Nursing Jobs in Harlingen, TX

Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Valley Regional Medical Center our nurses set us apart from any other healthcare provider. We are seeking a(an) Clinical Nurse Coordinator RN Observation to join our healthcare family. Benefits Valley Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. At Valley Regional Medical Center, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our Clinical Nurse Coordinator RN Observation opportunity. Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. What you will do in this role: Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team. Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. Supports a patient-first philosophy and engages in service recovery when necessary. Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives. Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization. Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines. Supports proper inventory control and assists with managing supplies and equipment. What qualifications you will need: Basic Cardiac Life Support Registered Nurse Bachelors Degree, or Registered Nurse Diploma, or Associate Degree 1 year RN experience in a critical care setting Founded as Valley Community Hospital in 1975, Valley Regional Medical Center proudly serves Brownsville, TX and the surrounding communities in the Rio Grande Valley. Valley Regional Medical Center is a licensed 215+ bed facility with over 200 physicians representing 25+ specialties. From emergency medicine, to diagnostic imaging services, and caring for newborn babies, Valley Regional Medical Center is the hospital that families count on when they are looking for quality healthcare close to home. We are a designated Advanced Level III Trauma Center and an Advanced Primary Stroke Center . Our Heart and Vascular services include a full-range of cardiac services including minimally invasive and open-heart surgery, cardiac cath lab, heart imaging services and more. Our women’s department includes labor, delivery and recovery in a home-like setting. We also have a C-section operating room on standby 24 hours a day and a Level III Neonatal Intensive Care Unit equipped with specially trained staff. Innovation and an unwavering commitment to patient care are the cornerstones of our hospital. Come experience our family centered culture at Valley Regional. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join a family that cares about every stage in your career! We are interviewing candidates for our Clinical Nurse Coordinator RN Observation opening. Apply today and a member of our Talent Acquisition team will reach out. 
Description Introduction Do you want to join an organization that invests in you as a(an) RN Coord ED Flow-Throughput? At Valley Regional Medical Center, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. Benefits Valley Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated RN Coord ED Flow-Throughput like you to be a part of our team. Job Summary and Qualifications The RN Coordinator ED Flow/Throughput ensures high quality, patient-centered care by facilitating the throughput of patients within the Emergency Department to provide optimum efficiency of department resources and timely management of patient care. The RN Coordinator evaluates staffing matrix and patient volume patterns to identify optimal staffing schedules. The RN Coordinator supports patient safety initiatives and quality improvement activities that promote the vision, mission, and values of the organization. What you will do in this role: Collaborate with all Emergency Department staff to ensure proper patient placement and facilitate patient movement throughout the department. Coordinates EMS transports and triage staff to facilitate timely room assignment and hand-off reports. Coordinates transfers for patients being admitted from the ED in collaboration with the Nursing Supervisor. Manages workload and patient needs by delegating duties to appropriate licensed and unlicensed staff. Acts as a liaison between and with physicians, patient/family, hospital staff, and outside agencies in an effort to promote efficient patient flow. Recognizes and prevents discharge “batching” that delays patient discharges and inhibits timely utilization of patient beds. Examines wait times for admitting, testing, test results (i.e. Labs, X-Rays), and all other aspects affecting patient throughput. Analyzes staff efficiency patterns and time management related to patient treatment. Monitors Emergency Department waiting room for surge conditions and implementing solutions promptly. Monitors standard treatment /benchmark criteria to reduce occurrences of defined outliers or negative QA evaluations. Collects metrics data for evaluation by senior leadership. Make recommendations to leadership to enhance current processes or create new practices to better serve customers, staff, and hospital system. Collaborates with interdisciplinary team to identify and resolve issues that affect patients and the team. Provides leadership by serving as a clinical resource and role model. Assists with maintaining an environment that promotes patient safety. Ensure department is properly equipped at all times. Performs direct patient care as needed, within the scope of the Registered Nurse Practice Act.C What qualifications you will need: Advanced Cardiac Life Support Basic Cardiac Life Support Emergency Nurse Pediatric Course Nonviolent Crisis Intervention PALS Pediatric Adv Life Supt (RN) Registered Nurse Associate Degree BSN Preferred 1 year RN experience in an acute care setting Founded as Valley Community Hospital in 1975, Valley Regional Medical Center proudly serves Brownsville, TX and the surrounding communities in the Rio Grande Valley. Valley Regional Medical Center is a licensed 215+ bed facility with over 200 physicians representing 25+ specialties. From emergency medicine, to diagnostic imaging services, and caring for newborn babies, Valley Regional Medical Center is the hospital that families count on when they are looking for quality healthcare close to home. We are a designated Advanced Level III Trauma Center and an Advanced Primary Stroke Center . Our Heart and Vascular services include a full-range of cardiac services including minimally invasive and open-heart surgery, cardiac cath lab, heart imaging services and more. Our women’s department includes labor, delivery and recovery in a home-like setting. We also have a C-section operating room on standby 24 hours a day and a Level III Neonatal Intensive Care Unit equipped with specially trained staff. Innovation and an unwavering commitment to patient care are the cornerstones of our hospital. Come experience our family centered culture at Valley Regional. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our RN Coord ED Flow-Throughput opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 
Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Valley Regional Medical Center have the opportunity to make a real impact. As a(an) Clinical Nurse Coordinator Labor and Delivery you can be a part of change. Benefits Valley Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator Labor and Delivery. We want your knowledge and expertise! Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. What you will do in this role: Demonstrates knowledge, skill and competence in the management of patients in the different stages of labor;ability to identify the normal physiologic adaptations that occur during each stage. Demonstrates knowledge, skill and competence in the management of patients with complications of pregnancy. Demonstrates knowledge, skill and competence in the management of high risk pregnancy patients. Clinical nursing practice reflects competency in: use of external and fetal monitors, use of Doppler, IV insertion and maintenance, vaginal examination, infant security, blood product administration, EMTALA screening, and sterile technique. Will accomplish and remain AWHONN certified: registered nurse with no experience-1 year after hire date /registered nurse with L&D experience-6 months after hire date. Demonstrates competency in the use of CPN system for documentation. Demonstrates competency in the management of immediate post partum patients. Demonstrates competency to circulate for cesarean sections in the OR. · Responsible for completing educational requirements and complying with policies and procedures in regard to safety guidelines established by OSHA, JCAHO and other state and federal regulatory agencies. Consistently demonstrates the ability to provide appropriate services and care in accordance with the unique needs inherent to patient’s age and culture. Actively participates in solving problems on the unit to improve process issues as well as patient flow. Supports departmental and hospital performance improvement initiatives. Makes staff assignments based on patient acuity and staff skill levels What qualifications you will need: Graduate of an accredited diploma, associates, or baccalaureate degree registered nursing program BSN preferred 1 year of clinical experience as a licensed Registered Nurse in Womans Services Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date) American Red Cross or American Heart Association Basic Life Support Course (BLS or BCLS) and Certification NRP required within 6 months of hire AWHONN fetal monitoring course within 1 year of hire Founded as Valley Community Hospital in 1975, Valley Regional Medical Center proudly serves Brownsville, TX and the surrounding communities in the Rio Grande Valley. Valley Regional Medical Center is a licensed 215+ bed facility with over 200 physicians representing 25+ specialties. From emergency medicine, to diagnostic imaging services, and caring for newborn babies, Valley Regional Medical Center is the hospital that families count on when they are looking for quality healthcare close to home. We are a designated Advanced Level III Trauma Center and an Advanced Primary Stroke Center . Our Heart and Vascular services include a full-range of cardiac services including minimally invasive and open-heart surgery, cardiac cath lab, heart imaging services and more. Our women’s department includes labor, delivery and recovery in a home-like setting. We also have a C-section operating room on standby 24 hours a day and a Level III Neonatal Intensive Care Unit equipped with specially trained staff. Innovation and an unwavering commitment to patient care are the cornerstones of our hospital. Come experience our family centered culture at Valley Regional. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Clinical Nurse Coordinator Labor and Delivery opening. Submit your application today and help advance the practice of nursing. 
Description Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Surgical Technologist Cert today with Valley Regional Medical Center. Benefits Valley Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Come join our team as a(an) Surgical Technologist Cert. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today! Job Summary and Qualifications Performs direct patient care under the direct supervision of a licensed nurse. Maintains a safe patient care environment. Fulfills departmental responsibilities that foster the goals of the hospital’s mission and vision statements. When functioning as a Tech First Assistant (Tech III), demonstrated knowledge of surgical assisting and closure. What you will do in this role: Demonstrates knowledge of applying surgical gloves using aseptic technique and maintaining a sterile field. Demonstrates knowledge of preparing for surgery by “pulling” the appropriate supplies and instruments for the procedure. Understands and recognizes the different surgical instruments and their applications. Displays appropriate knowledge of Anatomy and Physiology to prepare and assist in surgical procedures. Maintains a safe sterile field by a – positioning sharps correctly b – labeling all medications on sterile field c – understanding of electrocautery and other devices that generate heat to prevent possible fires in the O.R. d – Participating in a “timeout” with rest of the surgical team to maintain patient safety. Demonstrates ability to appropriately set up for a surgical procedure and follow protocol in the counting of supplies/instrument to ensure no foreign object is left inside of the patient. Understands the principles of and can competently assist a surgeon during a procedure and possesses adequate knowledge of the procedure itself. Displays the ability to differentiate sutures and their applications. Demonstrates the ability to close a surgical site (under physician supervision) with appropriate suture. Demonstrates a teamwork approach in the care of a patient during the perioperative phase. What qualifications you will need: (CST) Certified Surgical Technologist Basic Cardiac Life Support, or CPR is Required. High School Diploma /GED preferred Founded as Valley Community Hospital in 1975, Valley Regional Medical Center proudly serves Brownsville, TX and the surrounding communities in the Rio Grande Valley. Valley Regional Medical Center is a licensed 215+ bed facility with over 200 physicians representing 25+ specialties. From emergency medicine, to diagnostic imaging services, and caring for newborn babies, Valley Regional Medical Center is the hospital that families count on when they are looking for quality healthcare close to home. We are a designated Advanced Level III Trauma Center and an Advanced Primary Stroke Center . Our Heart and Vascular services include a full-range of cardiac services including minimally invasive and open-heart surgery, cardiac cath lab, heart imaging services and more. Our women’s department includes labor, delivery and recovery in a home-like setting. We also have a C-section operating room on standby 24 hours a day and a Level III Neonatal Intensive Care Unit equipped with specially trained staff. Innovation and an unwavering commitment to patient care are the cornerstones of our hospital. Come experience our family centered culture at Valley Regional. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Surgical Technologist Cert opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 
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 Coordinator III program supports maximizing the member’s health, well-being, and independence. The Service Coordinator III will focus on person-centered care planning and will review member’s services and supports needs, all assure 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 III facilitates clinically appropriate and fiscally responsible patient care through communication with the physician offices involved in the members care, family, care giver, and all other members of the health care team. The Service Coordination process is holistic in its coverage of the member’s situation and addresses medical, physical, behavioral, emotional, financial, psychosocial, and other needs, as well as that as the support system. The Service Coordinator III will focus principally on the needs of STAR Kids members within Health Homes. 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 Health Plan leadership, as required. Knowledge, Skills and Abilities: Knowledge in Texas Medicaid criteria/guidelines preferred. Knowledge about managed care contracts/guidelines preferred. Knowledge of programs and services required to support the health and medical needs of disabled children preferred. Knowledge of various reimbursement mechanisms, including third party requirements preferred. Microsoft Office skills preferred. Maintains utmost level of confidentiality at all times. Maintains compliance with regulatory agencies that conduct intermittent reviews and audits to ensure contractual and regulatory compliance with Federal, State entities as well URAC. Implements and adheres 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. Responsibilities: 1. Function in an advisory role to the Medical Directors and Medical Management Committee in the following areas: Provide evaluation of and assist in the development of quality patient care services offered by DCHP; Assist in the establishment of patient care and professional staff policies and procedures of DCHP; and Participate in long-range planning of services and/or programs offered by DCHP. 2. This position shall be responsible for the following aspects of the program: Provides service coordination within the Health Homes and links Members to assigned service coordinator as required Coordinates care and efficient utilization of health care resources for patients identified in the STAR Kids program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members as appropriate to obtain optimal outcomes for members. Provide the member with initial and ongoing assistance identifying, selecting, obtaining, coordinating, and using services and supports to enhance the member’s wellbeing, independence, integration into the community, and potential for supportive employment. Enrolls member in disease management and monitors and documents progress. Answers Service Coordination Integrated Pod (SCIP) phone calls from the members who call the SCIP and handles appropriately. Enters LTSS authorizations into the system per the direction of the Service Coordinators in the SCIP. Communicates with management regarding status of current workload and turn-around time discrepancies as necessary. Must obtain approval from manager or designee to any redistribution of workload. Produce status reports on a regular basis to track members in STAR Kids. Ensure thorough knowledge of the STAR Kids contract and meet all Service Coordination contract requirements. Participates in health plan’s performance improvement activities. Participates in health plan committees as appropriate and on request. 3. Accepts other assignments from management as requested and complies with basic management principals of delegation. Education and/or Experience: Experience as a case management support technician, a customer service representative in a medical office or health plan, utilization review technician, or an LTSS coordinator with DADS or DSHS preferred. High school diploma or equivalent required. At least a 2-year college Associate’s Degree preferred. Previous experience in a managed care environment preferred. Direct experience working with children and young adults with similar conditions or behaviors in three of the last five years. At least a 4-year college degree and current, active, and unrestricted licensure as a Licensed Vocation Nurse (LVN). Previous service coordination or case management experience. Minimum 3 years of clinical experience (pediatric preferred) or 1 year experience in managed care. Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled children preferred Knowledge of the Medicare/Medicaid dual population preferred 
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 Coordinator III program supports maximizing the member’s health, well-being, and independence. The Service Coordinator III will focus on person-centered care planning and will review member’s services and supports needs, all assure 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 III facilitates clinically appropriate and fiscally responsible patient care through communication with the physician offices involved in the members care, family, care giver, and all other members of the health care team. The Service Coordination process is holistic in its coverage of the member’s situation and addresses medical, physical, behavioral, emotional, financial, psychosocial, and other needs, as well as that as the support system. The Service Coordinator III will focus principally on the needs of STAR Kids members within Health Homes. 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 Health Plan leadership, as required. Knowledge, Skills and Abilities: Knowledge in Texas Medicaid criteria/guidelines preferred. Knowledge about managed care contracts/guidelines preferred. Knowledge of programs and services required to support the health and medical needs of disabled children preferred. Knowledge of various reimbursement mechanisms, including third party requirements preferred. Microsoft Office skills preferred. Maintains utmost level of confidentiality at all times. Maintains compliance with regulatory agencies that conduct intermittent reviews and audits to ensure contractual and regulatory compliance with Federal, State entities as well URAC. Implements and adheres 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. Responsibilities: Function in an advisory role to the Medical Directors and Medical Management Committee in the following areas: Provide evaluation of and assist in the development of quality patient care services offered by DCHP; Assist in the establishment of patient care and professional staff policies and procedures of DCHP; and Participate in long-range planning of services and/or programs offered by DCHP. This position shall be responsible for the following aspects of the program: Provides service coordination within the Health Homes and links Members to assigned service coordinator as required Coordinates care and efficient utilization of health care resources for patients identified in the STAR Kids program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members as appropriate to obtain optimal outcomes for members. Provide the member with initial and ongoing assistance identifying, selecting, obtaining, coordinating, and using services and supports to enhance the member’s wellbeing, independence, integration into the community, and potential for supportive employment. Enrolls member in disease management and monitors and documents progress. Answers Service Coordination Integrated Pod (SCIP) phone calls from the members who call the SCIP and handles appropriately. Enters LTSS authorizations into the system per the direction of the Service Coordinators in the SCIP. Communicates with management regarding status of current workload and turn-around time discrepancies as necessary. Must obtain approval from manager or designee to any redistribution of workload. Produce status reports on a regular basis to track members in STAR Kids. Ensure thorough knowledge of the STAR Kids contract and meet all Service Coordination contract requirements. Participates in health plan’s performance improvement activities. Participates in health plan committees as appropriate and on request. Accepts other assignments from management as requested and complies with basic management principals of delegation. Education and/or Experience: Experience as a case management support technician, a customer service representative in a medical office or health plan, utilization review technician, or an LTSS coordinator with DADS or DSHS preferred. High school diploma or equivalent required. At least a 2-year college Associate’s Degree preferred. Previous experience in a managed care environment preferred. Direct experience working with children and young adults with similar conditions or behaviors in three of the last five years. At least a 4-year college degree and current, active, and unrestricted licensure as a Licensed Vocation Nurse (LVN). Previous service coordination or case management experience. Minimum 3 years of clinical experience (pediatric preferred) or 1 year experience in managed care. Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled children preferred Knowledge of the Medicare/Medicaid dual population preferred