Current jobs related to Case Manager - Cypress - Houston Methodist Cypress Hospital

  • Case Manager

    2 weeks ago

    Cypress, California, United States Quality Talent Group Full time

    Job Title: Case ManagerHouston Methodist is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the seamless transition of patients through the healthcare system.Key Responsibilities:Assess patients' needs and develop comprehensive care plans to ensure optimal outcomes.Collaborate with healthcare...

  • Case Manager

    1 month ago

    Cypress, Texas, United States Houston Methodist Cypress Hospital Full time

    Job Title: Case ManagerHouston Methodist Cypress Hospital is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the seamless transition of patients through the healthcare system.Key Responsibilities:Assess patients' needs and develop comprehensive care plans to achieve optimal outcomes.Collaborate...

  • Case Manager

    4 weeks ago

    Cypress, California, United States Quality Talent Group Full time

    Job Title: Case ManagerAt Quality Talent Group, we are seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the seamless transition of patients through the healthcare system.Key Responsibilities:Assess patients' needs and develop comprehensive care plans to achieve optimal health outcomes.Collaborate...

  • Case Manager

    4 weeks ago

    Cypress, Texas, United States Houston Methodist Full time

    Job Title: Case ManagerHouston Methodist is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the seamless transition of patients through the healthcare system.Key Responsibilities:Assess patients' needs and develop individualized care plans to ensure optimal outcomes.Collaborate with healthcare...

  • Case Manager

    2 weeks ago

    Cypress, Texas, United States Houston Methodist Cypress Hospital Full time

    Job Title: Case ManagerHouston Methodist Cypress Hospital is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the seamless transition of patients from hospital to home, while maintaining a focus on quality, safety, and patient satisfaction.Key Responsibilities:Conduct thorough assessments of...

  • Case Manager

    1 week ago

    Cypress, California, United States Houston Methodist Full time

    Job SummaryHouston Methodist is seeking a skilled Case Manager to join our team. As a Case Manager, you will be responsible for coordinating patient care and ensuring a smooth transition from hospital to home or other healthcare settings.Key ResponsibilitiesAssess patient needs and develop individualized care plansCollaborate with healthcare teams to ensure...

  • Case Manager

    2 weeks ago

    Cypress, Texas, United States Houston Methodist Cypress Hospital Full time

    Job SummaryHouston Methodist Cypress Hospital is seeking a skilled Case Manager to join our team. As a key member of our healthcare team, the Case Manager will be responsible for coordinating patient care transitions, ensuring seamless communication between healthcare providers, and promoting optimal patient outcomes.The ideal candidate will possess...

  • Case Manager

    1 week ago

    Cypress, Texas, United States Houston Methodist Cypress Hospital Full time

    Job SummaryHouston Methodist Cypress Hospital is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the seamless transition of patients through the healthcare system.Key ResponsibilitiesAssess and Coordinate Care: Conduct thorough assessments of patients to identify their needs and develop...

  • Case Manager

    2 weeks ago

    Cypress, Texas, United States Quality Talent Group Full time

    About the JobAt Houston Methodist, we are seeking a skilled Case Manager to join our team. As a registered nurse, you will be responsible for planning and coordinating comprehensive care for patients, ensuring seamless transitions and optimal outcomes.Key ResponsibilitiesCollaborate with physicians and healthcare teams to develop and implement individualized...

  • Certified Case Manager

    2 weeks ago

    Cypress, Texas, United States Quality Talent Group Full time

    About the JobThe Certified Case Manager position is a registered nurse (RN) responsible for planning and coordinating care for a targeted patient population on a designated unit(s) and/or service line. This role works collaboratively with physicians and the interprofessional healthcare team to ensure high-quality, efficient, and cost-effective care.Key...

  • Certified Case Manager

    3 weeks ago

    Cypress, Texas, United States Quality Talent Group Full time

    About the JobWe are seeking a highly skilled Certified Case Manager 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 their families. Your expertise will help ensure that patients receive the highest quality care and achieve optimal...

  • Certified Case Manager

    3 weeks ago

    Cypress, United States Quality Talent Group Full time

    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 efficient...

  • Case Management Representative

    7 days ago

    Cypress, United States Houston Methodist Cypress Hospital Full time

    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,...

  • Case Management Representative

    7 days ago

    Cypress, United States Houston Methodist Cypress Hospital Full time

    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,...

  • Case Management Representative

    3 months ago

    Cypress, United States Houston Methodist Cypress Hospital Full time

    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,...

  • Case Management Representative

    3 months ago

    Cypress, United States Houston Methodist Cypress Hospital Full time

    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,...

  • Case Management Representative

    2 months ago

    Cypress, United States Houston Methodist Cypress Hospital Full time

    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,...

  • Case Management Representative

    7 days ago

    Cypress, United States Houston Methodist Cypress Hospital Full time

    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,...

  • Case Management Representative

    3 months ago

    Cypress, United States Houston Methodist Cypress Hospital Full time

    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,...

  • Case Manager

    2 months ago

    Cypress, United States Quality Talent Group Full time

    At 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 time

At 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 facilitate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning and continuity of care and assures that admission and continued stay are medically necessary, communicating clinical information to payors to ensure reimbursement.

PEOPLE ESSENTIAL FUNCTIONS
  • Communicates in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others.
  • Collaborates with staff from the interprofessional health care team concerning safety data to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families.
  • 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
  • Assesses all patients timely and thoroughly. Participates in daily Care Coordination Rounds (CCR), and identifies, communicates barriers to efficient patient throughput. Supports patients and families in preventing/resolving clinical or ethical issues.
  • Facilitates discharge planning activities for assigned patients and collaborates with the social worker and other members of the interprofessional health care team, as well as patient and family, on complex discharges. Maintains ownership of the discharge planning process on assigned units.
  • Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative levels of care, ensuring discharge disposition is to the appropriate level. Facilitates transfers.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
  • Modifies care based on continuous evaluation of the patient's condition, demonstrates clinical problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively.
  • Plans for routine discharge and elevates emergent situations. Manages usual patient assignment and other unit demands and anticipates/plans for potential problems.
  • Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures.
FINANCE ESSENTIAL FUNCTIONS
  • Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using nationally recognized screening guidelines. Manages assigned patients in Observation Status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.
  • Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay.
  • Participates in denial mitigation activities to ensure appropriate reimbursement for services rendered.
  • Contributes to meeting department and hospital financial target, with focus on length of stay. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
  • Identifies areas for improvement based on understanding of evidence-based practice literature. Initiates evidence-based practice/performance improvement projects based on these observations and offers solutions by participating in unit projects and activities.
  • 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
  • Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
  • Bachelor's degree preferred
WORK EXPERIENCE
  • Three years hospital nursing clinical experience
  • Case management experience preferred
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
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 with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Knowledge of Medicare, Medicaid and Managed Care requirements
  • Progressive knowledge of community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs
  • Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement
  • Understanding of pre-acute and post-acute venues of care and post-acute community resources
  • Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families
  • Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word)
  • Strong assessment, organizational and problem-solving skill

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 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 inclusive of women, minorities, disabled persons and veterans.

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.