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Full Time Targeted Individuals Jobs in Spring, TX

International SOS

Marketing Specialist

Houston, TX · On-site

Now, we're looking for talented individuals to join our team and make a difference. About the role ... This is a full-time Monday to Friday position. The hours are 8:00 am until 5:00 pm. Monday to ...

Synapticure

Behavioral Health Care Manager

Houston, TX · Remote

$70K - $75K/yr

... of individuals and their families living with neurodegenerative diseases like Alzheimer ... Knowledge of current trends in neurodegenerative diseases, terminal illnesses, targeted therapies ...

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Registered Nurse Patient Navigator Senior - Cardiology - Relocation Required

Registered Nurse Patient Navigator Senior - Cardiology - Relocation Required

CHRISTUS Health

Houston, TX

Full-time

Posted 8 days ago

CHRISTUS Health rating

6.6

Company rating: 6.6 out of 10

Based on 515 frontline employees who took The Breakroom Quiz

556th of 870 rated healthcare providers

Job description

This job requires relocation.

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.

Requirements:

Education/Skills

  • Associate's Degree in Nursing

Experience

  • 3 to 5 years of experience

Licenses, Registrations, or Certifications

  • RN License in state of employment or compact
  • BLS

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time


What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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