RN Case Manager

Houston TX

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

Seeking Experienced RN Case Manager

Are you an experienced Registered Nurse with a passion for case management and patient care? Join our team as an RN Case Manager and work alongside our dedicated physicians to provide top-notch healthcare services.

• Integrate and coordinate resource utilization management.

• Provide timely and accurate information to payors.
• Coordinate patient care activities and ensure seamless continuity of care
• Enhance clinical outcomes and patient satisfaction while managing cost of care.

• Drive performance improvement through education, process improvement, etc.

• Update and maintain relevant disease registry activity.

• Provide family support, manage the length of stay, and meet patient needs throughout stay.
• Monitor patient progress and make necessary adjustments to care plans.

• Valid RN license
• Minimum of 3 years of RN experience
• Experience in case management
• Bachelor of Science in Nursing (BSN) preferred
• Certified Case Management (CCM) or equivalent certification

• Competitive salary
• Comprehensive benefits package
• Professional development opportunities
• Supportive work environment at a prestigious medical center

• In-person panel interview
• Job shadow experience

If you are an experienced RN with a background in case management and a commitment to excellence in patient care, we encourage you to apply for this rewarding position Join us in making a difference in healthcare. Apply now!

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

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 required within two (2) years of hire into the Case Manager position

Experience / Knowledge / Skills:

• Three (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