Report this job

---

What is the problem? *

Incorrect company
Incorrect location
Job is expired
Job may be a scam
Other

Position Overview:We are currently seeking a dedicated Case Manager to join our healthcare team. The primary role of the Case Manager is to provide essential support to physicians, primary medical homes, and interdisciplinary teams. The core responsibilities include facilitating patient care, improving clinical outcomes, enhancing patient satisfaction, and managing care costs. This role also focuses on delivering timely and accurate information to payors. The Case Manager plays a pivotal role in resource utilization management, care coordination, and discharge planning while identifying areas for performance improvement. This position will have accountability for a designated patient caseload, requiring effective planning to address patient needs across the care continuum, offer family support, manage length of stay, and optimize resource utilization efficiently.

Minimum Qualifications:

• Education: Graduation from an accredited school of professional nursing is required. A Bachelor's degree in Nursing is preferred. Alternatively, graduation from an accredited Masters of Social Work program is acceptable.
• Licenses/Certifications:
  • Current and valid Registered Nurse license in the state of Texas OR
  • Current and valid Master Social Worker (LMSW) license in the state of Texas is required, with LCSW preferred.
  • Certification in Case Management must be obtained 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 setting is preferred. Comparable clinical setting experience is also acceptable.
• Experience in utilization management, case management, discharge planning, or other cost/quality management programs is highly desirable.
• Exceptional interpersonal communication and negotiation skills.
• Demonstrated leadership capabilities.
• 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 care settings, community resources, physician office protocols, and transitional procedures for pre and post-acute care.
• Proficiency in motivational interviewing and change management techniques.
• Effective organizational and time management skills, as demonstrated by the ability to prioritize multiple tasks and role components.
• Ability to work independently and exercise sound judgment when interacting with physicians, payors, patients, and their families.
• Strong oral and written communication skills.