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Nurse Case Manager LVN - CFHP

Company: University Health System
Location: San Antonio
Posted on: September 15, 2020

Job Description:

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to: overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members. EDUCATION/EXPERIENCE LVN is required. Minimum three (3) years# nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-10 and CPT coding is preferred. #cbcgPOSITION SUMMARY/RESPONSIBILITIESAssists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to: overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.EDUCATION/EXPERIENCELVN is required. Minimum three (3) years' nursing, acute care, quality management or managed care experience is required. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-10 and CPT coding is preferred.#cbcg

Keywords: University Health System, San Antonio , Nurse Case Manager LVN - CFHP, Executive , San Antonio, Texas

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