Managed Care Clinical Consultant Job at Texas Childrens Hospital, Bellaire, TX

d0dwL0dGandnbjFDeGtZcW95MjNBTjhCQnc9PQ==
  • Texas Childrens Hospital
  • Bellaire, TX

Job Description

Job Description

We're searching for a Clinical Practice Consultant, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will demonstrate theoretical and clinical expertise in the physical, psychosocial, developmental, and educational aspects of
nursing care for specified patient populations The Clinical Practice Consultant works interdependently and independently with the multi-disciplinary team. Scope of practice will include practitioner, educator, consultant, researcher, administrator, and change agent. The Clinical Practice Consultant is dedicated to promoting optimal patient/family care with the goal of enhanced patient/family outcomes.

Think you've got what it takes?

Job Duties & Responsibilities
• Serves as an advanced clinician
• Front facing practice level leadership and targeted Quality Improvement
• Gap in care closure
• Relationship Management, Internal and External
• Community Engagement and Interaction
• Provider and Practice Education, Quality Oriented Health Topics
• Supports effective deployment of the program at the practice level through strategic partnerships with participating practitioners and practice staff while assessing trends in quality measures and identifying opportunities for quality improvement
• Consults in areas of expertise
• Serves as an educational resource for the participating practitioners, practice staff, and other health care professionals
• Serves as a researcher
• Serves as a change agent
• Serves as an administrator

Skills & Requirements
• Required bachelor's degree nursing
• Required RN - Lic-Registered Nurses by the Texas Board of Nursing or Nursing Licensure Compact
• Preferred BLS - Cert-Basic Life Support by the American Heart Association
• Required 4 years quality improvement, medical management or compliance experience in a healthcare setting and 3 years managed care experience with government sponsored programs
• Preferred project management experience

*Previous experience within Health Plan or Managed Care oganization highly desired. This position will require the selected candidate to have an understanding of HEDIS and contractual language between a provider and a Health Plan or MCO.

ABOUT US

Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Job Tags

Local area,

Similar Jobs

STUDS

Store Supervisor (Full-Time) Job at STUDS

 ...example. Key Responsibilities: Operational Execution & Sales Support Opens and closes the Studio independently and ensures...  ...visits)~ Access to Mental Health and Work/Life Resources including Online Therapy, Gender Affirmation Support Services, and Employee... 

Willow Ridge Communities

PROPERTY BUSINESS MANAGER Job at Willow Ridge Communities

 ...Job Description Job Description GAIN THE FULL EXPERIENCE OF MANAGING PROPERTY AND PEOPLE IN A MANUFACTURED HOME ENVIRONMENT. PARTNER WITH THE TENANT AND THE OWNER IN COLLECTING RENT, KEEPING ACCURATE RECORDS, PAYING BILLS, MONITORING AND REPAIRING ANY MISCELLANEOUS... 

Eaton Plc

Painter Job at Eaton Plc

 ...Painter Eaton's EPG CHD EP Americas division is currently seeking a Painter. The core hours are 6:00am to 2:30pm. The hourly rate...  .... Additional Information: We provide benefits that are industry competitive and focused on employee well-being. Listed below are... 

Roc Search

Salesforce Product Owner / Certified Salesforce BA Job at Roc Search

 ...Salesforce-based Grant Management System. We are seeking a Salesforce Product Owner / Certified Salesforce Business Analyst to lead requirements...  ...of experience as a Business Analyst or Product Owner in Agile/Scrum environments ~ Salesforce Certified Business Analys t (... 

Aligned Geriatrics

Patient Care Coordinator (Medical Assistant) Job at Aligned Geriatrics

 ...Patient Care Coordinator (Medical Assistant) Full-Time | San Diego/ Sorrento Valley Office + Local Senior Living Communities Schedule: MondayFriday, 8:00 AM5:00 PM (one-hour lunch) Compensation: $25$28/hour based on experience We are a geriatric mobile...