Location: Calmont Operations Building Department: STAR/CHIP CM Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Performs case management activities across the continuum of care in order to promote and facilitate quality, cost effective outcomes and minimize fragmentation of health care delivery for the assigned member population. The Health Plan Case Manager identifies and coordinates short and long term needs of catastrophically/chronically ill and/or injured children/adolescents and their families. Additional Information: Performs case management activities across the continuum of care in order to promote and facilitate quality, cost effective outcomes and minimize fragmentation of health care delivery for the assigned member population. The Health Plan Case Manager identifies and coordinates short and long term needs of catastrophically/chronically ill and/or injured children/adolescents and their families. Education: B.S.N. preferred; Minimum of five (5) years clinical practice (preferably includes pediatric experience). Three years' experience in case management/utilization review required in a managed care environment. Bi-lingual (English/Spanish) Preferred. No testing requirement. An R.N. with exceptional experience, e.g. pediatric or 5-6 years in the highly desirable areas listed above would also be considered. Must be able to function autonomously. Computer literate. Other Requirements: Excellent organizational skills. Excellent written and verbal communication skills. Excellent conflict resolution skills. Above average problem-solving skills. Certification/Licensure: Registered Nurse, currently licensed in the State of Texas. Case Manager certification preferred (CCM). About Us: Cook Children's Health Plan Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen. Please, create a profile and upload your resume/CV by clicking the Get Started button.