Cloud Managed Services Examples Jobs in Usa
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POSITION SUMMARY/RESPONSIBILITIES
The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member's cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members' care plans to meet Member's needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member's Legal Authorized Representative (LAR), and the Member's Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
POSITION SUMMARY/RESPONSIBILITIES
The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member's cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members' care plans to meet Member's needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member's Legal Authorized Representative (LAR), and the Member's Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
POSITION SUMMARY/RESPONSIBILITIES
The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member's cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members' care plans to meet Member's needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member's Legal Authorized Representative (LAR), and the Member's Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member’s cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members’ care plans to meet Member’s needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity.
The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Legal Authorized Representative (LAR), and the Member’s Support Network.
Responsible for the coordination of STARPLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs.
Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing or social work is required.
BSN is preferred.
Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience.
Working knowledge of HMO standards, LTSS, and NCQA standards is preferred.
Knowledge of Medicare and Medicaid HMO experience is preferred.
Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required.
Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION A current, unrestricted license to practice professional nursing issued by the State of Texas is required.
RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
Join Our Team as a Paramedic in Pittsburgh, PA!
Are you a compassionate EMT-Paramedic looking to make a real difference? We’re looking for someone like you to join our team in Pittsburgh, where you‘ll work alongside dedicated professionals who share your passion for helping others.
No overnight shifts! Paid Training to set you up for success
A chance to save lives and make an impact—without putting your own at risk
The Plasma Center Medical Support Specialist EMT - P is responsible for delivering safe and efficient quality nursing care to patients. This role involves examining patients, administering prescribed medicine, and facilitating healing and comfort. The position requires advanced knowledge of operational procedures and tools, obtained through extensive work experience and vocational or technical education.
Work under limited supervision for non-routine situations
* Lead daily operations and train, delegate, and review the work of lower-level employees
* Examine patients and administer prescribed medicine
* Ensure accurate patient records by documenting medical history
* Perform phlebotomy tasks such as blood draws following established guidelines
* Utilize medical terminology appropriately in patient care situations
* Respond to medical emergencies following center SOPs
* Assess donor eligibility based on medical history and physical examination findings
Applies basic principles of medical history documentation under supervision, ensuring accurate patient records.
* Understands patient safety protocols and applies them under supervision in care settings.
* Performs basic phlebotomy tasks such as blood draws under supervision, following established guidelines.
* Conducts simple electrocardiography tasks under supervision, understanding basic operational procedures.
* Utilizes medical terminology appropriately in routine patient care situations with guidance.
* Maintains Basic Life Support certification, ready to respond to emergencies.
* Prepares patients for medical procedures under supervision, providing clear instructions.
* Inputs patient data into digital systems, ensuring accuracy and confidentiality.
* Conducts patient interviews, handling basic inquiries with ongoing coaching.
* Performs blood testing procedures, interpreting results under supervision.
* Responds to medical emergencies, following center SOPs effectively.
* Assesses donor eligibility based on medical history and physical examination findings.
As the most advanced technical operations level within Takeda, you are in a non-supervisory position that calls for a profound understanding of technical processes within one‘s specialty. You typically hold a high school diploma complemented by extensive relevant working experience and any necessary certifications. You will be expected to anticipate trends, connect disparate information, and coordinate activities that may impact areas outside your immediate remit. In this capacity, you will handle complex assignments that necessitate a unique and specialized set of skills, leading not just the workflow but also ensuring the quality of technical processes. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations.
BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd.
The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS).
to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician‘s standing orders and donor transport to emergency care facilities.
You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility.
You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable.
You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents.
~ You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs.
High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements
EMT-Paramedic
Fulfill state requirements (in state of licensure) for basic IV therapy
Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist
Two years in a clinical or hospital setting
At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world.
Hourly Wage Range:
$The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location.
S. based employees may be eligible for short-term incentives. S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.
Full time
Join Our Team as a Paramedic in Pittsburgh, PA!
Are you a compassionate EMT-Paramedic looking to make a real difference? We’re looking for someone like you to join our team in Pittsburgh, where you‘ll work alongside dedicated professionals who share your passion for helping others.
No overnight shifts! Paid Training to set you up for success
A chance to save lives and make an impact—without putting your own at risk
The Plasma Center Medical Support Specialist EMT - P is responsible for delivering safe and efficient quality nursing care to patients. This role involves examining patients, administering prescribed medicine, and facilitating healing and comfort. The position requires advanced knowledge of operational procedures and tools, obtained through extensive work experience and vocational or technical education.
Work under limited supervision for non-routine situations
* Lead daily operations and train, delegate, and review the work of lower-level employees
* Examine patients and administer prescribed medicine
* Ensure accurate patient records by documenting medical history
* Perform phlebotomy tasks such as blood draws following established guidelines
* Utilize medical terminology appropriately in patient care situations
* Respond to medical emergencies following center SOPs
* Assess donor eligibility based on medical history and physical examination findings
Applies basic principles of medical history documentation under supervision, ensuring accurate patient records.
* Understands patient safety protocols and applies them under supervision in care settings.
* Performs basic phlebotomy tasks such as blood draws under supervision, following established guidelines.
* Conducts simple electrocardiography tasks under supervision, understanding basic operational procedures.
* Utilizes medical terminology appropriately in routine patient care situations with guidance.
* Maintains Basic Life Support certification, ready to respond to emergencies.
* Prepares patients for medical procedures under supervision, providing clear instructions.
* Inputs patient data into digital systems, ensuring accuracy and confidentiality.
* Conducts patient interviews, handling basic inquiries with ongoing coaching.
* Performs blood testing procedures, interpreting results under supervision.
* Responds to medical emergencies, following center SOPs effectively.
* Assesses donor eligibility based on medical history and physical examination findings.
As the most advanced technical operations level within Takeda, you are in a non-supervisory position that calls for a profound understanding of technical processes within one‘s specialty. You typically hold a high school diploma complemented by extensive relevant working experience and any necessary certifications. You will be expected to anticipate trends, connect disparate information, and coordinate activities that may impact areas outside your immediate remit. In this capacity, you will handle complex assignments that necessitate a unique and specialized set of skills, leading not just the workflow but also ensuring the quality of technical processes. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations.
BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd.
The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS).
to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).
You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician‘s standing orders and donor transport to emergency care facilities.
You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility.
You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable.
You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents.
~ You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs.
High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements
EMT-Paramedic
Fulfill state requirements (in state of licensure) for basic IV therapy
Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist
Two years in a clinical or hospital setting
At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world.
Hourly Wage Range:
$The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location.
S. based employees may be eligible for short-term incentives. S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law.
Full time
We're looking for friendly team players to create a warm environment for our guests and provide great service for our guests. Thrive in a safe and supportive work environment with team members who become friends. There's always something new to learn, do, and accomplish. If you don't have experience, we'll train you! You'll get opportunities to gain skills that help you rise in your career, no matter where you go. We're all about giving back, so you'll also get the chance to impact your community through our Panda Cares initiative. Let's work together.
Essential Functions For Service Team Associates:
- Provides exceptional dining experience to Guests Greeting Guests, Serving food and handling payments at cash register
- Maintains the cleanliness and appearance of the store
- Follows Operations Standards and Safety Procedure to serve fresh and quality food
- Works efficiently in fast paced kitchen environment, and may work at different positions Front counter, Drive Through or Kitchen
- Work effectively with team members to meet daily goals in a fun, positive environment.
How We Reward You:
- Flexible schedules
- Great pay
- Free meals while working at Panda
- Medical, Vision, Dental, Voluntary Short-Term Disability, Cancer Income Protection insurance for full-time associates
- Health Care and Dependent Care Flexible Spending accounts
- 401K with company match
- Vacation, sick leave, bereavement/funeral leave and Leave Share Program for eligible associates
- Associate discounts for many brands
- Referral bonus for eligible associates
- Opportunity to give back to your community
- Hands-on paid training to prepare you for success
- On-Going Career & Leadership Development
- Opportunities for growth into management positions
- Pre-Tax Dependent Care Flexible Spending Account
- Please refer to the document for details.
Candidates must meet, and continue to meet if employed, eligibility requirements for each benefit to qualify.
Qualification:
- Friendly and helpful team members
- Operations experience is a plus
- Some high school
- Food Handler certification may be required depending on local requirements, acquired at your expense
ADA Statement:
While performing duties, counter areas are often hot with steam from steam table and food vapors. Workspace is restricted and employees are generally expected to remain standing for long periods of time. Employees must prepare hot and cold foods, use Chinese cook knife and other kitchen equipment and work quickly without losing accuracy. Employees must be able to lift up to 50 lbs., stand up to four hours and reach across counter tops measured at 36 inches to serve customers. Kitchens are hot and noise levels are usually high; storage space is limited and shelving is high. Employees must be able to work in a fast-paced work environment, have effective verbal communication skills, ability to adapt to a dynamic environment with changing priorities, and the ability to manage conflicts/difficult situations.
Panda Strong Since 1983:
Founded in Glendale, California, we are now the largest family-owned American Chinese Restaurant concept in America. With close to 2,300 locations globally, we continue our mission of delivering exceptional Asian dining experiences by building an organization where people are inspired to better their lives. Whether it's impacting our team or the communities we work in, we're proud to be an organization that embraces family values.
You're Wanted Here:
We value diversity in all forms and know the strength it brings. Workplace equality allows for creative ideas to bloom, diverse points of view to be heard, and improves overall happiness. We like the sound of that.
Panda Restaurant Group, Inc. is an Equal Opportunity Employer and is committed to providing equal opportunity, and does not discriminate on the basis of any characteristic protected by law, including but not limited to sex/gender (including pregnancy, childbirth, lactation and related conditions), gender expression, race, color, religion, national origin, sexual orientation, gender identity, disability, age, ancestry, medical condition, genetic information, marital status, and veteran status. Additionally, Panda Restaurant Group, Inc. complies with all federal, state, and local laws regarding requests for workplace accommodations. If there is a reason you believe you require an accommodation, please reach out to our accommodation team via email at
Pay Range: $17.7 per hour - $20.7 per hour
*Within the range, individual pay is determined using various factors, including work location and experience.
The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member’s cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members’ care plans to meet Member’s needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Legal Authorized Representative (LAR), and the Member’s Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member’s cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members’ care plans to meet Member’s needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Legal Authorized Representative (LAR), and the Member’s Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member’s cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members’ care plans to meet Member’s needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Legal Authorized Representative (LAR), and the Member’s Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.
LICENSURE/ CERTIFICATION
A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.
