Director, Case Management

4 days ago

Houston, Texas, United States OSI - Aviation & Medical Recruitment Full time
Job Description

The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.

The Director is responsible for developing systems and processes for care/utilization management and discharge planning at the hospital level. In addition, the Director may be responsible for managing the department's activities related to discharge planning and clinical quality improvement. The Director evaluates and ensures that hospital resources are used appropriately and effectively. The Director oversees the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement. The Director promotes interdisciplinary collaboration, fosters teamwork and champions service excellence.

Key Responsibilities:

  • Plans, directs and supervises all aspects of the local level program.
  • Facilitates growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.
  • Responsible for approving and managing the day to day local level operational budget.
  • Assures that revenue, expenses, contribution margin and FTE's meet or exceed budget.
  • Prepares and submits budget and related reports.
  • Forecasts and accurately projects expenses.
  • Takes corrective action to address negative variances.
  • Identifies and proposes capital budget items appropriately.
  • Identifies and achieves optimal targeted financial outcomes via the inpatient case management process.
  • Responsible for departmental personnel functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management.
  • Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in department.
  • Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.).
  • Responsible for leading a high performance team of 'system thinkers' who incorporate leadership principles and vision in performing the functions of case management.
  • Uses data to drive decisions, plan, and implement performance improvement strategies for case management.
  • Oversees the education of physicians, managers, staff, patients and families related to the case management process at the local level.
  • Participates in this evolutionary process by constantly identifying future needs of current customers and/or identifying potential new customers.
  • 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.

Requirements:

  • 5+ years of Case Management Acute Care Hospital Leadership/Supervisory/Director Experience.

Education:

  • Bachelors of Nursing (BSN) or Masters Social Work (MSW); Masters degree preferred.

Licenses/Certifications:

  • Current and valid license to practice as a Registered Nurse in the state of Texas or
  • Current and valid Texas license as a Master's Social Worker (LMSW), required
  • LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM) or
  • Fellowship of the American Academy of Case Management (FAACM), required

Benefits:

  • Medical Insurance; Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Retirement
  • Equity
  • Paid Time Off

  • Director, Case Management

    2 months ago

    Houston, Texas, United States Surf Search Full time

    Candidates must have 5yrs. plus of Case Management Acute Care Hospital Leadership/Supervisory/Director Experience.The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level.The components/roles of the inpatient case management program consist of the following: Care Facilitation,...

  • Director of Case Management

    3 days ago

    Houston, Texas, United States OSI - Aviation & Medical Recruitment Full time

    Job SummaryWe are seeking a highly experienced and skilled Director of Case Management to lead our Inpatient Case Management Program. The successful candidate will be responsible for implementing and overseeing the program's operations, ensuring effective utilization of hospital resources, and promoting interdisciplinary collaboration.Key...

  • Director, Case Management

    2 days ago

    Houston, Texas, United States OSI - Aviation & Medical Recruitment Full time

    Job SummaryWe are seeking a highly experienced and skilled Director, Case Management to lead our Case Management program at the local level. The successful candidate will be responsible for implementing and overseeing the program, ensuring its alignment with our organization's goals and objectives.Key ResponsibilitiesProgram Development and...

  • Manager of Case Management Services

    1 week ago

    Houston, Texas, United States Healthcare Recruitment Partners Full time

    Director of Clinical Case ManagementHealthcare Recruitment PartnersThe Director of Clinical Case Management is accountable for the strategic direction, operational functionality, and overall management of the Case Management and Social Work division. This role is integral and collaborative, aimed at empowering healthcare providers to deliver optimal,...

  • Head of Case Management Services

    2 weeks ago

    Houston, Texas, United States Healthcare Recruitment Partners Full time

    Director of Nursing Case ManagementHealthcare Recruitment PartnersThe Director of Nursing Case Management plays a pivotal role in overseeing the strategic direction and operational effectiveness of the Case Management and Social Work division. This position requires a collaborative approach, working alongside healthcare professionals to ensure that patients...

  • Head of Case Management Services

    2 weeks ago

    Houston, Texas, United States Marvel Consultants Full time

    Marvel Consultants is seeking a skilled Director of Case Management.This executive will be responsible for leading a dedicated team of over 10 Case Managers and Social Workers, ensuring adherence to all standards related to Case Management, Discharge Planning, and Utilization Review. The position reports directly to the Chief Nursing Officer.Key...

  • Head of Case Management Services

    2 weeks ago

    Houston, Texas, United States Marvel Consultants Full time

    Marvel Consultants is seeking a skilled Director of Case ManagementThis pivotal role involves leading a dedicated team of over 10 Case Managers and Social Workers, ensuring the effective implementation of protocols related to Case Management, Discharge Planning, and Utilization Review. The position reports directly to the Chief Nursing Officer.Key...

  • Head of Case Management Services

    2 weeks ago

    Houston, Texas, United States Memorial Hermann Health System Full time

    At Memorial Hermann, we are dedicated to providing exceptional healthcare and outstanding experiences for our community, including our esteemed staff.Position Overview:The Director of Case Management is responsible for the local execution of the case management initiative. Key responsibilities encompass Care Facilitation, Utilization Management, Case...

  • Pediatric Case Manager

    16 hours ago

    Houston, Texas, United States Pediatric Home Healthcare Full time

    Pediatric Case Manager Job DescriptionJob Summary:Pediatric Home Healthcare is seeking a highly skilled and compassionate Pediatric Case Manager to join our team. As a Pediatric Case Manager, you will be responsible for ensuring the highest quality of patient home care through direct case management.Key Responsibilities:Directing and coordinating continuity,...

  • Nurse Case Manager

    4 days ago

    Houston, Texas, United States UnitedHealth Group Inc Full time

    Job SummaryWe are seeking a skilled and compassionate Nurse Case Manager to join our team at UnitedHealth Group Inc. As a Field Nurse Case Manager RN, you will play a critical role in delivering high-quality care to our members, working closely with healthcare providers and community resources to ensure seamless care coordination.Key ResponsibilitiesProvide...

  • Inpatient Care RN Case Manager

    2 weeks ago

    Houston, Texas, United States UnitedHealth Group Inc Full time

    Inpatient Care RN Case Manager - HybridJoin the team at UnitedHealth Group, where we are dedicated to providing exceptional healthcare services. We believe that every patient deserves the highest quality of medical attention. Here, you will collaborate with a passionate team committed to improving health outcomes. With diverse opportunities for healthcare...

  • Nurse Case Manager

    2 days ago

    Houston, Texas, United States UnitedHealth Group Inc Full time

    Job SummaryWe are seeking a skilled and compassionate Nurse Case Manager to join our team at UnitedHealth Group Inc. As a Field RN Case Manager, you will play a critical role in delivering high-quality care to our members, working closely with healthcare providers and community resources to ensure seamless transitions and optimal health outcomes.Key...

  • Traveling Pharmacist

    4 days ago

    Houston, Texas, United States TotalMed Case Management Staffing Full time

    Job DetailsWe are seeking a skilled Pharmacist for a Travel assignment in a hospital setting.Key Responsibilities:Provide pharmaceutical care to patients in a hospital environment.Develop and implement medication therapy plans.Collaborate with healthcare teams to ensure optimal patient outcomes.Manage and maintain accurate records of patient medication.Stay...

  • Case Manager

    5 days ago

    Houston, Texas, United States Nexus Health Systems Ltd Full time

    Job SummaryNexus Health Systems Ltd is seeking a highly skilled Case Manager to join our team. As a key member of our healthcare services team, the successful candidate will be responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team.Key...

  • Employment Services Case Manager

    4 days ago

    Houston, Texas, United States Church World Service Full time

    About the RoleChurch World Service is seeking a skilled Employment Services Case Manager to join our team in Houston, Texas. As a key member of our direct client services team, you will play a critical role in providing employment case management services to refugees and other ORR-eligible populations.Key ResponsibilitiesEnroll eligible clients into the...

  • Field Case Manager

    5 days ago

    Houston, Texas, United States Genex Services Full time

    Job SummaryWe are seeking a highly skilled and compassionate Field Case Manager to join our team at Genex Services. As a Field Case Manager, you will play a critical role in helping injured individuals recover from challenging life events and return to work safely and effectively.Key ResponsibilitiesDemonstrate expertise in case management standards of...

  • Case Management Coordinator

    1 week ago

    Houston, Texas, United States Collier Legal Search Full time

    Paralegal PositionCollier Legal Search is seeking a highly skilled Paralegal to join our team. As a reputable search firm with a strong network of clients, we value in-depth case analysis and client management.Our diverse docket includes complex cases, providing opportunities for professional growth and learning.We are looking for a candidate who can assist...

  • Court Case Manager

    6 days ago

    Houston, Texas, United States Locke Lord Full time

    About Locke LordLocke Lord is a premier full-service law firm that has earned a solid reputation for complex litigation, regulatory, and transactional work on behalf of clients in important and growing industry sectors around the world.Job SummaryThe Litigation Docketing Specialist is responsible for the accurate review, entering, processing, and tracking...

  • Senior Case Management Nurse

    2 weeks ago

    Houston, Texas, United States Memorial Hermann Health System Full time

    Company Overview:At Memorial Hermann Health System, we are committed to enhancing the health of our community. Our mission is to provide high-quality, efficient healthcare while ensuring exceptional experiences for every individual we serve.Position Summary:We are looking for a dedicated Senior Registered Nurse specializing in Case Management. This role is...

  • Case Management Specialist

    4 days ago

    Houston, Texas, United States Memorial Hermann Health System Full time

    About the RoleWe are seeking a highly skilled Registered Nurse Case Manager to join our team at Memorial Hermann Health System. As a key member of our care management team, you will play a vital role in coordinating patient care, ensuring timely and effective transitions, and promoting high-quality, patient-centered outcomes.Key ResponsibilitiesCase...