Healthcare Program Coordinator - Oncology Navigation (Apply in minutes) Job at Christus Health, San Antonio, TX

QllUZEZ0MFZlQzUwaVBrUE1ib1VPbnNCdGc9PQ==
  • Christus Health
  • San Antonio, TX

Job Description

  • *Description**
  • * _Summary:_**
The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services. These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted provider network support.
  • *_Responsibilities:_**
  • Oversee the development, implementation and management of an integrated medical benefit program including case management and healthdisease management.
  • Establish a system for coordinating the caseload patients care throughout the continuum of care.
  • Use standard tools, databases and methodologies to support the health benefit program and provide leadership in managing cases, events and diseases that are determined to be targeted priorities by Senior Management of contracted employers.
  • Interact with providers and plan members in case management medical activities to provide the most efficient and effective service.
  • Identify targeted chronic diseaseshigh risk individuals (with vendor support) and develop programs to reduce the financial and health risks, using internal hospital programsservices whenever possible.
  • Monitor and evaluate the effects of case management on the patient population.
  • Create outcomes-management focus by interdisciplinary analysis of specific clinical, financial and satisfaction elements for the patient population.
  • Assist in the analysis of demographics, utilization and reimbursement.
  • Prepare cost analysis and other reports to determine the reasonableness of claimcost data and utilization rates.
  • Make recommendations based on data analysis for benefit structure, pharmacy formulary, deductibles, co-pays, out of pocket, etc. to contracted employer groups.
  • Maintain consistent attendance, punctuality and personal appearance in accordance with CHRISTUS attendance and dress code policies.
  • Uphold organizational values by treating others with respect, keeping commitments and working ethically and with integrity.
  • Attend meetings as required and participate in team activities. Exhibit confidence, motivate and inspire others.
  • Establish and maintain effective working relationships with team members, patients and the public by demonstrating the ability to communicate verbally and in writing while responding clearly and effectively.
  • Demonstrate the ability to read and respond to e-mail and appointment requests in a timely manner and on a regular basis.
  • Use time efficiently, plan for additional resources, set goals and objectives and work in an organized manner.
  • Demonstrate safety practices and maintain a safe environment for patients, visitors and fellow team members by following established safety and infection control standards.
**_Job Requirements: _**
  • *EducationSkills**
  • Associates Degree in Nursing
  • *Experience**
  • 5 to 7 years of experience
  • *Licenses, Registrations, or Certifications**
  • RN License in state of employment or compact

* BLS

**_Work Schedule:_** Varies **_Work Type: _** Full Time **EEO is the law - click below for more information:** < We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

Job Tags

Full time,

Similar Jobs

QISG

Administrative Assistant Job at QISG

 ...Infrastructure Solutions Group (QISG) is a rapidly growing construction and engineering company within the Quanta Services (Quanta...  ...communication needs head on. QISG is seeking an Office Administrative Assistant (part-time position) interested in providing direct administrative... 

Coast Guard Community Services Command

Sales Clerk (2) PT 6050 Job at Coast Guard Community Services Command

 ...Filled Work Schedule: Part-Time (20-29 hours/week) Position: Sales Clerk (2) Salary: $15.00/hour Who May Apply: All Sources Location...  ...this dynamic role, you'll provide exceptional customer service, assist with product selection, and ensure a smooth shopping experience... 

Austin Powder Red Diamond

Analytical Process Chemist Job at Austin Powder Red Diamond

 ...Job Description Job Description Austin Powder Company is seeking an Analytical Chemist to use their knowledge of chemistry, instrumentation, computers, and statistics to solve problems in almost all areas of chemistry for our Red Diamond location. Key Responsibilities... 

Golden Steps ABA

Registered Behavior Technician (RBT) Job at Golden Steps ABA

 ...Benefits feature a supportive culture, career advancement opportunities, paid training, and comprehensive health benefits. Employee-centric environment Diversity and inclusion focus Commitment to continuing education Paid training for entry-level therapists... 

Staples, Inc.

Territory Sales Manager Job at Staples, Inc.

Staples is business to business. Youre what binds us together. Were searching for you: fresh talent with new ideas, innovation, passion, and drive to bring to Staples. We have student and graduate opportunities where youll help the Staples, Inc. organization be more ...