relevant work experience.
    • Holds a valid Registered Nurse license.