Case Management Manager

6 days ago


San Antonio, United States University Health Full time

POSITION SUMMARY/RESPONSIBILITIES

Manages the nurse case manager and navigators to ensure effective care coordination for CareLink members with complex co-morbidities and frequent and/or recent hospitalizations and emergency department visits.  Oversees the authorization nurses and pre-authorization of services. Works with leadership to ensure coverage of appropriate high quality, cost-effective care for CareLink members.  Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the manager of the team.

EDUCATION/EXPERIENCE

            Graduation from an accredited college or university with a bachelor's degree in nursing is preferred.  Required experience: minimum of two years recent management experience; three years of hospital clinical nursing experience and one year experience in case management, utilization review or hospital quality assurance. Experience in each of these areas in a hospital setting is preferred.

LICENSURE/ CERTIFICATIONS

            Current registration with the Texas State Board of Nurse Examiners is required.    


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