Current jobs related to Case Manager - Sugar Land - Memorial Hermann Health System

  • Case Manager

    1 week ago

    Sugar Land, United States Memorial Hermann Health System 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...

  • Case Manager II

    1 month ago

    Sugar Land, United States Encompass Health Full time

    Case Manager Career Opportunity Now offering a $10,000 Sign On Bonus for Full Time positions! Recognized for your abilities as a Case ManagerAre you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional...

  • Case Manager II

    1 month ago

    Sugar Land, United States Encompass Health Full time

    Case Manager Career Opportunity Now offering a $10,000 Sign On Bonus for Full Time positions! Recognized for your abilities as a Case ManagerAre you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional...

  • Case Manager II

    1 month ago

    Sugar Land, United States Encompass Health Full time

    Job DescriptionJob DescriptionCase Manager Career OpportunityNow offering a $10,000 Sign On Bonus for Full Time positions!Recognized for your abilities as a Case ManagerAre you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a...

  • Mental Health Case Manager

    3 weeks ago

    Sugar Land, Texas, United States Elevate Services Full time

    Job Title: Community Case Manager- Mental Health Job Summary: Elevate Services is seeking a Community Case Manager- Mental Health to provide support and guidance to individuals working to establish and/or sustain a solid foundation for their recovery from mental health and/or substance use disorders. The successful candidate will assist clients in...

  • Home Health RN Case Manager

    4 weeks ago

    Sugar Land, Texas, United States Preceptor Home Health & Hospice Full time

    Join Our Team as a Home Health RN Case ManagerWe are seeking a highly skilled and compassionate Registered Nurse Case Manager to join our team at Preceptor Home Health & Hospice. As a Home Health RN Case Manager, you will play a vital role in providing high-quality care to patients in their homes, working closely with our interdisciplinary team to develop...

  • Home Health RN Case Manager

    1 month ago

    Sugar Land, Texas, United States Preceptor Home Health & Hospice Full time

    Join Our Team as a Home Health RN Case ManagerWe are seeking a highly skilled and compassionate Registered Nurse to join our team as a Home Health RN Case Manager. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.About the RoleThis is a full-time position, 40 hours per...

  • Home Health RN Case Manager

    3 weeks ago

    Sugar Land, Texas, United States Preceptor Home Health & Hospice Full time

    Join Our Team as a Home Health RN Case ManagerWe are seeking a highly skilled and compassionate Registered Nurse to join our team as a Home Health RN Case Manager. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.About the RoleThis is a full-time position, 40 hours per...

  • Home Health RN Case Manager

    1 month ago

    Sugar Land, Texas, United States Preceptor Home Health & Hospice Full time

    Home Health RN Case Manager OpportunityWe are seeking a skilled and compassionate Registered Nurse to join our team as a Home Health RN Case Manager. As a key member of our interdisciplinary team, you will provide high-quality patient care and coordinate services to meet the unique needs of our patients.Key Responsibilities:Carry a current licensure in the...

  • Home Health RN Case Manager

    4 weeks ago

    Sugar Land, Texas, United States Preceptor Home Health & Hospice Full time

    Join Our Team as a Home Health RN Case ManagerWe are seeking a highly skilled and compassionate Registered Nurse to join our team as a Home Health RN Case Manager. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.About the Role:Provide high-quality patient care in the...

  • Certified Case Manager

    3 weeks ago

    Sugar Land, TX, United States Quality Talent Group Full time

    About the JobCertified Case Manager (RN) - Transition in CareJob Summary:We are seeking a highly skilled and experienced Certified Case Manager (RN) to join our team at Houston Methodist. As a key member of our healthcare team, you will be responsible for providing comprehensive case management services to patients and families, ensuring seamless transitions...

  • Legal Assistant

    2 weeks ago

    Sugar Land, United States Webster Vicknair MacLeod Full time

    Job DescriptionWe are seeking a highly organized and detail-oriented Legal Assistant to support our litigation team. The ideal candidate will have 2-5 years of experience and excellent Microsoft Outlook calendaring skills.Key Responsibilities:Maintain and organize case files and legal documents, as well as calendars, deadlines, and reminders.Create and...

  • Travel Nurse RN Position in Home Health

    2 weeks ago

    Sugar Land, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Position in Home HealthJob Description: TotalMed Case Management Staffing is seeking a travel nurse RN for a travel nursing job in a home health setting.Key Details:* Specialty: Home Health* Discipline: RN* Employment Type: Travel* Shift: 8 hours, days* Duration: 13 weeks* Hours per week: 40About the Job:TotalMed Case Management...

  • Traveling RN Case Manager

    2 weeks ago

    Sugar Land, United States AccentCare Full time

    OverviewSalary: $100,000-$107,000Coverage Area: All of HoustonShift: Full-TimeOn Call: YesAs a medical professional, you know that what you do impacts you as much as your patients and their families. At AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families.We think it's...

  • Substance Use Disorder Case Manager

    2 weeks ago

    Sugar Land, Texas, United States Professional Services Group Full time

    Job SummaryThis position is responsible for providing case management services to adults with behavioral health problems and/or alcohol or drug issues in Washington County. Wraparound services include finding resources to assist in stabilizing housing, securing employment, furthering education, connecting with follow-up treatment and other areas of need in...

  • Tax Manager

    2 weeks ago

    Sugar Land, United States Southwest Water Full time

    Job SummaryWe are seeking a highly skilled Tax Manager to join our team at Nexus Water Group. As a Tax Manager, you will play a critical role in ensuring the company's income tax compliance, income tax provision, indirect tax compliance, and rate case filing assistance responsibilities across multiple states in the US.The successful candidate will have a...

  • Tax Manager

    3 weeks ago

    Sugar Land, United States Southwest Water Full time

    Job Title: Tax ManagerNexus Water Group is a leading regulated water and wastewater utility serving over 1.3 million people across 20 U.S. states and 2 Canadian provinces.We are seeking a highly skilled Tax Manager to join our team. As a Tax Manager, you will play a critical role in supporting the Senior Tax Manager with regards to the Company's income tax...

  • Tax Director/Manager

    4 days ago

    Sugar Land, United States Robert Half Full time

    Job DescriptionJob DescriptionCindy at Robert Half is actively recruiting for this GROWING company based out of Sugarland, Texas! Immediate interviews. This organization is a leading entity in the utilities industry with servicing over 1 million people across United Staes and 2 Canadian provinces. We're a community-oriented team that places a strong...

  • Tax Director/Manager

    4 weeks ago

    Sugar Land, United States Robert Half Full time

    Job DescriptionJob DescriptionCindy at Robert Half is actively recruiting for this GROWING company based out of Sugarland, Texas! Immediate interviews. This organization is a leading entity in the utilities industry with servicing over 1 million people across United Staes and 2 Canadian provinces. We're a community-oriented team that places a strong...

  • Hospice Case Manager RN

    4 weeks ago

    Sugar Hill, Georgia, United States Titan Placement Group Full time

    Hospice Registered Nurse (RN) Job OpportunityTitan Placement Group invites you to explore an exciting opportunity in Atlanta, GA, one of the fastest growing cities in the United States. As a Hospice Registered Nurse (RN), you will have the chance to make a meaningful difference in the lives of patients and their families.Job SummaryWe are seeking a...

Case Manager

2 months ago

Sugar Land, United States Memorial Hermann Health System 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.

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

Minimum Qualifications

Education: Graduate of an accredited school of professional nursing required; Bachelors of Nursing preferred, or graduate of an accredited Master 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


Principal Accountabilities
  • 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.
  • Addresses/resolves system problems impeding diagnostic or treatment progress.
  • Proactively identifies and resolves delays and obstacles to discharge.
  • Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
  • Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
  • 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.
  • Facilitates the following on a timely basis: 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.
  • Completes all required documentation in TQ screens and patient records.
  • 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. Monitors LOS and ancillary resource use on an ongoing basis.
  • Takes actions to achieve continuous improvement in both areas.
  • 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.
  • Ensures/maintains plan consensus from patient/family, physician and payor.
  • Refers appropriate cases for social work intervention based on Department criteria.
  • Collaborates/communicates with external case managers.
  • 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., readmission rates, unplanned return to OR, etc.)
  • Acts as preceptor/mentor to new hires.
  • 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.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; 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. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
  • Other duties as assigned.