Job Description
Weekend Position
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 coordinates 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 to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.
Qualifications
- Education: Graduate of an accredited school of professional nursing required; Bachelor of Nursing preferred, or graduate of an accredited Master of Social Work program.
- Current and valid license to practice as a Registered Nurse in the state of Texas
- Or, a current and valid license as a Master Social Worker (LMSW) in the state of Texas is required, LCSW preferred.
- Certification in Case Management is required within two (2) years of being hired into the Case Manager position.
- Must have recent acute care case manager hospital experience. Three (3) years of nursing or social work experience in an acute hospital-based preferred, or three (3) years of experience in a comparable clinical setting.
Minimum Qualifications
Education: Graduate of an accredited school of professional nursing required; Bachelor of Nursing preferred, or graduate of an accredited Master of Social Work program.
Licenses/Certifications:
- 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 is required within two (2) years of being hired into the Case Manager position.
Experience / Knowledge / Skills:
- Three (3) years of nursing or social work experience in an acute hospital-based preferred, or three (3) years of experience in a 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 programs preferred.
- Excellent interpersonal communication and negotiation skills.
- Demonstrate 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. Demonstrates an understanding of motivational interviewing and change management.
- Strong organizational and time management skills, as evidenced by the 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.
Principal Accountabilities
- Coordinates/facilitates patient care progression throughout the continuum.
- Works collaboratively and maintains active communication with physicians, nurses, 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 caseload. 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.
- Assign 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.
This does not necessarily list all responsibilities, duties, requirements, or efforts associated with the job. While this list is intended to be an accurate reflection of the job, the company reserves the right to review and modify the functions, duties, and requirements of the job or to require that additional or different tasks be performed as circumstances or business needs require.
Job Type: Weekend
Shift: Saturday, Sunday & Monday from 8am-8pm
Salary: Confidential; to be discussed upon expressing interest.
Belief Staffing Partners is not the employer of this job opportunity in Houston, TX. We connect candidates with meaningful job opportunities. Visit website: Beliefstaffingpartners.com
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
Work setting:
People with a criminal record are encouraged to apply
Application Question(s):
- Are you available to work weekends?
Experience:
- Nursing: 3 years (Preferred)
License/Certification:
Work Location: In person