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Patient Care Coordinator Lead

2 weeks ago


Sugar Land, Texas, United States Houston Methodist Full time
About the Role

The Case Manager will be responsible for coordinating patient care services, collaborating with healthcare professionals, and ensuring compliance with regulatory requirements. This individual will possess strong communication and problem-solving skills, as well as the ability to prioritize multiple tasks and manage time effectively.

Duties and Responsibilities
  • Review medical necessity of admission, continued stay, and resource use to ensure appropriateness of level of care and program compliance.
  • Apply approved utilization criteria to monitor admissions, level of care, resource utilization, and continued stay.
  • Document assessments and interventions efficiently and effectively.
Qualifications
  • Graduate of an accredited nursing program.
  • Three years hospital clinical nursing experience, including two years in case management.