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Case Manager

1 month ago

Houston, Texas, United States Quality Talent Group Full time
Job Title: Case Manager

At 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 from one level of care to another.

Key Responsibilities:
  • Assess patients' needs and develop comprehensive care plans to achieve optimal outcomes.
  • Collaborate with healthcare teams to coordinate patient care, including discharge planning and post-acute care arrangements.
  • Communicate effectively with patients, families, and healthcare providers to ensure timely and efficient care transitions.
  • Monitor and evaluate patient progress, making adjustments to care plans as needed.
  • Ensure compliance with regulatory requirements and hospital policies.
Requirements:
  • Graduate of an accredited nursing program.
  • Three years of hospital nursing experience, with a focus on case management or a related field.
  • Strong communication and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Proficiency in electronic medical records and other healthcare software.
Preferred Qualifications:
  • Case management certification (CCM or ACM).
  • Experience with utilization review and denial management.
  • Knowledge of Medicare, Medicaid, and managed care requirements.

Why Join Our Team?
We offer a dynamic and supportive work environment, with opportunities for professional growth and development. Our team is dedicated to delivering exceptional patient care and outcomes, and we are seeking like-minded individuals to join us in this mission.