Current jobs related to Case Manager/RN - Houston - Houston Methodist
-
Registered Nurse
4 weeks ago
Houston, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in TexasCome join our growing team! A few of our perks: Create your own schedule!$38/hr. (including 100% of Hourly Wage Paid for Drive Time)Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with chronic/terminal illness...
-
RN Case Manager
3 weeks ago
Houston, United States Good Shepherd Hospice Full timeRN Case ManagerOverviewGood Shepherd Hospice is seeking a compassionate candidate for a Registered Nurse Case Manager serving patients and their families in SOUTH HOUSTON and surrounding communities. The RN provides nursing assessment, planning and care to maximize the comfort and health of patients and families. The RN responds to all phone calls promptly...
-
Case Manager RN- Field
4 weeks ago
Houston, United States Somatus Full timeCase Manager RN- FieldOverviewAs the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living...
-
Case Manager
3 weeks ago
Houston, United States Aveanna Healthcare Full timeCase Manager at Aveanna Healthcare summary: The Clinical Supervisor (RN) serves as a Case Manager, overseeing a caseload of medically fragile patients, ensuring high-quality care delivered by field staff. Responsibilities include managing casework, performing assessments, training staff, and ensuring compliance with healthcare standards. This leadership role...
-
Case Manager
3 weeks ago
Houston, United States Aveanna Healthcare Full timeCase Manager ‘RN‘ -Pediatric at Aveanna Healthcare summary: The Clinical Supervisor (RN) - Pediatric is responsible for managing a caseload of medically fragile patients, ensuring the delivery of high-quality nursing care by field staff. This leadership role involves conducting assessments, coordinating care transitions, and providing mentorship to...
-
Case Management Specialist
7 days ago
Houston, Texas, United States Texas Children's Hospital Full timeJob Title: Pediatric Nurse Case ManagerDescription: The Pediatric Nurse Case Manager will utilize a collaborative approach to assess, plan, implement, monitor and evaluate the options and services required to meet an individual's health needs. This nurse will provide comprehensive ongoing case management services to high-risk members in order to meet...
-
Case Manager "RN"
3 weeks ago
Houston, United States Aveanna Healthcare Full timeCase Manager "RN" -Pediatric at Aveanna Healthcare summary: The Clinical Supervisor (RN) - Pediatric is responsible for managing a caseload of medically fragile patients, ensuring the delivery of high-quality nursing care by field staff. This leadership role involves conducting assessments, coordinating care transitions, and providing mentorship to nursing...
-
RN Case Management Professional
7 days ago
Houston, Texas, United States Elevance Health Full timeIf you are a motivated and detail-oriented RN with a passion for case management, we encourage you to apply for this challenging and rewarding role. As a Healthcare Service Manager-RN at Elevance Health, you will oversee the development and implementation of member care plans, ensuring that they meet the highest standards of quality and...
-
Director, Case Management
1 week ago
Houston, United States Jobot Full timeLeading Houston Health System, Trauma Center, Magnet Hospital, Annual Director Bonus, Relocation, Full Benefits and MORE!This Jobot Job is hosted by: Courtney LabonteAre you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.Salary: $150,000 - $170,000 per yearA bit about us:We are a leading Non-profit Academic Medical Center and...
-
Director, Case Management
1 week ago
Houston, United States Jobot Full timeLeading Houston Health System, Trauma Center, Magnet Hospital, Annual Director Bonus, Relocation, Full Benefits and MORE! This Jobot Job is hosted by: Courtney Labonte Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $150,000 - $170,000 per year A bit about us: We are a leading Non-profit Academic Medical...
-
Case Manager
2 weeks ago
Houston, United States Memorial Hermann Health System Full timeAt 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...
-
Field Case Manager, LTSS
2 weeks ago
Houston, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicare members in the Houston service delivery area. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we need to provide. Preference...
-
Field Case Manager, LTSS
1 week ago
Houston, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONOpportunity for a Texas licensed RN join Molina to work with our Medicaid members in the Houston service delivery area. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we need to provide. Preference...
-
Pediatric Nurse Case Manager
7 days ago
Houston, Texas, United States Texas Children's Hospital Full timeJob DescriptionThe Pediatric Nurse Case Manager will be responsible for providing comprehensive case management services to high-risk members, focusing on assessing, planning, implementing, monitoring, and evaluating the options and services required to meet an individual's health needs. The ideal candidate will have a strong background in pediatric nursing...
-
Case Manager
3 weeks ago
Houston, United States Aveanna Healthcare Full timePosition: Clinical Supervisor (RN) Clinical Case ManagerJoin a Company That Puts People First! Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award-winning culture. We’re committed to fostering diversity, collaboration, and providing support at every step. What Sets Aveanna...
-
Case Manager Certified/RN
3 weeks ago
Houston, United States Houston Methodist Full timeAt 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 Manager
12 hours ago
Houston, United States Texas Children's Hospital Full timeWe are searching for a Case Manager (RN - Road Warrior) for Care Coordination - Health Plan - someone who will utilize a collaborative approach, assess, plan, implement, monitor and evaluate the options and services required to meet an individual's h Case Manager, Health, Manager, Medical Director, Staff, Management, Healthcare
-
Case Management Director
6 days ago
Houston, Texas, United States Assurance Healthcare Staffing Full timeAbout Assurance Healthcare StaffingAt Assurance Healthcare Staffing, we are dedicated to providing exceptional healthcare services to our patients. As a key member of our team, you will play a vital role in ensuring the delivery of high-quality care.Job SummaryWe are seeking an experienced Manager, Case Management to join our team. In this role, you will be...
-
Registered Nurse
3 weeks ago
Houston, United States Care Hospice Full timeJob DescriptionCare Hospice is seeking a Registered Nurse (RN) Case Manager, Hospice for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: HospiceDiscipline: RNDuration: OngoingEmployment Type: StaffOverview:Our Altus Hospice team is looking for a Full-time Registered Nurse Case Manager (RNCM) that is ready to make a meaningful...
-
Case Manager
3 weeks ago
Houston, United States Aveanna Healthcare Full timePosition: Clinical Supervisor (RN)Clinical Case ManagerJoin a Company That Puts People First!Aveanna Healthcare is one of the largest private-duty nursing companies in the nation, with a growing presence and an award-winning culture. We’re committed to fostering diversity, collaboration, and providing support at every step.What Sets Aveanna...
Case Manager/RN
1 month ago
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.
Houston Methodist Standard
PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
- Provide personalized care and service by consistently demonstrating our I CARE values:
- INTEGRITY: We are honest and ethical in all we say and do.
- COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
- ACCOUNTABILITY: We hold ourselves accountable for all our actions.
- RESPECT: We treat every individual as a person of worth, dignity, and value.
- EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
- Practices the Caring and Serving Model
- Delivers personalized service using HM Service Standards
- Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
- Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.
- Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
- Displays cultural humility, diversity, equity and inclusion principles
- Actively supports the organization's vision, fulfills the mission and abides by the I CARE values
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.
- 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.
- 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.
- 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.
- 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.
Qualifications
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
- 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
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) No
*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 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 Willowbrook Hospital opened in December 2000 to serve the comprehensive health care needs of the growing community in Northwest Houston. The 310 bed hospital has 23 operating rooms, and more than 2,100 employees. Houston Methodist Willowbrook Hospital has been named a Magnet recognized health care facility by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program®. Houston Methodist Willowbrook Hospital is Northwest Houston's regional leader in robotic minimally-invasive surgeries and specializes in cardiology and cardiovascular services, neurology, neurosurgery, orthopedics and sports medicine, and comprehensive cancer services. Houston Methodist Willowbrook Hospital has a Breast Care Center, Cancer Center, Imaging Center, Infusion Center, Sleep Center, Surgical Weight Loss Center and operates the largest Childbirth Center in the greater Northwest Houston area.