RN Pt Nav Sr Cancer Ctr Mt Pleasant Cancer Care Ctr A
Christus Health
Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services. These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted provider network support. Responsibilities:
- Oversee the development, implementation and management of an integrated medical benefit program including case management and health/disease management.
- Establish a system for coordinating the caseload patient's care throughout the continuum of care.
- Use standard tools, databases and methodologies to support the health benefit program and provide leadership in managing cases, events and diseases that are determined to be targeted priorities by Senior Management of contracted employers.
- Interact with providers and plan members in case management medical activities to provide the most efficient and effective service.
- Identify targeted chronic diseases/high risk individuals (with vendor support) and develop programs to reduce the financial and health risks, using internal hospital programs/services whenever possible.
- Monitor and evaluate the effects of case management on the patient population.
- Create outcomes-management focus by interdisciplinary analysis of specific clinical, financial and satisfaction elements for the patient population.
- Assist in the analysis of demographics, utilization and reimbursement.
- Prepare cost analysis and other reports to determine the reasonableness of claim/cost data and utilization rates.
- Make recommendations based on data analysis for benefit structure, pharmacy formulary, deductibles, co-pays, out of pocket, etc. to contracted employer groups.
- Maintain consistent attendance, punctuality and personal appearance in accordance with CHRISTUS attendance and dress code policies.
- Uphold organizational values by treating others with respect, keeping commitments and working ethically and with integrity.
- Attend meetings as required and participate in team activities. Exhibit confidence, motivate and inspire others.
- Establish and maintain effective working relationships with team members, patients and the public by demonstrating the ability to communicate verbally and in writing while responding clearly and effectively.
- Demonstrate the ability to read and respond to e-mail and appointment requests in a timely manner and on a regular basis.
- Use time efficiently, plan for additional resources, set goals and objectives and work in an organized manner.
- Demonstrate safety practices and maintain a safe environment for patients, visitors and fellow team members by following established safety and infection control standards.
- Associate's Degree in Nursing
- 3 to 5 years of experience
- RN License in state of employment or compact
- BLS
Vacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the RN Pt Nav Sr Cancer Ctr Mt Pleasant Cancer Care Ctr A in Lone Star, TX vacancy
- ...management. Establish a system for coordinating the caseload patient's care throughout the continuum of care. Use standard tools,... ...experience Licenses, Registrations, or Certifications RN License in state of employment or compact BLS Work Schedule...SeniorPTS cardFull timeMonday to Friday
CHRISTUS Health
Daingerfield, TX6 hours ago - ...Description Summary: Provides general nursing care to patients in a clinic or medical office. Administers medication, prepares equipment and aids physicians in treatment of patients. RN license required. Responsibilities: • Participates as primary nurse, associate...SuggestedFull timeWork at officeMonday to Friday
CHRISTUS Health
Lone Star, TX6 hours ago - ...all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to... ...Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: 5 Days...SuggestedFull timePart timeRelief
CHRISTUS Health
Lone Star, TX6 hours ago - ...all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to... ...preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements:...SuggestedDaily paidFull timeRelief
CHRISTUS Health
Lone Star, TX4 hours ago - ...all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to... ...preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements:...SuggestedDaily paidFull timeRelief
CHRISTUS Health
Lone Star, TX5 hours ago - Description We are currently accepting applications for a variety of roles across multiple departments as we continue to grow. Full-time (FT) and PRN opportunities are available, with both day and night shifts. Apply today to learn more about current and upcoming opportunities...Full timeReliefNight shiftDay shift
CHRISTUS Health
Lone Star, TX1 day ago - ...Pediatrics is hiring immediately for Pediatric Home Health Nurses (RN or LVN) Gladewater, Texas! At Connect Pediatrics, we don't just... ...growth and enhances nursing skills in the realm of in-home care. We're offering Full-time, Part-time, and PRN roles , complete...Full timePart timeReliefImmediate startFlexible hoursShift work
Connect Pediatrics
Ore City, TX5 days ago $2,500 per month
...process. Position Duties and Responsibilities: Provide a full range of Physician Assistant services in primary and specialty medical care within the limits of their training and privileges granted by the MTF (e.g., supervise and provide general screening and medical...Contract workTemporary workLocal areaRelocation packagePotomac Healthcare Solutions
Lone Star, TX4 days ago- Job Posting Your work matters — and where you work should too. At Lumera Healthcare Group, we connect clinical and allied professionals with flexible, well-matched opportunities nationwide. Whether you're looking to travel, pick up extra shifts, or secure something ...Full timeFlexible hoursShift work
Lumera Healthcare Group
Avinger, TX1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Pt Nav Sr Cancer Ctr Mt Pleasant Cancer Care Ctr A. Be the first to apply!
