Care Manager- Full Time

2 weeks ago

Pearland, Texas, United States Memorial Hermann Health System Careers Full time

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.

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).

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.

Graduate of an accredited school of professional nursing required; Bachelors of Nursing preferred, or graduate of an accredited masters of social work program

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
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.

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.

Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
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.

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.

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. 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.

Refers appropriate cases for social work intervention based on Department criteria.
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., 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.

serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.

  • Dental Lab

    2 weeks ago

    Pearland, Texas, United States Affordable Care Full time

    OverviewAffordable Dentures & Implants, is the largest network of dental lab technicians nationwide . It's time to join our innovative network where you have the opportunity to quickly expand your skills and get the promotions you deserve. We're currently seeking an experienced, skilled dental lab technician, with experience fabricating dentures from start...

  • Dishwasher / Utility Worker - Watercrest at Shadow Creek, Full Time

    2 weeks ago

    Pearland, Texas, United States Integrated Real Estate Group Full time

    Job DescriptionJob DescriptionIntegrated Real Estate GroupJoin our family-owned company with 20 years of expertise in property development, senior housing, multi-family projects, and construction. We prioritize quality, community, and excellence in all our endeavors. Be part of a team committed to building thriving spaces and enhancing lives. Apply now to...

  • Full Time Rheumatology Physician

    2 weeks ago

    Pearland, Texas, United States Enterprise Medical Recruiting Full time

    Enterprise Medical Recruiting is assisting a system in Houston, Texas in recruiting a new Rheumatologist to their physician group in Pearland, Texas. This is an excellent opportunity with one of the country's top-ranked systems.Practice DetailsJoin an established teamCollaborative practiceOffering salary rates based on market standards with fantastic...

  • Team Manager

    2 weeks ago

    Pearland, Texas, United States BWW - United Restaurant Holdings Full time

    Buffalo Wild Wings is looking for an manager to work full-time in a high energy environment. Buffalo Wild Wings is an International brand that gives our guests a game day destination with sports for every fan, piping hot food, and ice cold beer.Roles and Responsibilities:Ensure our guests are receiving WOW service everydaySupervise, direct, and hold Team...

  • Registered Nurse Acute Care Tele

    2 weeks ago

    Pearland, Texas, United States HCA Houston Healthcare Pearland Full time

    IntroductionDo you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At HCA Houston Healthcare Pearland our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse to join our healthcare family.BenefitsHCA Houston Healthcare Pearland, offers a total rewards...

  • Assistant Manager

    2 weeks ago

    Pearland, Texas, United States Krispy Kreme Full time

    Assistant Managers have a special role in making sure every guest is fully satisfied not only with our doughnuts, but with their overall experience in the shops. You will support and inspire team members, along with helping them realize their full potential. This role also helps in developing business skills to potentially become a General Manager...

  • Sales and Service Manager

    4 weeks ago

    Pearland, Texas, United States 24 Hour Fitness Full time

    FULL-TIME Full-time LOCATION 10011 Broadway Street Pearland TX 77584 Who we are: At 24 Hour Fitness, we are dedicated to our mission of creating a healthier, happier world. We are passionate about providing a fitness community that is accessible, affordable, and welcoming to everyone. We're on the hunt for team members who are committed to being the best...

  • Manager Warehouse

    2 weeks ago

    Pearland, Texas, United States Forum Energy Technologies Full time

    Job DetailsManager Warehouse This details all the information about the job posting. Share this job as a link in your status update to LinkedIn. Job Title Manager Warehouse Location TX-Pearland-2005 Garden - Pearland, TX 77581 US (Primary)Job DescriptionSummary:Supervises the field warehouse operation in a manner that provides maximum efficiency/...

  • project manager

    2 weeks ago

    Pearland, Texas, United States Conco Full time

    Job DetailsPosition Type Full Time Job Category Skilled Labor - Trades DescriptionConco Services LLC is looking for Chemical & Oil Flush Project Managers for our La Porte, TX location With hundreds of people working around the world, the Conco team is global, diverse, and passionate about delivering quality products and services to our customers. In...

  • Physical Therapist, Acute Care

    2 weeks ago

    Pearland, Texas, United States Memorial Hermann Health System Full time

    At Memorial Hermann, we strive to deliver top-notch care while ensuring exceptional experiences for everyone in our community, including our team members. We believe that when our employees feel supported and valued, they are motivated to go above and beyond, focusing on safety, compassion, personalization, and efficiency. If you're looking to advance your...

  • Caregiver

    2 weeks ago

    Pearland, Texas, United States Griswold Home Care for Southeast Houston Full time

    CaregiverGriswold Home Care in Houston,TX is calling all compassionate individuals to apply to join our amazing team as a full-time Caregiver to care for clients in the PEARLAND area.Compensation: WHY YOU SHOULD JOIN OUR TEAM We are an established company in the caregiving industry that appreciates our staff and offers advancement opportunities. Our...

  • Child Care Infant-Toddler

    2 weeks ago

    Pearland, Texas, United States Genius Academy LLC Full time

    Job DescriptionJob DescriptionIf you are an early childhood teacher looking for an exciting career in education where you can make a difference in the lives of young children, Kids R Kids Learning Academy of Shadow Creek Ranch in Pearland, Texas is seeking full and part time teachers. Teachers will experience great classroom ratios with benefits offered and...

  • Patient Care Technician

    3 days ago

    Pearland, Texas, United States DaVita Full time

    6516 BroadwaySuite 122, Pearland, Texas, 77581, United States of AmericaDaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care...

  • Regional Yard Manager in the Great State of Texas

    2 weeks ago

    Pearland, Texas, United States Contract Lumber Full time

    Location: The Great State of Texas Pay Range: $ (based on experience) Monday Friday, 1st Shift (Flexible) 40hrs/wk. (ability to work overtime, when needed) Full Benefits, Profit Sharing & 401K Opportunity: Tired of the same old job postings and boring jobs? Join our Contract Lumber Team in the Houston, Texas market. Were committed to creating a fun, unique...

  • Assistant General Manager

    2 weeks ago

    Pearland, Texas, United States Courtyard Houston Pearland Full time

    Perks:Steep discounts on Marriott Branded properties around the world.Great benefits including: Employer Matching 401K Retirement Plan Medical Insurance Dental Insurance Vision Insurance FREE life insurance Vacation Pay Holiday Pay Management trainingAperture Hotels is an established hotel management company with a management portfolio of well-known brands...

  • Store Manager

    1 month ago

    Pearland, Texas, United States Extra Space Storage Full time

    As a Store Manager, you will have the opportunity to be part of a diverse team with an excellent company culture. We offer competitive wages, a great work/life balance, and career and development opportunities. Extra Space Storage is the largest self-storage company in the United States, with over 3,600 stores nationwide. We look for leaders who are...

  • Director Patient Experience

    1 month ago

    Pearland, Texas, United States HCA Healthcare Full time

    Description This position is incentive eligible. IntroductionWant to join a team of daring managers who care without reservations or limits? Our HCA Houston Healthcare Pearland team is looking for a Director Patient Experience. HCA Healthcare is an advanced healthcare network that has committed up to 300 million to our incredible team members over the...

  • Director Patient Experience

    4 weeks ago

    Pearland, Texas, United States HCA Healthcare Full time

    Description This position is incentive eligible. IntroductionWant to join a team of daring managers who care without reservations or limits? Our HCA Houston Healthcare Pearland team is looking for a Director Patient Experience. HCA Healthcare is an advanced healthcare network that has committed up to 300 million to our incredible team members over the...

  • Janitor - Pearland Parkway Chili's

    2 weeks ago

    Pearland, Texas, United States Chili's Grill & Bar Full time

    Janitor - Pearland Parkway Chili's 2709 Broadway St Pearland, TX 77581 Role Overview Our Janitorial Team Members are responsible for setting the pace for a great clean, sanitary shift. They provide dependable, fast service that is absolutely Chili's. If you take pride in great teamwork, then we want to hear from youFast hiring process Flexible part-time...

  • Fitness Marketing Manager

    2 weeks ago

    Pearland, Texas, United States ZERO Training Center Full time

    Job Summary:We are seeking a dynamic and experienced Fitness Marketing Manager to join our team at ZERO Training Center. As a Fitness Marketing Manager, you will play a crucial role in developing and executing marketing strategies to attract new members, enhance brand awareness, and promote our gym's services and programs.Key Responsibilities:Marketing...