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Case manager • houston tx
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At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community.
When we say every member of our comm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Responsible for providing case management services and support to improve health outcomes via a coordinated approach.The Case Manager works in collaboration and continuous partnership with patients...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A company is looking for a SAIL Case Manager Supervisor.Key Responsibilities Oversees day-to-day operations of the SAIL case management team, ensuring high-quality service delivery Monitors perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
As a case manager you will be the main person handling the case, while you work with an assistant case manager and supervising attorney to help you with what you need.
Our case managers usually have...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Ambassadors For Christ Youth Ministries, Inc.AFC) is a model 501(c)3 nonprofit organization formed in 2006 for the purpose of providing multifaceted prevention and intervention programs for at-risk...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Senior Case Manager Amaro Law Firm.The Amaro Law Firm is a well-established and nationally recognized Plaintiffs law firm based in Houston, Texas.
For over 20 years, we have been dedicated to helpin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Case Manager will provide comprehensive case management to clients and their families who are homeless or at risk of homelessness with the goal of increasing their quality of life and maintaini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Are you looking for a career you can feel good about? We hire only those that strive to do their best.By joining our family, you'll receive the honor and recognition that comes with working for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
M-F, subject to change according to business needs.Houston, Texas (hybrid – 4 days onsite / 1 days remote).Covr Technologies is a market leading insurance-as-a-services platform (InsurTech) tha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We are seeking a Mental Health Case Manager to join our team! You will provide recovery-oriented rehabilitation services in an individual or family setting.
The ideal candidate will posses...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Enjoy what you do while contributing to a company that makes a difference in people's lives.Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks exper...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Omega Law Group is a prestigious personal injury law firm located in Houston.We are committed to championing the rights of individuals who have suffered due to negligence or wrongful acts.Our dedic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Child Placement Staff Opportunity.We are looking for an individual to join our Child Placing Agency team of dedicated employees who desire to help kids and adolescents find safe, stable and permane...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Provide clinical case management services to clients; including resource linkage, medical care coordination, and other wrap around services as determined based on assessment of client needs.Conduct...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Join us today and make a difference in people's lives!.LivaNova is a global medical technology company built on nearly five decades of experience and a relentless commitment to improving the lives ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Cuberfeed is searching for an ideal candidate to fill the position of.Centene Corporation have an immediate need for Case Manager.
If you happen to live in or around Houston, TX or have the freedom ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Are you passionate about making a meaningful impact in the lives of individuals and families? Join our dynamic and supportive team as a Case Manager, where you will play a vital role in helping cli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Case Manager will deliver stellar client service to clients on behalf of Pusch and Nguyen Injury Lawyers while adhering to the highest ethical standards.
In a team environment, communicate with ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Case Manager
Memorial HermannHouston, TX, USserp_jobs.job_card.full_time
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Ambassadors For ChristHouston, TX, USserp_jobs.job_card.full_time
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Covr Financial TechnologiesHouston, TX, USserp_jobs.job_card.full_time
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New HorizonsHouston, TX, USserp_jobs.job_card.permanent
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The Montrose CenterHouston, TX, USserp_jobs.job_card.full_time
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LivaNovaHouston, TX, United Statesserp_jobs.job_card.full_time
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Case Manager
Molina HealthcareHouston, TX, United Statesserp_jobs.job_card.full_time
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Certified Case Manager
Houston MethodistHouston, TX, USserp_jobs.job_card.permanent
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CuberfeedHoustonserp_jobs.job_card.full_time
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Healthcare Case ManagementHouston, TX, USserp_jobs.job_card.full_time +1
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Pusch & Nguyen Law Firm, PLLCHouston, TX, USserp_jobs.job_card.full_time
Case Manager
Memorial HermannHouston, TX, USjob_description.job_card.variable_days_ago
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job_description.job_card.job_descriptionThree (3) years of nursing or social work experience acute hospital-based preferred, or three (3) years of experience comparable clinical setting (i.e. ambulatory surgery center, infusion / dialysis clinic, Federally Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost / quality management program preferred. Excellent interpersonal communication and negotiation skills. Demonstrated leadership skills. Strong analytical, data management and PC skills. Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post acute care. Demonstrated understanding of motivational interviewing and change management. Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families. Effective oral and written communication skills. Coordinates / facilitates patient care progression throughout the continuum. Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient care. Addresses / resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge. Seeks consultation from appropriate disciplines / departments as required to expedite care and facilitate discharge. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective. Facilitates the following on a timely basis : completes and reports diagnostic testing, completes treatment plan and discharge plan, modifies plan of care as necessary, to meet the ongoing needs of the patient, communicates to third party payors and other relevant information to the care team. Assigns appropriate levels of care. Completes all required documentation in TQ screens and patient records. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients. Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Department standards. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Monitors LOS and ancillary resource use on an ongoing basis. Takes actions to achieve continuous improvement in both areas. Refers cases and issues to Care Management Medical Director in compliance with department procedures and follows up as indicated. Communicates with Resource Center to facilitate covered day reimbursement certification for assigned patients. Discusses payor criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient / family and members of the healthcare team and are documented as necessary to assure continuity of care. Manages all aspects of discharge planning for assigned patients. Meets directly with patient / family to assess needs and develop an individualized continuing care plan in collaboration with physician. Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation. Ensures / maintains plan consensus from patient / family, physician and payor. Refers appropriate cases for social work intervention based on department criteria. Collaborates / communicates with external case managers. Initiates and facilitates referrals through the Resource Center for home health care, hospice, medical equipment and supplies. Documents relevant discharge planning information in the medical record according to department standards. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities. Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan / implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variances from the plan of care / care path with physician and / or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and / or outcome indicators as determined by Director of Outcomes Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning). Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Leads the development, implementation, evaluation and revision of clinical pathways and other Case Management tools as a member of the clinical resource / team. Assists in compilation of physician profile data regarding LOS, resource utilization, denied days, costs, case mix index, patient satisfaction and quality indicators (e.g., readmission rates, unplanned return to OR, etc.). Acts as preceptor / mentor to new hires. Assists in development of orientation schedule and helps identify individual needs for learning. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory / continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment
Case Manager
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The position is responsible for coordinating a wide range of self management support and provides information to update and maintain relevant disease registry activity. Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.
Job Description
Minimum Qualifications
Education : Graduate of an accredited school of professional nursing required; Bachelors of Nursing preferred, or graduate of an accredited Masters of Social Work program.
- Current and valid license to practice as a Registered Nurse in the state of Texas or
- Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred.
- Certification in Case Management required within two (2) years of hire into the Case Manager position.
Experience / Knowledge / Skills :
Principal Accountabilities