Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. GENERAL PURPOSE OF JOB: The staff nurse (RN) is a professional Registered Nurse who provides direct nursing care to assigned patient population. The staff nurse, utilizing the nursing process, plans and delivers effective patient care within the Texas scope of practice and within the frame work of Driscoll Health System's vision of excellence and integrated care delivery. The staff nurse complies within the established standards of practice, policies and clinical guidelines reflective of evidence-based best practice. The practice of the staff nurse contributes to creating an environment that is patient focused, family centered and is designed to provide continuation of care and patient transition management. SHIFT / HOURS: Monday - Friday 7:00am - 3:30pm, plus call ESSENTIAL FUNCTIONS AND BEHAVIORAL EXPECTATIONS : To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. COMMUNICATION: Conveys information and shares ideas using the appropriate techniques to reach different audiences; promotes understanding and open information sharing. Listens actively; solicits and gives constructive and honest feedback. Is sensitive to the needs, ideas, and feelings of others. Develops and maintains rapport with others. Adheres to confidentiality guidelines. Establishes and maintains a therapeutic relationship with patient and family using individualized interventions to ensure patient comfort and dignity. identifies barriers to learning, develops and implements education plan based on assessed patient/family needs. Uses clear, closed loop communication that enhances team information sharing and decision making. Uses chain of command to obtain appropriate health care response as an advocate for the patient. Functions as a patient/family advocate, seeking direction as needed to provide safe, effective, efficient, and timely care. Initiates appropriate referrals to the healthcare team based on assessed patient needs. Documents timely and accurately in the electronic medical record to reflect patients' plan of care and response to interventions. CUSTOMER/PATIENT FOCUS: Understands and anticipates the needs of both internal and external customers. Meets customer needs while remaining a good steward of organizational resources. Performs initial and ongoing focused assessments to identify actual, potential and critical changes in the patient's condition and follows through with appropriate reporting and actions. Develops, implements, and modifies an individualized plan of care that reflects cultural aspects as appropriate of illness/hospitalization to meet patient needs and diagnoses. Prioritizes, plans, organizes and directs care of assigned patients. Involves the patient and family in healthcare decisions and care as appropriate. Evaluates and reports pertinent patient response to interventions based on evidence-based best practice. Administers medications and other therapeutic treatments per clinical guidelines and orders; recognizes abnormal responses to medication therapy and initiates corrective therapy. Intervenes appropriately after correlating clinical picture to therapeutic treatment plan. Selects and utilizes appropriate equipment, devices, and supplies based on the patient's needs and treatment plan. Ensures the correct functioning of equipment, identifies deficits and reports appropriately. Participates in clinical research by following specific protocols. TEAMWORK: Fully participates in maintaining a positive team environment that is conducive to customer satisfaction. Builds trust among co-workers, focusing on accomplishing hospital and departmental goals. Works effectively with a diverse group of people in pursuit of the organization's goals. Shifts personal goals when necessary to focus on group objectives. Looks for ways to help others and to support their work. Initiates warm transfer techniques to refer customer service concerns to the right individual; does not display "it's not my job" attitude. Values others' contributions and shows respect for all individuals throughout the organization. Can be counted on by others. Demonstrates flexibility in staffing and scheduling to meet unit needs. Supports real time staffing decisions and assignments for the greater good. Supports goals through participation and compliance in unit activities and decision-making. Participates in improving patient care by engaging in reviewing and supporting practice change based on evidence-based practice. Maintains and respects relationships and builds rapport with peers and leadership. ACCOUNTABILITY: Take responsibility and ownership for delivering results through personal initiative and commitment. Willing to make recommendations and assume additional responsibilities. Organizes work and uses time efficiently. Take the initiative to find additional work during slow or downtimes. Recommends innovative ways of doing work more efficiently and effectively. Complies with and supports regulatory and organizational policies and professional standards. Completes required ongoing development and education/competency/certifications as required. Recognizes personal limitations and seeks guidance. Participate in Quality Improvement. Identifies trends in patient care outcomes for QI monitoring, practice change, and/or staff education. LEADERSHIP: Exhibits confidence in self and others, inspires respect and trust. Reacts effectively under pressure and motivates others to perform well. Demonstrates the ability to change behaviors and plans to meet rapidly changing/ competing job demands (new or unusual situations). Receives change as a challenge. Revises plans to meet changing circumstances. Ensures safe care by using effective communication and interactions with the health care team. Identifies conflict and helps to initiate resolution, seeking assistance when appropriate. Delegates appropriately, and oversees delegated tasks to unlicensed assistive personnel. Assists with changes in unit needs during a crisis situation and works collaboratively to re-establish unit function after a crisis situation. Participates in review of unit response to a crisis situation. LICENSE, EDUCATION AND/OR EXPERIENCE: Graduate from an accredited school of nursing. BSN preferred. —Current RN license in the State of Texas CERTIFICATES, REGISTRATIONS: BLS required before hire Advanced Specialty Courses (ASC)/Credentials according to Appendix A ASC courses should be taken at earliest opportunity, completed within I year and continuously maintained ongoing National Certification in specialty must be attempted within 3 years of completing orientation and continuously maintained ongoing
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: The service coordination program supports maximizing the member’s health, wellbeing, and independence. The RN will focus on person-centered care planning and will assess all the member’s services and support needs, ensure timely community-based Long-Term Services and Supports (LTSS) to prevent, delay, or reduce the progression of chronic conditions and the need for institutionalization and to maintain the member safely in the community. Service coordination is a collaborative practice that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the member’s health and human service’s needs. It is characterized by advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes. The service coordinator facilitates clinically appropriate and fiscally responsible patient care through communication and collaboration with the physicians, Member, family, care giver, and all other members of the multidisciplinary team. The service coordination process is holistic in its coverage of the member’s situation and addresses medical, physical, behavioral, emotional, financial, psychosocial, social, and other needs, as well as that as the support system. These nurses will also work with the Health Homes and primary care providers to assist with coordination of STAR Kids member’s needs. The Service Coordinator RN will manage any combination of Level of Care (LOC) 1 ,2 and 3, member caseload that they are assigned. Certain medically complex members with waiver services may require the RN to be responsible for the LTSS prior authorization activities. The Service Coordinator RN will collaborate with other members of the Service Coordination team. The Service Coordinator is responsible for the coordination and efficient utilization of health care resources for the provision of quality care for all patients throughout the continuum of care. The Service Coordinator RN: facilitates clinically appropriate and fiscally responsible patient care through communication with the providers and health plan medical directors, and all other members of the health care and health plan team, assesses and identifies the patient’s clinical findings and determines, in conjunction with the Physician Advisor/Health Plan Administration, established benefits, protocols, pathways, and evidence-based medicine tools, the health care services and level of care appropriate for the member, communicates with providers of care/services to ensure appropriate levels of care and coordination of LTSS for applicable members. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perforin each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by Health Plan leadership, as required. Education and/or Experience: This position can be filled as an RN, Nurse Practitioner, or Physician’s Assistant. • RN with Bachelor of Science in Nursing (BSN) degree from four-year college or university or Associates Degree in Science (ADNS) with combination of education and experience in managed care, STAR+Plus, children with special health care needs, or Long Term Supports and Services (LTSS) for individual enrolled in various waiver programs through the Department of Aging and Disability Services (DADS) preferred. • Certified Case Manager (CCM) certification preferred. • Minimum of 3 years of clinical experience as a Registered Nurse with one year of experience as a case manager or managed care case/utilization management experience preferred. • Minimum of three (3) years prior management experience in health services within a managed care organization preferred. • Must have an in-depth knowledge of the State of Texas’ managed care and managed Medicaid process preferred. • Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled children preferred. • Knowledge of Medicare preferred. • Resource Utilization Group (RUG) and/or Patient Driven Payment Model (PDPM) certification preferred. Licenses, Certifications, Registrations: • Current, active, and unrestricted RN, NP, or PA licensure in the State of Texas • Certified Case Manager (CCM) designation preferred. • Current Texas driver’s license and insurance maintained throughout the term of employment.
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: The Service Coordination Manager is responsible for daily operations of the STAR Kids program assuring the program is performed according to the State contract. The Service Coordination Manager is responsible for training and evaluation of service coordination staff as well as dissemination of information to the staff related to benefits, operations and policy. The Manager participates in ongoing development of policies and procedures for STAR Kids. The Manager enforces quality and performance standards, monitors service coordination performance and presents findings to the Director on an ongoing basis. The Manager provides leadership to facilitate clinically appropriate and fiscally responsible patient care through communication with other members of the health care team. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Maintains utmost level of confidentiality at all times. Maintain compliance with regulatory agencies that conduct intermittent reviews and audits to ensure contractual and regulatory compliance with Federal, State entities as well URAC. Implement and adhere to Health System and Health Plan policies and procedures for members with special health care needs (STAR Kids). Demonstrates business practices and personal actions that are ethical and adhere to Corporate Compliance and integrity guidelines. Assures service coordination staff follows and meets requirements of the service coordination program, roles and responsibilities including all assessments and contractual requirements. The above statements should be included on all job descriptions. List the job's essential or most important functions and responsibilities. Include all important aspects of the job -- whether performed daily, weekly, monthly, or annually; and any that occur at irregular intervals. Standard functions listed below should be included on all job descriptions. Holds weekly case conferences and SCIP meetings. Participates in policy and procedure development. Collaborates with trainer to assure all staff are trained and ready to assume job responsibilities and retrained on an annual basis per contractual requirements. Oversees the utilization management and disease management activities for the STAR Kids program. Maintains appropriate team assignments based on volumes and communicates with the Director regarding status of current workload and turn- around time discrepancies as necessary. Must obtain approval from the Director or designee prior to any distribution of workload. Recognizes and explains the unique requirements, benefits and services of the MDCP waiver to service coordination staff and internal and external partners. Has the ability to understand STAR Kids program and benefits and is a resource for questions related to STAR Kids for service coordination staff including but not limited to MDCP, other waivers, consumer directed services, electronic visit verification, transition services, financial management, supported employment and employment assistance, and promoting independence. Oversees coordination with all STAR Kids waiver programs. Oversees all audits of the Service Coordination staff to monitor compliance with performance standards. Oversees STAR Kids support staff, e.g. call center support staff, documentation support staff, or mail room staff. Produce status reports on a regular basis concerning departmental activities and State required reports. Collaborates with the Medical Director to develop action plans to address areas needing improvement. Collaborates with Provider Relations and Network Management Departments for educating and contracting with long term services and support providers. Acts as the liaison regarding medical management programs, services, and activities by working with providers, health plan, consultants, members and other staff. Supervises the following job classes: RNs, LVNs, Social Workers and non-clinical staff. Responsible for sound management of human resources. Effectively administers performance management system including: developmental feedback goal setting assesses competency progressive discipline evaluates clinical progress reviews SAI and ISP accuracy Participates in health plan’s performance improvement activities. Participates in health plan committees as appropriate and on request. Assists in maintaining SharePoint. Makes and implements decisions compatible with organizational goals. Maintains composure, effectiveness, and flexibility under pressure. Provides on call for the 24 hours nurse advice line when directed. Accepts other assignments from the Director as requested and complies with basic management principals of delegation. Education and/or Experience: Licensed by the appropriate State of Texas Licensing Board if licensed. Bachelor of Science in Nursing Health Education, Social Work, Public Health or related field required from four-year college or university or equivalent combination of education and experience in managed care, STAR+PLUS, children with special health care needs, or Long Term Services and Supports (LTSS) for individual enrolled in various waiver programs through the Department of Aging and Disability Services (DADS) preferred. Masters in public health, Public Administration, Business Administration, Education, Health Administration, Nursing, Pharmacy, Respiratory Care, Therapy, Social Work or related clinical field. Administration or Public Health preferred. Minimum of 3 years of clinical experience as a Registered Nurse with one year of experience as a case manager or managed care case/utilization management experience preferred. Minimum of three (3) years prior management experience in health services within a managed care organization preferred. Must have an in-depth knowledge of the State of Texas’ managed care and managed Medicaid process preferred. Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled children preferred. Knowledge of Medicare preferred. MNLOC/RUG certification preferred Licenses, Certifications, Registrations: Current, active, and unrestricted RN licensure in the State of Texas Certified Case Manager (CCM) designation preferred Current Texas driver’s license and insurance maintained throughout the term of employment
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. GENERAL PURPOSE OF JOB: The staff nurse (RN) is a professional Registered Nurse who provides direct nursing care to assigned patient population. The staff nurse, utilizing the nursing process, plans and delivers effective patient care within the Texas scope of practice and within the frame work of Driscoll Health System’s vision of excellence and integrated care delivery. The staff nurse complies within the established standards of practice, policies and clinical guidelines reflective of evidence-based best practice. The practice of the staff nurse contributes to creating an environment that is patient focused, family centered and is designed to provide continuation of care and patient transition management. LICENSE, EDUCATION AND/OR EXPERIENCE: Graduate from an accredited school of nursing. BSN preferred. Current RN license in the State of Texas. CERTIFICATES, REGISTRATIONS . • BLS required before hire • Advanced Specialty Courses (ASC)/Credentials according to Appendix A o ASC courses should be taken at earliest opportunity, completed within 1 year and continuously maintained ongoing • National Certification in specialty must be attempted within 3 years of completing orientation and continuously maintained ongoing
Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. ESSENTIAL FUNCTIONS AND BEHAVIORAL EXPECTATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. COMMUNICATION -Conveys information and shares ideas using the appropriate techniques to reach different audiences; promotes understanding and open information sharing. Listens actively; solicits and gives constructive and honest feedback. Is sensitive to the needs, ideas, and feelings of others. Develops and maintains rapport with others. Establishes and maintains a therapeutic relationship with patient and family using individualized interventions to ensure patient comfort and dignity. • Identifies barriers to learning, develops and implements plan based on assessed patient/family needs. • Uses clear, closed loop communication that enhances team information sharing and decision making. • Uses chain of command to obtain appropriate health care response as an advocate for the patient. • Functions as a patient/family advocate, seeking direction as needed to provide timely care. • Initiates appropriate referrals to the healthcare team based on assessed patient needs. • Documents timely and accurately in the electronic medical record to reflect patients’ plan of care and response to interventions. CUSTOMER/PATIENT FOCUS-Understands and anticipates the needs of both internal and external customers. Meets customer needs while remaining a good steward of organizational resources. Performs initial and ongoing focused assessments to identify actual, potential and critical changes in the patient’s condition and follows through with appropriate reporting and actions. Develops, implements, and modifies an individualized plan of care that reflects cultural aspects as appropriate of illness/hospitalization to meet patient needs and diagnoses. Prioritizes, plans, organizes and directs care of assigned patients. Involves the patient and family in healthcare decisions and care as appropriate. Evaluates and reports pertinent patient response to interventions based on evidence-based best practice. Administers medications and other therapeutic treatments per clinical guidelines and orders; recognizes abnormal responses to medication therapy and initiates corrective therapy. Intervenes appropriately after correlating clinical picture to therapeutic treatment plan. Selects and utilizes appropriate equipment, devices, and supplies based on the patient’s needs and treatment plan. Ensures the correct functioning of equipment, identifies deficits and reports appropriately. LICENSE EDUCATION AND/OR EXPERIENCE: —Graduate from an accredited school of nursing. BSN preferred. —Current RN license in the State of Texas. CERTIFICATES REGISTRATIONS -BLS required before hire -Advanced Specialty Courses (ASC)/Credentials according to Appendix A - ASC courses should be taken at earliest opportunity, completed within 1 year and continuously maintained ongoing. National Certification in specialty must be attempted within 3 years of completing orientation and continuously maintained ongoing
