Current jobs related to Case Management Representative - Cypress - Houston Methodist Cypress Hospital
-
Case Management Representative
2 months ago
Cypress, United States Houston Methodist Cypress Hospital Full timeAt Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management, communication and collaboration with post-acute care providers,...
-
Bilingual Case Manager
1 week ago
Cypress, California, United States Houston Methodist Cypress Hospital Full timeAbout the PositionWe are seeking a highly skilled Bilingual Case Manager to join our team at Houston Methodist Cypress Hospital. As a Clinical Social Worker II, you will provide comprehensive case management services to patients and their families, focusing on addressing social, financial, and psychological problems related to their health condition.You will...
-
Case Manager
1 month ago
Cypress, United States Houston Methodist Cypress Hospital Full timeAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to...
-
Case Manager
2 months ago
Cypress, United States Houston Methodist Cypress Hospital Full timeAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to...
-
Case Manager
1 month ago
Cypress, United States Houston Methodist Cypress Hospital Full timeAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to...
-
Case Manager
2 months ago
Cypress, United States Houston Methodist Cypress Hospital Full timeAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to...
-
Case Manager
2 months ago
Cypress, United States Houston Methodist Cypress Hospital Full timeAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to...
-
HVAC Order Management Representative
2 weeks ago
Cypress, California, United States Johnson Controls Full timeIn this role, you will be responsible for providing exceptional customer service and support to our customers. As a Customer Service Representative at Johnson Controls, you will play a key role in ensuring that our customers receive the highest level of service and support possible.About the ResponsibilitiesThe primary responsibilities of this position...
-
Cypress, Texas, United States Houston Methodist Cypress Hospital Full timeAbout This RoleWe are seeking a highly skilled Advanced Social Worker Lead to join our team at Houston Methodist Cypress Hospital. As a key member of our case management team, you will play a critical role in ensuring seamless transitions for patients and their families, leveraging your expertise in social determinants, community resources, and psychosocial...
-
Case Manager
1 month ago
Cypress, TX, United States Houston Methodist Cypress Hospital Full timeAt Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to...
-
Sales Representative
6 days ago
Cypress, California, United States Telge Roofing, Inc Full timeTelge Roofing, Inc is seeking 4 self-motivated sales professionals to join our team. With over a decade of experience in the roofing industry, we offer a unique opportunity for individuals with sales experience to earn a competitive $150,000 - $400,000 per year. Our professionally advertised leads are generated daily, providing a constant stream of potential...
-
Bilingual Customer Service Representative
1 month ago
Cypress, United States LHH Recruitment Solutions Full timeJob DescriptionJob DescriptionLHH is seeking a BILINGUAL CUSTOMER SERVICE REPRESENTIATVE for a contract-to-hire position in Cypress, TX.Position: BILINGUAL CUSTOMER SERVICE REPRESENTATIVEType: contract-to-hireLocation: HYBRID SCHEDULE (77433 zip code)Pay Range: $18-20/hr DOEWork Schedule: M-F, 8-5SUMMARY:The Bilingual Customer Services Representative (CSR)...
-
Customer Service Representative
2 weeks ago
Cypress, California, United States CVS Health Full timeCustomer Service RepresentativeAs a Customer Service Representative at CVS Health, you will play a vital role in delivering exceptional customer experiences, maintaining a clean and organized store environment, and contributing to the success of our team.**Key Responsibilities:**Provide prompt and courteous service to customers, responding to their needs and...
-
Business Class Representative
6 days ago
Cypress, California, United States LMC Groups Full timeAbout the RoleAs a Business Class Representative with LMC Groups, you'll work closely with Fortune 500 companies to deliver top-tier service and pricing solutions. With strong sales and customer service skills, this is an excellent opportunity to grow with a leading telecommunications company.Key Responsibilities:Client Engagement: Build and maintain strong...
-
Sales Representative
4 weeks ago
Cypress, California, United States Telge Roofing, Inc Full timeAbout UsTelge Roofing, Inc is a premier roofing company in the Houston area, committed to delivering exceptional results and customer satisfaction.Opportunity OverviewWe are seeking highly motivated and experienced sales representatives to join our team. As a Sales Representative, you will play a critical role in driving revenue growth and expanding our...
-
HVAC Truck Based Customer Service Representative
3 months ago
Cypress, United States Johnson Controls Full timeJohnson Controls - 5770 Warland Dr [Customer Service Representative] As a Customer Service Representative at Johnson Controls, you'll: Process orders, research and respond to customer inquiries, and address customer concerns/issues within designated timeframes; Serve as primary communications link between customers' sales staff and other departments; Process...
-
Sales Development Representative
5 days ago
Cypress, California, United States Gen Alpha Full timeAt Gen Alpha, we're looking for a talented individual to join our team as a Sales Development Representative. This role offers a unique opportunity to develop your sales and leadership skills in a dynamic and supportive environment.We offer a competitive salary of $60,000 per year, based on industry standards and the candidate's qualifications. Our...
-
Technical Sales Representative
5 days ago
Cypress, California, United States EandM Full timeAbout Us:At EandM, we pride ourselves on being a market leader in real-time operations management software. Our sales team is passionate about representing our products and delivering exceptional value to our customers.As an Account Manager, you will play a critical role in helping us achieve our goals. You will be responsible for developing direct customer...
-
Customer Service Representative
7 months ago
Cypress, United States U-Haul Full timeLocation: 21326 FM 529, Cypress, Texas 77433 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative. As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company's exceptional...
-
Nautica Sales Representative
4 days ago
Cypress, Texas, United States Brooks Brothers Full timeAbout the RoleWe are seeking a talented Nautica Sales Representative to join our team! As a key member of our sales team, you will be responsible for delivering an exceptional customer experience, driving sales growth, and building strong relationships with our customers.The ideal candidate will have excellent communication skills, a passion for fashion, and...
Case Management Representative
2 months ago
At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management, communication and collaboration with post-acute care providers, access to agencies and other community resources and transportation. This position may perform some secretary duties and performs a wide variety of administrative duties of a higher complexity in support of Case Management operations. In addition, the CM Rep position performs independent actions necessary to provide competent and professional assistance to meet the needs of social workers/case managers and patients. This position also coordinates, oversees, records, and transmits information pertinent to the resource management of patients to next level of care providers.
PEOPLE ESSENTIAL FUNCTIONS- Serves as a department resource for questions related to case management activities. Communicates in an active, positive, and effective manner to all interprofessional health care team members. Reports pertinent patient care and family data in a comprehensive and unbiased manner. Performs phone call and communication triage, troubleshoots and routes issues to appropriate individuals, assists in resolution of non-clinical issues as needed
- Facilitates and arranges acquisition of post-acute needs, as directed, and in collaboration with the clinical team. Follows payor/reimbursement practices and regulations that may impact the patient's plan of care
- Provides appropriate and timely communication, update, and documentation to the referring personnel to keep them informed of the status of the request
- Conducts self in a manner that is congruent with cultural diversity, equity, and inclusion principles. Contributes towards improvement of department scores for employee engagement, i.e., peer-to-peer accountability
SERVICE ESSENTIAL FUNCTIONS
- Assists the department in distributing required notices, including the Medicare Notice of Discharge to patients, securing signatures on the form from the patient or their legal representative, and answering questions regarding the appeal process
- Distributes the Medicare Notice of Discharges to identified patients, including capturing patient and their legal representative's signatures, answering any questions regarding the appeal process
- Coordinates with the clinical staff to prioritize placement requests. Provides necessary documentation to facilitate post-acute services
- Assists with clerical and clinical functions for patients, physicians, and staff. Provides administrative support as needed, including scheduling follow-up appointments, and confirming the provision or delivery or post-acute services or equipment
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Participates in quality improvement initiatives and collects data for use in department performance improvement as directed. Maintains timelines for follow up and prioritization of department projects and tasks
- Updates and maintains resources, information and database or directories elated to post-acute providers and insurance contacts to facilitate timely communication and coordination as needed
FINANCE ESSENTIAL FUNCTIONS
- Informs social worker/case manager of the patients' available benefits through insurance/managed care provider. Assists in providing community resources/services to uninsured patients as requested Case Management staff
- Participates in reimbursement/certification and authorization-related activities as directed. Documents approvals and authorization numbers from payors. Logs communications and provides information to social workers and case managers, business office/patient access, etc. on insurance/managed care benefits
- Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance companies, coordination of peer discussions as directed by the clinical team. Documents authorization, approvals, and denials
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Maintains awareness of payor/reimbursement practices and regulations that may impact patient's plan of care and confers with care coordinators and social workers to prioritize placement requests
- Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. EDUCATION
- High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
- Associate degree preferred
WORK EXPERIENCE
- Two years of experience in any of the following: service recovery, insurance verification, working with patient information, having patient contact, and/or general health care coordination responsibilities within a healthcare environment
- Previous experience in hospital setting and/or Case Management
- N/A
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Some knowledge of community resources
- Must be able to operate within a Microsoft Office environment. Proficiency in MS Outlook and MS Word/Excel, knowledge of Medical Terminology
- Excellent telephone, oral and written communication skills, time management and prioritization skills
- Able to learn new skills effectively
- Ability to work independently while collaborating with other team members and exercise sound judgment in interactions with physicians, payors, and patients and their families
- Strong organizational and problem-solving skills
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) No
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No
TRAVEL**
**Travel specifications may vary by department**
- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Cypress Hospital, scheduled to open in the first quarter of 2025, will be Houston Methodist's ninth hospital and will incorporate the most advanced technology available from the day the doors open. With 100 beds (at our opening; licensed for 276) and a prime location in the heart of the rapidly growing U.S. 290 corridor, the hospital will be equipped with technologically advanced innovations implemented during COVID, many of them designed to make patient communication with physicians, staff and families the very best and most effective in any health care facility. Even though the hospital won't be fully operational until 2025, we have several services and specialties opening in 2024.
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.
