HP Nursing Informatics Coord

Where compassion meets innovation and technology and our employees are family.

General Purpose of Job:

A Nurse Informatics Coordinator works collaboratively with users and technical staffs of the various computer systems and software packages that support the functions of the STAR Kids Department.

• The principle responsibility of this position is to identify, understand and develop – in coordination with applicable leadership, other operational departments, the medical directors, systems’ vendors, DHP’s information technology and decision support staffs, and the State or other state or program stakeholders – systems, electronic or otherwise, to support the clinical data needs for reporting and operations in the STAR Kids Department.

• The position will have major responsibility for ensuring that operational processes and systems are established for measuring the department’s clinical effectiveness and reporting on them, as well as developing tools, educational materials, presentations, or other similar means and dashboards to provide analysis and the instruction of staff.

• A working knowledge of the functionality of the systems, electronic or otherwise, used to support the department is needed so as to maximize all these resources to support the clinical needs of the department.

• This position will play a major role in developing departmental policies and procedures and in educating other team members concerning use of systems and deployment of new processes.

• This position will have a lead role in responding to data requests from HHSC and other program stakeholders with regard to presenting information of clinical significance relating to DHP’s STAR Kids program performance.

Essential Duties and Responsibilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related duties as assigned by department leadership.

• Maintain utmost level of confidentiality at all times.

• Maintain compliance, as applicable, with regulatory agencies that conduct intermittent reviews and audits to ensure contractual and regulatory compliance with Federal, State entities as well URAC.

• Implement and adhere to Health System and Health Plan policies and procedures.

• Demonstrate knowledge of project management and information analysis.

• Demonstrate practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.

• Develop strategies and operational plans to deliver and maintain new and existing programs that will achieve the organization's objectives, especially for members within the STAR Kids and other special needs programs.

• Assist in planning and implementing operational systems and processes with a concentration on the STAR Kids program and members with special healthcare needs.

• Assist in the development, implementation and maintenance of policies.

• Develop, implement and maintain policies, procedures and systems to meet and exceed clinical quality objectives, including assisting in education of staff on systems and processes.

• Other duties as assigned.

Education and/or Experience:

• Registered Nurse (RN) licensure is required. Licensure must remain active and unrestricted during the term of employment.

• A minimum of five (5) years of clinical experience at a healthcare institution or health plan setting is highly preferred.

• At least three (3) years of experience in managed care, especially Medicaid managed care, is preferred.

• Must be knowledgeable of new trends in information systems, and be able to apply data processing technology.

• Experience with software systems, data analysis, data management associated with systems evaluation, clinical research, and analysis tools and methodologies preferred. While the position is not technical per se, individual must be able to articulate clinical needs of the department to computer programmers to ensure maximum effectiveness, accuracy and automation of processes. This individual will be a Subject Matter Expert with regard to clinical requirements for operations and reporting.

• Participation in clinical information systems implementation cycle preferred (design team member, trainer, end-user).

• Demonstrate proficiency in utilizing MS Office Suite (i.e. MS Word, Excel, Power Point, etc.). Experience using Visio, or a similar product, is highly beneficial.

Certificates, Licenses, Registrations:

• Must be licensed as an RN in the state of Texas and maintain an active and unrestricted license throughout the term of employment.

• Certification in Managed Care Nursing (CMCN) or Case Management (CCM) preferred.