We have other current jobs related to this field that you can find below
-
Case Manager Certified
1 month ago
Nassau Bay, United States Houston Methodist Full timeOverview At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted patient population on a designated unit(s) and/or service line. This position works with the physicians and interprofessional healthcare team to facilitate and maintain compassionate,...
-
Personal Agent
3 months ago
Coos Bay, United States Connections Case Management Full timeJob DescriptionJob DescriptionSalary: $29.80Are you self-motivated and passionate about making a positive impact? Do you have strong documentation skills and a knack for advocacy? If yes, then please consider joining our team at Connections Case Mgmt!We are a Support Services Brokerage and a nonprofit 501(c)3 agency that provides case management to adults...
-
RN Case Manager
2 weeks ago
Palm Bay, United States Health First Full timePOSITION SUMMARY: The RN Case Manager is fully engaged in providing quality/no harm, customer service and stewardship by utilizing advanced clinical skills in the assessment, planning, intervention and evaluation of patient care in accordance with Federal Conditions of Participation, State of Florida regulations, and The Joint Commission (TJC) accreditation...
-
Commercial Case Manager
2 weeks ago
Nassau County, United States Marcum Search Full time $60,000Job DescriptionJob DescriptionMarcum Search is working with our Nassau County legal client looking to fill a Commercial Case Manager (CM) position. This is a new opportunity. The CM will manage all phases of commercial cases for our client from start to finish, build strong client relationships, and ensure seamless project execution while serving as the main...
-
Travel Nurse RN
4 weeks ago
Coos Bay, OR, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Coos Bay, Oregon. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/19/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered Nurse...
-
Travel Nurse RN
3 weeks ago
Green Bay, WI, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Green Bay, Wisconsin. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 09/02/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered...
-
Travel Nurse RN
4 weeks ago
Coos Bay, OR, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Coos Bay, Oregon. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/19/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered Nurse...
-
Travel Nurse RN
1 month ago
Coos Bay, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Coos Bay, Oregon. Job Description & Requirements Specialty: Case ManagementDiscipline: RNStart Date: 07/15/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment...
-
Case Manager
3 months ago
Green Bay, United States House of Hope Green Bay, Inc Full timeJob DescriptionJob DescriptionDescription:Benefits: Health, Life, Dental, and Vision insurance, paid time off, paid training, and matching investment plan.Job Summary:This position will be responsible for case management duties and delivery of programs and services to clients in House of Hope Emergency Shelter and Housing Stability programs. The Case Manager...
-
Case Manager Marin County
1 month ago
Bodega Bay, United States The Camden Center Full timeJob DescriptionJob DescriptionWithin the chain of command, the mentor’s and companion’s direct supervisor is the client’s respective Case Manager. The mentor/companion reports to the case manager for all aspects of client care. It is then the case manager’s responsibility to report directly to the client’s family members, financial guarantors and...
-
PRN RN Case Manager
3 days ago
Palmetto Bay, United States Empath Health Full timeJob Details PRN RN Case Manager Apply Job ID PRNRN008584 Date posted 07/08/2024 Position Type PRN Coverage includes Manatee and Northern Sarasota Counties.The PRN RN Case Manager creates and maintains a plan of care, serving as the coordinator for patient and family interaction with Tidewell for the duration of the patient's hospice experience. When a...
-
MIDC Case Management
3 weeks ago
Bay City, United States Bay County Full timeThere is a full-time job vacancy with the BAY COUNTY CRIMINAL DEFENSE OFFICE JOB TITLE: MIDC CASE MANAGEMENT RATE OF PAY: $1,759.20/biweekly entry, progressing to *$2,006.40/biweekly after 3 years (PB05) * Application Procedure: Apply at www.baycounty-mi.gov *POSTING END DATE: AUGUST 20, 2024 * * * Position is full-time with benefits as provided for...
-
Pathway of Hope Case Manager
1 month ago
Green Bay, United States The Salvation Army Full timeJOB REQUIREMENTS: The Pathway of Hope Case manager is a full-time position offering a generous benefits package that includes excellent health, dental, vision, and hearing insurance as well as generous paid time off that includes 15 days of vacation per year, 12 sick days per year (4 of which can be taken like vacation days), 12 paid holidays, 2 personal...
-
Pathway of Hope Case Manager
2 months ago
Green Bay, United States The Salvation Army Full timeJOB REQUIREMENTS: The Pathway of Hope Case manager is a full-time position offering a generous benefits package that includes excellent health, dental, vision, and hearing insurance as well as generous paid time off that includes 15 days of vacation per year, 12 sick days per year (4 of which can be taken like vacation days), 12 paid holidays, 2 personal...
-
Registered Nurse Case Manager
1 month ago
Alton Bay, United States Interim HealthCare of New Hampshire Full timeRegistered Nurse Case ManagerLaconia, NH$38-$43/HRInterim HealthCare is currently seeking a full-time Registered Nurse Case Manager based out of our Laconia NH office.The Registered Nurse Case Manager position is responsible for managing a defined caseload of patients providing direct patient care and comprehensive nursing services to individuals in the...
-
Transitional Support Case Manager
3 days ago
South Bay, Florida, United States GEO Corrections & Detentions Full timeTransitional Support Case ManagerBecome a vital part of GEO Corrections & Detentions by providing essential support in the reintegration of individuals. As a Transitional Support Case Manager, your role will involve collaborating with individuals to create effective transition strategies, linking them to vital community services, and facilitating a smooth...
-
Travel Registered Nurse RN Care Management
4 weeks ago
Coos Bay, OR, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Coos Bay, Oregon. Specialty: Case Management ~ Shift: 8 hours, days ~ Employment Type: Travel TotalMed Case Management Staffing Job ID #1557239. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free...
-
Travel Registered Nurse RN Care Management
3 weeks ago
Green Bay, WI, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Green Bay, Wisconsin. Specialty: Case Management ~ Shift: 8 hours, days ~ Employment Type: Travel TotalMed Case Management Staffing Job ID #1597028. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with...
-
Travel Registered Nurse RN Care Management
4 weeks ago
Coos Bay, OR, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Coos Bay, Oregon. Specialty: Case Management ~ Shift: 8 hours, days ~ Employment Type: Travel TotalMed Case Management Staffing Job ID #1557239. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free...
-
Case Manager/Family Development Specialist
1 month ago
Bay Shore, United States Family Service League Full timeEstablished in 1926, Family Service League is a social services agency who provides comprehensive services to individuals, children, and families to improve the quality of their lives at home, in the workplace, and in the community. With more than 60 social service and mental health programs in over 20 locations, Family Service League is committed to serving...
![Houston Methodist](https://media.trabajo.org/img/noimg.jpg)
Manager Case Manager
3 months ago
At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work department, an integrated, interprofessional department which supports caregivers to provide the highest quality, most clinically appropriate care to patients and while promoting the most cost-effective utilization of the hospital's resources. This position maintains accountability for level of unit performance and results, possessing the ability to interact with corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position is responsible for the Case Mgmt. reporting system to ensure organization priorities are appropriately addressed in all facilities.
The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations.
Requirements:
PEOPLE ESSENTIAL FUNCTIONS
* Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.
* Provides fair and consistent leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
* Facilitates and promotes effective team dynamics and teambuilding strategies within and between departments; participates and/or leads and facilitates department process improvements as needed.
* Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators.
* Provides leadership to ensure operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and exceed service-level goals and contract requirements.
SERVICE ESSENTIAL FUNCTIONS
* Plans and organizes day-to-day department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
* Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
* Makes and executes decisions within delegated authority. Escalates issues to management for resolution as appropriate. Participates in resolving issues outside delegated scope of authority.
* Maintains ongoing interactions with physicians and staff on how to improve patient care and service provided. Manages administrative issues effectively and timely, as well as, informs and provides pertinent information to physicians.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
* Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines, including infection control principles. Monitors and confirms staff maintain their required credentials that demonstrate competency per accrediting agency or department guidelines as applicable.
* Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.
* Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, reporting accidents, near misses, and/or adverse events immediately per department protocol and identifying solutions via collaboration. Adopts LEAN principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.
* Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, inservices, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
* Supports maximization of Case Mgmt. system utilization, including length of stay (LOS), readmissions, and other KPIs as set by the organization. Strategizes and negotiates with the interprofessional team, patient and family, providers and payors about the care provided and the best course of action. Promotes self-care activities, autonomous decision making, active patient and family participation in treatment/care planning and health promotion.
* Generates reports to identify trends and opportunities for process improvement. Develops audit reports to identify quality issues and areas for enhanced staff training. Evaluates department procedures and operations as they relate to care coordination and recommends changes to improve efficiency and effectiveness as appropriate.
* Oversees the quality assurance and quality improvement processes related to admission, concurrent and retrospective UM and medical claims programs. Collaborates with medical and clinical leadership to implement new processes for enhancing service levels.
* Proactively identifies case management and/or social work interventions and implements role descriptions and priority expectations to improve care coordination metrics (LOS reduction, discharges before 11am, readmission reduction, and other KPIs.).
FINANCE ESSENTIAL FUNCTIONS
* Assists in the development of department budget and ensures that the department operates in a cost effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department/patient needs that reflect understanding of the importance of cost-effectiveness.
* Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
* Manages utilization management (UM) programs including Medical Claims Review, Precertification and Reconsiderations and Appeals. Collaborates with the Director of Case Management/Social Svcs on criteria and policy and procedure development. Collaborates with Physician and Nursing leaders and external entities to develop, implement and evaluate UM programs and policies as directed and ensures UM programs are consistent with national accreditation guidelines.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
* Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed/shared governance activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.
* Proactively evaluates processes; recommends and implements action plan(s) for change; follows through to ensure effective, sustainable change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.
* Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals.
* Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates My Development Plan (MDP) on an on-going basis. Conducts conversations with staff on their development.
* Recommends appropriate uses for the Case Management system, coordinating initial training for new users and ongoing training department staff of system upgrades, changes, and new functions as necessary.
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.
Qualifications:
EDUCATION
* Bachelor's degree in Nursing or Master's degree in Social Work (MSW)
* Master's in nursing preferred
WORK EXPERIENCE
* Five years experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in healthcare; for HM candidates, four years experience in case management or social work, which includes HM performance that demonstrates progressive leadership abilities
LICENSES AND CERTIFICATIONS - REQUIRED
* RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR
* RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND
* Magnet - ANCC Recognized Certification -- If RN within 1 year
* LCSW- License Clinical Social Worker - State Licensure -- If Social Worker OR
* LMSW - Licensed Medical Social Worker - State Licensure -- If Social Worker AND
* C-SWHC - Certified Social Worker in Health Care (NASW) -- If Social Worker within 1 year OR
* C-ASWCM - Certified Advanced Social Work Case Manager (NASW) -- If Social Worker within 1 year OR
* CCM - Certified Case Manager -- If Social Worker within 1 year OR
* ACM - Accredited Case Manager (ACMA) -- If Social Worker within 1 year OR
* ACM - Accredited Case Manager (NBCM) -- If Social Worker within 1 year
KNOWLEDGE, SKILLS, AND ABILITIES
* 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 through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message
* Demonstrates the ability to interact with others in a way that gives them confidence in one's intentions and those of the organization
* Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations and individuals involved
* Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
* Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
* Ability to work effectively in a fast paced environment
* Demonstrates flexibility and adaptability in the workplace
* Excellent analytical skills
* Advanced negotiation and mediation skills
* Advanced time management and prioritization skills
* Expert collaboration 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* Yes
TRAVEL
Travel specifications may vary by department
* May require travel within the Houston Metropolitan area Yes
* May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Clear Lake Hospital is committed to leading medicine in Clear Lake and surrounding communities by delivering the Houston Methodist standard of exceptional safety, quality, service and innovation. Houston Methodist Clear Lake provides a broad spectrum of adult, pediatric, medical and surgical care. It is an accredited chest pain center and acute stroke-ready designated through DNV. Houston Methodist Clear Lake offers advanced inpatient and outpatient services, including state-of-the-art imaging; childbirth center with a level II neonatal intensive care unit; minimally invasive surgery; cancer center; neurology and spine care; heart and vascular care; bariatric and digestive care; emergency care; primary care; rehabilitation services; and comprehensive orthopedics and sports medicine.
Equal Employment Opportunity
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.