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RN Care Management Auditor- Health Plan in Fort Worth at Cook Children's Health Care System

Date Posted: 8/14/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Fort Worth
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    8/14/2018

Job Description

JOB SUMMARY






Responsible for auditing program level and individual Care Management staff on business processes/contract compliance as it relates to program and department goals and objectives. Works collaboratively with Care Management team to develop and implement processes.



QUALIFICATIONS






Education and Experience



Education and Experience


• Registered Nurse

• Minimum of five (5) years relevant clinical experience required

• 3 to 5 years of case management experience required

• Certification in case management (CCM) preferred

• Excellent communication skills; proficiency in Spanish a plus.

• Experience with care management software applications and business processes, preferred

• Strong skills in the following areas:

• Oral and written communication,

• Problem-solving,

• Organization and time management,

• Customer service,

• Knowledge of adult teaching and learning, coaching, auditing, and reporting outcomes.



Licensure, Registration, and/or Certification


• Current unrestricted Registered Nurse licensure in the State of Texas.


Cook Children's is an EOE/AA - Minority/Females/Disability/Vet