Manager Case Management

    Published
    January 20, 2023
    Location
    Houston, Texas
    Category
    Job Type
    State
    Texas
    Region
    Southwest

    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

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