Healthcare Case Manager

5 days ago


Conroe, Texas, United States Nexus Children's Hospital Full time

We are seeking a skilled Healthcare Case Manager to join our team at Nexus Children's Hospital. As a key member of our healthcare team, you will be responsible for ensuring the delivery of cost-effective quality care within an appropriate length of stay.

The estimated salary for this position is $85,000 - $110,000 per year, depending on experience. This figure is based on the current market rates for similar positions in the same location.

In this role, you will work collaboratively with the physician and other health care team members to meet patient-specific and age-related patient needs, linking cost resource management and quality to patient care.

You will be responsible for assessing patient/family psychosocial needs, planning, implementing, and evaluating care for patients across the health care episode. This includes:

  • Maintaining PHI and HIPAA for each patient in accordance with hospital policy and federal regulations
  • Promoting safety in the workplace and a safe patient environment at all times
  • Practicing 'minimum information necessary' when performing UR, case management, and discharge functions

To be successful in this role, you will need to have a minimum of 3-5 years of experience in acute hospital direct care, as well as proficiency in InterQual, Milliman, or other national recognized criteria. A strong analytical and organizational skills are also essential.

If you are a motivated and detail-oriented individual who is passionate about delivering high-quality patient care, we encourage you to apply for this exciting opportunity.



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