Onsite Care Coordinator UM/CM (RN)

Blue Cross Blue Shield of Texas

Houston, TX, USA Remote

Full time

Healthcare / Community Health & Mental Health

Aug 26

This job is no longer accepting applications.

***The candidate filling this role must reside within a commutable distance from Houston, Texas***

***This will be a work from home position***


This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services required to meet an individuals health needs within the scope of their benefit plan. This position is an onsite position including but not limited to home, hospital, physician office, worksite, and other facilities.


* Registered Nurse (RN) with current, valid, unrestricted license to practice in state of operations.

* 3 years clinical practice experience.

* Experience utilizing various software packages.

* Verbal and written communication skills.

* Analytical skills.



* Familiarity with UM/CM activities and standardized criteria set.

* Knowledge of ancillary services including HHC, SNF, Hospice, etc.


HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.


ExpertiseNursingJob TypeFull-Time RegularLocationTX - Houston

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Blue Cross Blue Shield of Texas

Blue Cross and Blue Shield of Texas, a division of Health Care Service Corporation, a Mutual Legal Reserve Company, an independent licensee of the Blu...