Description
We are seeking candidates for a Manager, Case Management role for a 500 plus beds hospital located in Houston TX.
REPORTS TO
Director
Salary $104,624.00 to $130,790.00
Must-Haves
Case Manager Certification required.
Current and valid license to practice as a Registered Nurse in the state of Texas or Licensed Master Social Worker (LMSW) required.
Minimum five (5) years’ experience in utilization management, case management, discharge planning or other cost/quality management program
Three (3) years of experience in hospital-based nursing or social work
Three (3) years of demonstrated leadership experience.
Nice-To-Haves
Bachelor of Science in Nursing OR Social Work (BSW). Master’s degree preferred*
Job Description
The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.
The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively. The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.
Minimum Qualifications
Education: Bachelors of Science in Nursing OR Social Work (BSW). Master’s degree preferred*
Licenses/Certifications:
Current and valid license to practice as a Registered Nurse in the state of Texas or
Licensed Master Social Worker (LMSW) required, LCSW preferred
Case Manager Certification required.
Experience/ Knowledge/ Skills:
Minimum five (5) years experience in utilization management, case management, discharge planning or other cost/quality management program
Three (3) years of experience in hospital-based nursing or social work
Three (3) years of demonstrated leadership experience
Knowledge of leading practice in clinical care and payor requirements
Self-motivated, proven communication skills, assertive
Background in business planning, and targeted outcomes
Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management
Working knowledge of the concepts associated with Performance Improvement
Demonstrated effective working relationship with physicians
Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes
Effective oral and written communication skills
Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.
Principal Accountabilities
The Houston Chronicle named us a Top Workplace for the 10th consecutive year. They partnered with Energage to gather survey responses from employees, and ranked companies based on criteria ranging from company values and culture to leadership and benefits.
We rated highly based on our values and the meaningful work we do. We’re honored to receive this recognition and inspired to do more for our people.
DENTAL INSURANCE
MEDICAL INSURANCE
VISION INSURANCE
LIFE INSURANCE
RETIREMENT
EQUITY
WORK FROM HOME
PAID TIME OFF
OTHER
LP