Holistic Health Specialist - Registered Nurse (RN)
Posted on: February 25, 2021
At HCSC, building a talent engine for the future is a key
priority because we recognize that as our business evolves to
reflect the changing world, we must adapt our workforce to meet
this challenge. Additionally, with "excellence" as one of our core
values, we are focused on improving our success measures and
delivering the best possible customer experience.
Join us and grow your career as we do everything in our power to
stand with our members in sickness and in health!
This position is responsible for performing a variety of functions
and is a single source of contact for members, health care
personnel and all other entities involved in managing care.
Identifies alternate treatment programs; consults with physicians,
providers, members, and other resources to evaluate options and
services required to meet an individual's health needs; promotes
quality and cost effective outcomes; and serves as liaison to
physicians and members. Other functions also include determining
member assignment of treatment, and pre-admission/post-discharge
counseling for an acute condition. Establish relationship with the
member. Handle immediate post discharge follow-up or until all
short term care needs are met. Provide education/local resource
information and encourage member (self) education. Functioning in a
clinical care advisory role, assesses members for wellness
education and disease management, introduces members to our website
tools, educates members regarding wellness and specific conditions,
and facilitates the coordination of care for identified members.
Provide oversight to Holistic Health Coordinators.
*Registered Nurse (RN) with current, valid, unrestricted license in
The State of Texas
*2 years of clinical practice experience as a RN providing direct
clinical care to patients
*1 year of experience in Care Management, Condition Management or
Case Management in a Health Insurance and/or Managed Care
*PC proficiency to include Word, Excel, Lotus Notes and database
*Clear and concise verbal and written communication skills
*Familiarity of ancillary services including HHC, SNF, Hospice,
*Decision making skills and sound clinical judgment to provide
oversight of other staff
*Incumbents with nursing licenses in positions/departments
requiring multi-state licenses are required to obtain and maintain
additional current, valid, and unrestricted applicable nursing
licenses in other states as determined by management. Multi-state
license fees will be provided by HCSC. Incumbents with other
clinical licenses are not required to obtain multi-state
PREFERRED JOB REQUIREMENTS:
*2+ years of Case Management experience, HIGHLY desired.
*3 years of clinical experience in various environments including:
acute hospital setting, physician office, LTACH/SNF, home health,
surgical setting or health care insurance company.
*Specialty clinical experience in intensive care medicine,
orthopedic, NICU/pediatric, oncology, diabetic member management,
obstetric (low to high risk maternity management)
*Experience in managing complex or catastrophic health cases
*Working toward or completion of CCM/CCP/CDE/MCG certification or
*Knowledge of Milliman Guidelines or similar clinical
*Knowledge of medical management policies and procedures.
HCSC is committed to diversity in the workplace and to providing
equal opportunity and affirmative action to employees and
applicants. We are an Equal Opportunity Employment / Affirmative
Action employer dedicated to workforce diversity and a drug-free
and smoke-free workplace. Drug screening and background
investigation are required, as allowed by law. All qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, sexual orientation, gender identity,
national origin, disability, or protected veteran status.
Expertise Nursing Job Type Full-Time Regular Location TX -
Richardson, TX - AbilenePandoLogic. Keywords: Registered Nurse
(RN), Location: Abilene, TX - 79697
Keywords: HCSC, Abilene , Holistic Health Specialist - Registered Nurse (RN), Healthcare , Abilene, Texas
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