Case Manager

2 weeks ago

Humble, Texas, United States Memorial Hermann Health System Full time
Job Summary

The Case Manager position at Memorial Hermann Health System is a critical role that requires a unique blend of clinical expertise, communication skills, and problem-solving abilities. As a Case Manager, you will work closely with physicians, nurses, and other healthcare professionals to ensure that patients receive high-quality, patient-centered care.

Key Responsibilities
  • Coordinate patient care progression throughout the continuum, working collaboratively with physicians, nursing, and other members of the multidisciplinary care team.
  • Address and resolve system problems impeding diagnostic or treatment progress, proactively identifying and resolving delays and obstacles to discharge.
  • Utilize advanced conflict resolution skills to ensure timely resolution of issues and facilitate care for designated caseload.
  • Monitor patient progress, intervening as necessary to ensure that the plan of care and services provided are patient-focused, high-quality, efficient, and cost-effective.
  • Facilitate the completion of diagnostic testing, treatment plans, and discharge plans, modifying the plan of care as necessary to meet ongoing patient needs.
  • Collaborate with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
  • Complete Utilization Management and Quality Screening for assigned patients, applying approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays.
  • Identify at-risk populations using approved screening tools and follow established reporting procedures, monitoring LOS and ancillary resource use on an ongoing basis.
  • Take actions to achieve continuous improvement in both areas, referring cases and issues to the Care Management Medical Director as needed.
Requirements
  • Graduate of an accredited school of professional nursing required; Bachelor's of Nursing preferred, or graduate of an accredited Master of Social Work program.
  • 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.
  • Three (3) years of nursing or social work experience in an acute hospital-based setting preferred, or three (3) years of experience in a comparable clinical setting.
  • Experience in utilization management, case management, discharge planning, or other cost/quality management programs preferred.
What We Offer

As a Case Manager at Memorial Hermann Health System, you will have the opportunity to work in a dynamic and patient-centered environment, collaborating with a multidisciplinary team to deliver high-quality care. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

At Memorial Hermann Health System, we are committed to creating a compassionate and personalized experience for every member of our community. We believe that our employees are the key to delivering exceptional care, and we strive to provide a work environment that is supportive, inclusive, and empowering.

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