Clinical Trainer RN - Registered Nurse - SWHR CIN - Full Time - Fort Worth

 The ideal candidate will possess the following qualifications:

•  Bachelor’s Degree Nursing required or

•  Master's Degree Nursing preferred

•  2 Years experience in Medicare Advantage or Managed Care required And

•  2 Years of clinical education, or Case Management experience in an acute or post-acute provider or other care company .And

•  3 Years experience in Utilization Review, Discharge Planning and Medical Case Management in a hospital or post-acute care setting preferred.

•  RN - Registered Nurse Upon Hire And

•  CCM - Certified Case Manager preferred.

Skills:

•  Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc.

•  Strong analytical and organizational skills.

•  Working knowledge and ability to apply professional standards of practice in work environment.

•  Knowledge of specific regulatory and managed care requirements.

•  Demonstrates proficiency in the application of health plan coverage guidelines, CMS coverage guidelines, and nationally recognized review criteria.

•  Demonstrates a solid understanding of managed care trends Medicare, and Medicaid regulations, reimbursement and the effect on utilization and outcomes of the different methods of reimbursement.

Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health and UT Southwestern. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health or UT Southwestern employee.