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

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  • 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

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