Case Management Manager

OakBend Medical Center • Richmond, TX

23h • Onsite

About The Position

The Manager of Case Management is responsible for the supervision of the following functions: Case Management, Care Coordination, Social Services, Discharge Planning, and Utilization Review. The Manager will assure that the department performs the following functions: assessment, discharge planning, implementation, coordination, monitoring, and evaluation of the care of patients in the facility, through the continuum of care. Functions as a resource person for supervisory staff members and assists in necessary education of individual supervisory members of staff. The Manager will coordinate with her staff to guarantee facilitation and collaboration with physicians, patients, families, and payers, as well as the multidisciplinary healthcare team to maximize efficient utilization of the patient and hospital resources to promote quality, cost-effective outcomes.

Requirements

• Graduate from an accredited nursing school.
• Three to five years management experience in Case Management in an acute care setting.
• Certificate in Case Management (CCM).
• Current licensure in Texas as a Registered Nurse.
• Proficient in data analysis.
• Clinical and communication skills necessary to assist with strategic planning for the management of clinical and financial risk.
• Self-directed and able to work independently.
• Exercise sound judgment, discretion, and initiatives.
• Demonstrates a positive professional and personal image.
• Maintains confidentiality.
• Basic typing skills and computer knowledge.
• In-depth knowledge of Interqual, Commercial Insurance, Medicare and Medicaid regulations.

Nice To Haves

• CPUR or other certification a plus, but not required.

Responsibilities

• Supervision of Case Management, Care Coordination, Social Services, Discharge Planning, and Utilization Review.
• Assessment, discharge planning, implementation, coordination, monitoring, and evaluation of patient care.
• Serve as a resource for supervisory staff and assist with necessary education.
• Coordinate with staff to facilitate collaboration with physicians, patients, families, payers, and the multidisciplinary healthcare team.
• Maximize efficient utilization of patient and hospital resources to promote quality, cost-effective outcomes.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed