Case Manager jobs at Houston Methodist - 5210 jobs
Case Manager - PRN
Houston Methodist 4.5
Case manager job at Houston Methodist
At Houston Methodist, the CaseManager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for casemanagement of a target patient population on a designated unit(s). This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The CM PRN holds joint accountability with social worker for discharge planning and continuity of care and assures that admission and continued stay are medically necessary and communicates clinical information to payors to ensure reimbursement. The CM PRN helps drive change by identifying areas where performance improvement is needed (e.g., day-to-day workflow, education, process improvements, patient satisfaction).
**FLSA STATUS**
Non-exempt
**QUALIFICATIONS**
**EDUCATION**
+ Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates, Licenses and Registrations section.
**EXPERIENCE**
+ Three (3) years hospital clinical nursing experience which includes two (2) years in casemanagement
**LICENSES AND CERTIFICATIONS**
**Required**
+ RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency)
**SKILLS AND ABILITIES**
+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
+ Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
+ Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
+ Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
+ Knowledge of Medicare, Medicaid and Managed Care requirements
+ Comprehensive knowledge of community resources, health care financial and payer requirements/issues, and eligibility for state, local and federal programs
+ Comprehensive knowledge of discharge planning, utilization management, casemanagement, performance improvement and managed care reimbursement.
+ Understanding of pre-acute and post-acute venues of care and post-acute community resources.
+ Ability to work independently
+ Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
+ Demonstrates critical thinking and makes decisions using evidence-based analytical approach in interactions with physicians, payors, and patients and their families
+ Well versed in computer skills of the entire Microsoft Office Suite (Access, Excel, Outlook, PowerPoint and Word)
**ESSENTIAL FUNCTIONS**
**PEOPLE ESSENTIAL FUNCTIONS**
+ Collaborates with the physician and all members of the interprofessional health care team to facilitate care for designated case load; monitors the patient's progress, intervening as needed to ensure that the plan of care and services provided are patient-focused, high quality, efficient, and cost-effective; facilitates timely: - completion and reporting of diagnostic testing; - completion of treatment plan and discharge plan; - modification of plan of care, as necessary, to meet the ongoing needs of the patient; - assignment of appropriate levels of care; - completion of all required documentation in EPIC and MIDAS
+ Serves as a preceptor, as appropriate, and implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. Serves a resource for casemanagement and social work resources and needs for the department and the hospital.
**SERVICE ESSENTIAL FUNCTIONS**
+ Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Millman l criteria, initiates discussion with attending physicians, coordinates with the external casemanager to facilitate discharge planning, seeks assistance from the physician advisor, if needed, and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.
+ Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews level of care denials to identify trends and collaborate with team to recommend opportunities for process improvement.
**QUALITY/SAFETY ESSENTIAL FUNCTIONS**
+ Documents assessment and interventions efficiently and effectively.
+ Plans for routine/difficult discharge and anticipates/prevents and manages emergent situations. Specific focus given to discharge plan and elimination of barriers.
+ Performs post-discharge review by analyzing the inpatient record to ensure that compliance with quality indicators are met. Intervenes and takes appropriate action to foster real-time compliance with CMS guidelines and other performance measures associated with certification programs and other regulatory, national, regional or locally- sponsored quality programs. Provides reports, as needed, to appropriate parties showing: - compliance with established governmental and/or institutional rules and regulations - analysis of problematic areas, and - actions taken to improve compliance
+ Conducts chart audits and performs peer-to-peer evaluations for continuous quality improvement.
+ Identifies opportunities to improve patient satisfaction with focus on discharge domain and collaborates with unit leadership to implement evidence-based patient engagement strategies.
**FINANCE ESSENTIAL FUNCTIONS**
+ Monitors Length of Stay (LOS) for case load on an ongoing basis. Identifies population and/or service-specific trends impacting LOS and addresses/resolves problems impeding treatment progress. Proactively takes action to achieve continuous improvement and expedite care/facilitate discharge. Contributes to meeting departmental financial target on scorecard
+ Manages all patients in Observation Status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.
+ Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and federal agencies. Responds to requests for information, monitors covered days, and initiates review to assure that all days are covered and reimbursable.
**GROWTH/INNOVATION ESSENTIAL FUNCTIONS**
+ Provides education to unit-based physicians, nurses, and other healthcare providers on any casemanagement topics.
+ Identifies opportunity for practice changes. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.
+ Identifies and presents areas for innovation, efficiency and improvement in casemanagement or department operations using evidence-based practice literature. Completes and updates the individual development plan (IDP) on an on-going basis.
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform: No
+ Scrubs: No
+ Business professional: Yes
+ Other (department approved): No
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below._
+ On Call* Yes
**TRAVEL****
_**Travel specifications may vary by department**_
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
**Company Profile:**
Houston Methodist The Woodlands Hospital opened in June 2017. This 725,000-square-foot, full-service, acute-care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also, on the beautiful hospital campus, located at the intersection of Interstate 45 and Texas State Highway 242, are two medical office buildings, which include a Breast Care Center; Cancer Center; infusion center; heart and vascular services; neurology; orthopedics and sports medicine; rehabilitation services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened Healing Tower - a $250 million expansion project that added 106 beds, focused on medical-surgical and women's services, and provided nine operating rooms. The project also included the expansion of the endoscopy center, emergency department and diagnostic imaging department with an enhanced neurodiagnostic and interventional center.
$27k-45k yearly est. 14d ago
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Social Work Care Manager - Kissimmee
Adventhealth 4.7
Kissimmee, FL jobs
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
* Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
* Paid Time Off from Day One
* 403-B Retirement Plan
* 4 Weeks 100% Paid Parental Leave
* Career Development
* Whole Person Well-being Resources
* Mental Health Resources and Support
* Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
2450 N ORANGE BLOSSOM TRL
City:
KISSIMMEE
State:
Florida
Postal Code:
34744
Job Description:
$3,000 Relocation available for eligible candidates (external, 12 month contract required, must be relocating greater than 50 miles for the purpose of employment at CFD facility.)
Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
Knowledge, Skills, and Abilities:
* N/A
Education:
* Master's [Required]
Field of Study:
* N/A
Work Experience:
* 2+ care management experience [Preferred]
* 2+ social work [Required]
Additional Information:
Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements
Licenses and Certifications:
* Accredited CaseManager (ACM) [Preferred]
* Certified CaseManager (CCM) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - ****************************
Pay Range:
$23.71 - $44.09
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
$23.7-44.1 hourly 7d ago
Social Work Care Manager Part Time
Adventhealth 4.7
Kissimmee, FL jobs
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
* Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
* Paid Time Off from Day One
* 403-B Retirement Plan
* 4 Weeks 100% Paid Parental Leave
* Career Development
* Whole Person Well-being Resources
* Mental Health Resources and Support
* Pet Benefits
Schedule:
Part time
Shift:
Day (United States of America)
Address:
400 CELEBRATION PL
City:
CELEBRATION
State:
Florida
Postal Code:
34747
Job Description:
Hours- 2- 12 hour shifts 7am-7:30pm(Saturday and Sunday)
Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
The expertise and experiences you'll need to succeed:
QUALIFICATION REQUIREMENTS:
Master's (Required) Accredited CaseManager (ACM) - EV Accredited Issuing Body, Certified Advanced Practice Social Worker (CAPSW) - Accredited Issuing Body, Certified CaseManager (CCM) - EV Accredited Issuing Body, Certified Independent Social Worker (CISW) - Accredited Issuing Body, Certified Social Worker (CSW) - Accredited Issuing Body, Clinical Social Worker License (LCSW) - EV Accredited Issuing Body, Licensed Baccalaureate Social Worker (LBSW) - EV Accredited Issuing Body, Licensed Master Social Worker (LMSW) - EV Accredited Issuing Body, Licensed Masters Social Worker - Advanced Practice (LMSW-AP) - Accredited Issuing Body, Licensed Social Worker (LSW) - EV Accredited Issuing Body
Pay Range:
$23.71 - $44.09
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
$23.7-44.1 hourly 5d ago
Care Management Social Worker Nonexempt
Adventhealth 4.7
Wesley Chapel, FL jobs
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
* Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
* Paid Time Off from Day One
* 403-B Retirement Plan
* 4 Weeks 100% Paid Parental Leave
* Career Development
* Whole Person Well-being Resources
* Mental Health Resources and Support
* Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
2600 BRUCE B DOWNS BLVD
City:
WESLEY CHAPEL
State:
Florida
Postal Code:
33544
Job Description:
Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
Knowledge, Skills, and Abilities:
* N/A
Education:
* Master's [Required]
Field of Study:
* N/A
Work Experience:
* 2+ care management experience [Preferred]
* 2+ social work [Required]
Additional Information:
Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements
Licenses and Certifications:
* Accredited CaseManager (ACM) [Preferred]
* Certified CaseManager (CCM) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - ****************************
Pay Range:
$23.71 - $44.09
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
$23.7-44.1 hourly 7d ago
Care Management Social Worker Nonexempt
Adventhealth 4.7
Wesley Chapel, FL jobs
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**All the benefits and perks you need for you and your family:**
+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
**Schedule:**
Full time
**Shift:**
Day (United States of America)
**Address:**
2600 BRUCE B DOWNS BLVD
**City:**
WESLEY CHAPEL
**State:**
Florida
**Postal Code:**
33544
**Job Description:**
+ Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
+ Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
+ Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
+ Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
+ Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
**Knowledge, Skills, and Abilities:**
- N/A
**Education:**
- Master's [Required]
**Field of Study:**
- N/A
**Work Experience:**
- 2+ care management experience [Preferred]
- 2+ social work [Required]
**Additional Information:**
Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements
**Licenses and Certifications:**
- Accredited CaseManager (ACM) [Preferred]
- Certified CaseManager (CCM) [Preferred]
**Physical Requirements:** _(Please click the link below to view work requirements)_
Physical Requirements - ****************************
**Pay Range:**
$23.71 - $44.09
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Behavioral & Social Work Services
**Organization:** AdventHealth Wesley Chapel
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150726769
$23.7-44.1 hourly 6d ago
Care Management Social Worker Nonexempt
Adventhealth 4.7
Daytona Beach, FL jobs
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**All the benefits and perks you need for you and your family:**
+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
**Schedule:**
Full time
**Shift:**
Day (United States of America)
**Address:**
301 MEMORIAL MEDICAL PKWY
**City:**
DAYTONA BEACH
**State:**
Florida
**Postal Code:**
32117
**Job Description:**
+ Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
+ Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
+ Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
+ Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
+ Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
**The expertise and experiences you'll need to succeed:**
**QUALIFICATION REQUIREMENTS:**
Master's (Required) Accredited CaseManager (ACM) - EV Accredited Issuing Body, Certified Advanced Practice Social Worker (CAPSW) - Accredited Issuing Body, Certified CaseManager (CCM) - EV Accredited Issuing Body, Certified Independent Social Worker (CISW) - Accredited Issuing Body, Certified Social Worker (CSW) - Accredited Issuing Body, Clinical Social Worker License (LCSW) - EV Accredited Issuing Body, Licensed Baccalaureate Social Worker (LBSW) - EV Accredited Issuing Body, Licensed Master Social Worker (LMSW) - EV Accredited Issuing Body, Licensed Masters Social Worker - Advanced Practice (LMSW-AP) - Accredited Issuing Body, Licensed Social Worker (LSW) - EV Accredited Issuing Body
**Pay Range:**
$23.71 - $44.09
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Behavioral & Social Work Services
**Organization:** AdventHealth Daytona Beach
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150654087
$23.7-44.1 hourly 3d ago
Care Management Social Worker Nonexempt
Adventhealth 4.7
Daytona Beach, FL jobs
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
* Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
* Paid Time Off from Day One
* 403-B Retirement Plan
* 4 Weeks 100% Paid Parental Leave
* Career Development
* Whole Person Well-being Resources
* Mental Health Resources and Support
* Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
301 MEMORIAL MEDICAL PKWY
City:
DAYTONA BEACH
State:
Florida
Postal Code:
32117
Job Description:
Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
The expertise and experiences you'll need to succeed:
QUALIFICATION REQUIREMENTS:
Master's (Required) Accredited CaseManager (ACM) - EV Accredited Issuing Body, Certified Advanced Practice Social Worker (CAPSW) - Accredited Issuing Body, Certified CaseManager (CCM) - EV Accredited Issuing Body, Certified Independent Social Worker (CISW) - Accredited Issuing Body, Certified Social Worker (CSW) - Accredited Issuing Body, Clinical Social Worker License (LCSW) - EV Accredited Issuing Body, Licensed Baccalaureate Social Worker (LBSW) - EV Accredited Issuing Body, Licensed Master Social Worker (LMSW) - EV Accredited Issuing Body, Licensed Masters Social Worker - Advanced Practice (LMSW-AP) - Accredited Issuing Body, Licensed Social Worker (LSW) - EV Accredited Issuing Body
Pay Range:
$23.71 - $44.09
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
$23.7-44.1 hourly 3d ago
Social Worker-Case Mgmt
Ascension Health 3.3
Bastrop, TX jobs
**Details**
+ **Department:** CaseManagement
+ **Schedule:** PRN
+ **Hospital:** Ascension Seton Bastrop
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._
**Responsibilities**
Coordinate the overall interdisciplinary plan of care for patient, from admission to discharge.
+ Create plan for care across the continuum, integrating patient/family preferences and values.
+ Serve as a resource to assess, evaluate, recommend and treat legal, neglect, substance abuse, crisis, psychosocial and various adjustment needs.
+ Advocate for resources and removal of barriers.
+ Maintain ongoing dialog with supervisor and care transition team members to ensure effectiveimplementation and reevaluation of health plan.
+ Act as a resource for adequate medical record documentation, complex level of care recommendations, and services as they relate to diagnoses, and treatment options for post-discharge care.
**Requirements**
Licensure / Certification / Registration:
+ Required Credential(s):
+ One or more of the following:
+ Clinical Counselor obtained prior to hire date or job transfer date.
+ Counselor credentialed from the Texas State Board of Examiners of Professional Counselors obtained prior to hire date or job transfer date.
+ Social Worker credentialed from the Texas State Board of Social Worker Examiners obtained prior to hire date or job transfer date.
+ Social Worker specializing in Clinical Practice obtained prior to hire date or job transfer date.
+ Preferred Credential(s):
+ CaseManager credentialed from the Commission for CaseManager Certification (CCMC).
+ CaseManager credentialed from the American CaseManagement Association (ACMA).
Education:
+ Bachelor's degree in Social Work required.
Work Experience:
+ 3 years of experience preferred.
**Why Join Our Team**
Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) (****************************************************************************************** poster or EEO Know Your Rights (Spanish) (******************************************************************************************** poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice (***********************************************************************************************
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
$38k-69k yearly est. 3d ago
Occupational Therapist - Program Manager
Aegis Therapies 4.0
Zimmerman, MN jobs
**Program Manager - Outpatient - Occupational Therapist**
**Great Work/life Balance and Flexibility of hours**
**Part -time opportunity**
**Setting:** Assisted Living, Independent Living, Outpatient,
Lovely Community - Work with higher functioning residents
**Schedule:** Monday to Friday, No Weekends, No Evenings
If you're customer focused, great at developing relationships, and brimming with ambition, **this position is right for you!**
With a **Program Manager Outpatient** career, you get the best of both worlds: the chance to improve the lives of seniors while developing your leadership skills as the "go to person" on the team for the customer, resident, and staff.
**Aegis Therapies** , one of the nation's leading providers of contract rehabilitation and wellness services, is hiring a **Program Manager** to join our supportive team and reap the benefits of some of the best career advantages in the industry.
**Why Aegis Therapies:**
+ **Career Growth & Development:** We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.
+ **Flexibility - Redefining Work-life Balance:** We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
+ **Impactful Work:** Make a meaningful difference in the lives of our patients.
+ **Supportive Environment:** Collaborate with teams that value your expertise and dedication.
**Benefits:**
+ Support, local clinical mentorship, clinical education and unlimited CEUs
+ Create your own career path: clinically, management, etc.
+ Flexible schedule, paid time off, plus one paid CEU day
+ Licensure and professional membership reimbursement
+ Interdisciplinary collaboration for providing the best patient care
+ Medical, dental, vision within 30 days or less
+ National opportunity to transfer while maintaining employment status
+ Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health
+ New Grads Welcomed!
+ And much more
**Qualifications:**
+ Current license or ability to obtain as a Therapist/Assistant in the state of practice
+ Must meet Clinical Competency requirements
+ Current CPR certification, preferred
As a lead in the building, the **Program Manager** will treat patients while getting leadership experience with administrative tasks, such as scheduling and serving as a liaison for Area Manager.
If you love to make a difference in people's lives and have big goals for yourself, apply today.
EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here (*********************************************************************** OR ************************************************************************************** .
$64k-100k yearly est. 3d ago
Outpatient Occupational Therapist - Rehab Program Manager - Part-time
Aegis Therapies 4.0
Maple Plain, MN jobs
**Outpatient Occupational Therapist Program Manager - Part-time**
**Great Work/life Balance and Flexibility of hours**
**Full-time, Part-time & Consistent PRN Opportunities Available**
**Setting:** Assisted Living, Independent Living, Outpatient,
Lovely Community - Work with higher functioning residents
**Job Type:** Full-time, Part-time, PRN
**Schedule:** Monday to Friday, No Weekends, No Evenings
If you're customer focused, great at developing relationships, and brimming with ambition, **this position is right for you!**
With a **Program Manager Outpatient** career, you get the best of both worlds: the chance to improve the lives of seniors while developing your leadership skills as the "go to person" on the team for the customer, resident, and staff.
**Aegis Therapies** , one of the nation's leading providers of contract rehabilitation and wellness services, is hiring a **Program Manager** to join our supportive team and reap the benefits of some of the best career advantages in the industry.
**Why Aegis Therapies:**
+ **Career Growth & Development:** We invest in your future with specialized, ongoing training, career advancement opportunities and the strongest clinical support in the industry.
+ **Flexibility - Redefining Work-life Balance:** We offer you the opportunity to maintain flexibility and a healthy work-life balance, so you never have to choose between your career and the things that make life worth living.
+ **Impactful Work:** Make a meaningful difference in the lives of our patients.
+ **Supportive Environment:** Collaborate with teams that value your expertise and dedication.
**Benefits:**
+ Support, local clinical mentorship, clinical education and unlimited CEUs
+ Create your own career path: clinically, management, etc.
+ Flexible schedule, paid time off, plus one paid CEU day
+ Licensure and professional membership reimbursement
+ Interdisciplinary collaboration for providing the best patient care
+ Medical, dental, vision within 30 days or less
+ National opportunity to transfer while maintaining employment status
+ Multiple settings nationwide: CCRC, SNF, Assisted Living, Outpatient Clinics, Home Health
+ New Grads Welcomed!
+ And much more
**Qualifications:**
+ Current license or ability to obtain as a Therapist/Assistant in the state of practice
+ Must meet Clinical Competency requirements
+ Current CPR certification, preferred
As a lead in the building, the **Program Manager** will treat patients while getting leadership experience with administrative tasks, such as scheduling and serving as a liaison for Area Manager.
If you love to make a difference in people's lives and have big goals for yourself, apply today.
EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here (*********************************************************************** OR ************************************************************************************** .
$63k-98k yearly est. 3d ago
Registered Nurse Case Manager, Case Management, FT, 8:30A-5P
Baptist Health South Florida 4.5
Miami, FL jobs
The purpose of the RN CaseManager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while working in partnership with the UR RN and Social Work CaseManager. The RN CaseManager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement, Application of process improvement methodologies in evaluating outcomes of care, Coordinating communication with the healthcare team, patients, families and post-acute care services, Readmission screening and prevention. Estimated salary range for this position is $73860.80 - $98234.86 / year depending on experience. Degrees:
* Associates.
Licenses & Certifications:
* Registered Nurse.
Additional Qualifications:
RNs hired prior to 2/2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associate Degree are not required to have a BSN to continue their non-leadership role as an RN, however, they are required to complete BSN within 5 years of job entry date.
3 years of hospital clinical experience with a minimum of 1-3 years of hospital or payor CaseManagement experience preferred.
Excellent interpersonal communication and negotiation skills.
Strong analytical, data management and computer skills.
Current working knowledge of discharge planning, utilization management, casemanagement and performance improvement preferred.
Understanding of pre-acute and post-acute venues of care and post-community resources preferred.
Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.
Minimum Required Experience: 3 Years
$73.9k-98.2k yearly 1d ago
Registered Nurse, Case Manager, Baptist Downtown
Baptist Health-Florida 4.8
Jacksonville, FL jobs
Baptist Health is looking for a Registered Nurse, CaseManager at Baptist Medical Jacksonville - Downtown campus. This is a Full Time Day shift opportunity working Monday - Friday in the In-Patient CaseManagement Department at Baptist Jacksonville - Downtown campus.
As a CaseManager, you are responsible for:
Care coordination for hospitalized patients.
High risk screenings and assessments.
Coordinating post acute care services with proper documentation.
Collaborating with multidisciplinary team members.
If you are interested in this Full-Time Days opportunity at Baptist Jacksonville - Downtown campus, apply today!
Full/Part Time
Full-Time
Shift Details
Days
Education Required
Associate's Degree - Nursing
Education Preferred
Bachelor's Degree - Nursing
Experience
* 1 year CaseManagement Experience
Licenses and Certifications
* Cardiopulmonary Resuscitation Certification (CPR) Required
* Licensed Registered Nurse Required
Location Overview
Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.
$60k-91k yearly est. 2d ago
RN- Registered Nurse - Case Manager
Alliance Medical Staffing 4.4
Austin, TX jobs
Specialty: CaseManager Duration: 13 Week Shift: 4x10 Job Description: Alliance Medical Staffing has a new Travel Job opportunity for a RN- Registered Nurse with our client in Austin, TX.
Location: Austin, TX
License Required: TX
Specialty: CaseManager -Inquire with a Recruiter for more details at (402) 512-1392 or Support@AllianceMedStaffing.com
Start: 2026-01-12 for 13 Week
Shift: Days- 4x10 -- 0800-1700
Apply here today for further details and to be connected with the hiring manager ASAP! This Job Reference Code 23-975119
$63k-78k yearly est. 5d ago
Registered Nurse RN Case Manager Williamsburg Peninsula Area
Bristol Hospice 4.0
Richmond, VA jobs
Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?
At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN CaseManagers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place.
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn.
Our Culture
Our culture is cultivated using the following values:
Integrity: We are honest and professional.
Trust: We count on each other.
Excellence: We strive to always do our best and look for ways to improve and excel.
Accountability: We accept responsibility for our actions, attitudes, and mistakes.
Mutual Respect: We treat others the way we want to be treated.
$61k-71k yearly est. 2d ago
RN Case Manager
Bristol Hospice 4.0
Houston, TX jobs
Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?
At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN CaseManagers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place.
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn.
Our Culture
Our culture is cultivated using the following values:
Integrity: We are honest and professional.
Trust: We count on each other.
Excellence: We strive to always do our best and look for ways to improve and excel.
Accountability: We accept responsibility for our actions, attitudes, and mistakes.
Mutual Respect: We treat others the way we want to be treated.
$63k-74k yearly est. 7d ago
RN Case Manager
Bristol Hospice 4.0
Miami, FL jobs
Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?
At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN CaseManagers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place.
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn.
Our Culture
Our culture is cultivated using the following values:
Integrity: We are honest and professional.
Trust: We count on each other.
Excellence: We strive to always do our best and look for ways to improve and excel.
Accountability: We accept responsibility for our actions, attitudes, and mistakes.
Mutual Respect: We treat others the way we want to be treated.
$58k-68k yearly est. 2d ago
RN Case Manager
Bristol Hospice 4.0
Dallas, TX jobs
Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?
At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN CaseManagers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place.
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn.
Our Culture
Our culture is cultivated using the following values:
Integrity: We are honest and professional.
Trust: We count on each other.
Excellence: We strive to always do our best and look for ways to improve and excel.
Accountability: We accept responsibility for our actions, attitudes, and mistakes.
Mutual Respect: We treat others the way we want to be treated.
$63k-73k yearly est. 6d ago
Clinical Nutrition Supervisor
Advocate Aurora Health 3.7
Rome, GA jobs
Department:
11903 Atrium Health Floyd Medical Center - Food and Nutrition
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
FT/Various
Pay Range
$34.90 - $52.35
Essential Functions:
Assesses and monitors nutritional status of patients/clients and adjusts nutritional care as indicated utilizing current scientific literature on methodology and relates this information to medical status, anthropometric data, clinical assessment, and dietary evaluation of the patient/client.
Provides medical nutrition therapy (MNT)/counseling including assessment and education, developing, monitoring, and implementing MNT/counseling for patients/clients in assigned areas.
May write medical nutrition therapy orders per hospital by-laws.
Communicates with physicians, nurses, and others to coordinate nutrition into a total patient/client therapy program.
Completes all required documentation including nutritional care plan, assessments, consultations, nutrient intake analysis, and patient/client education in the patient's medical record and on all required documentation tools in a timely, professional, and thorough manner.
Teaches and disseminates results and findings of nutrition research to medical team members, nursing, pharmacy, patients, and public.
Coordinates hiring, coaching, training, and development, of assigned nutrition teammates, including ongoing review of clinical competencies.
Works with management to communicate facility, department, and system information and updates through staff meetings, written memos, and group presentations.
Contributes to the dietetic internship program, which may include serving in the role of preceptor and/or coordination of on boarding and scheduling of clinical rotation.
Participates in meetings where departmental goals are established or where performance improvement projects are developed
Physical Requirements:
Must be able to give and receive verbal communications on a continuous basis. Must be able to read written communications on a continuous basis both hard copy and on a computer screen. Able to compose written communications frequently. Able to lift and carry objects weighing 25 pounds or less occasionally. Able to perform motor skills as reaching out/up. Frequent periods of walking, standing, sitting. Infrequently squatting, twisting, and bending.
Education, Experience and Certifications
Bachelor's degree required and at least 3 years clinical experience. Master's degree preferred. Registered Dietitian (by the Commission on Dietetic Registration) required. Licensed by the applicable state Board of Dietetics (or affiliated state board as applicable) required OR within 3 months of employment. Previous experience and demonstration of leadership skills preferred. Department managers determine requirements for specialty certifications relevant to the position and the timeframe required to obtain.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$34k-42k yearly est. 3d ago
RN Case Manager
Bristol Hospice 4.0
Fort Worth, TX jobs
Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?
At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN CaseManagers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place.
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn.
Our Culture
Our culture is cultivated using the following values:
Integrity: We are honest and professional.
Trust: We count on each other.
Excellence: We strive to always do our best and look for ways to improve and excel.
Accountability: We accept responsibility for our actions, attitudes, and mistakes.
Mutual Respect: We treat others the way we want to be treated.
$63k-73k yearly est. 1d ago
Case Manager - PRN
Houston Methodist 4.5
Case manager job at Houston Methodist
At Houston Methodist, the CaseManager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for casemanagement of a target patient population on a designated unit(s). This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The CM PRN holds joint accountability with social worker for discharge planning and continuity of care and assures that admission and continued stay are medically necessary and communicates clinical information to payors to ensure reimbursement. The CM PRN helps drive change by identifying areas where performance improvement is needed (e.g., day-to-day workflow, education, process improvements, patient satisfaction).
FLSA STATUS
Non-exempt
QUALIFICATIONS
EDUCATION
* Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates, Licenses and Registrations section.
EXPERIENCE
* Three (3) years hospital clinical nursing experience which includes two (2) years in casemanagement
LICENSES AND CERTIFICATIONS
Required
* RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency)
SKILLS AND ABILITIES
* Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
* Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
* Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
* Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
* Knowledge of Medicare, Medicaid and Managed Care requirements
* Comprehensive knowledge of community resources, health care financial and payer requirements/issues, and eligibility for state, local and federal programs
* Comprehensive knowledge of discharge planning, utilization management, casemanagement, performance improvement and managed care reimbursement.
* Understanding of pre-acute and post-acute venues of care and post-acute community resources.
* Ability to work independently
* Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
* Demonstrates critical thinking and makes decisions using evidence-based analytical approach in interactions with physicians, payors, and patients and their families
* Well versed in computer skills of the entire Microsoft Office Suite (Access, Excel, Outlook, PowerPoint and Word)
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
* Collaborates with the physician and all members of the interprofessional health care team to facilitate care for designated case load; monitors the patient's progress, intervening as needed to ensure that the plan of care and services provided are patient-focused, high quality, efficient, and cost-effective; facilitates timely: • completion and reporting of diagnostic testing; • completion of treatment plan and discharge plan; • modification of plan of care, as necessary, to meet the ongoing needs of the patient; • assignment of appropriate levels of care; • completion of all required documentation in EPIC and MIDAS
* Serves as a preceptor, as appropriate, and implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. Serves a resource for casemanagement and social work resources and needs for the department and the hospital.
SERVICE ESSENTIAL FUNCTIONS
* Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Millman l criteria, initiates discussion with attending physicians, coordinates with the external casemanager to facilitate discharge planning, seeks assistance from the physician advisor, if needed, and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.
* Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews level of care denials to identify trends and collaborate with team to recommend opportunities for process improvement.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
* Documents assessment and interventions efficiently and effectively.
* Plans for routine/difficult discharge and anticipates/prevents and manages emergent situations. Specific focus given to discharge plan and elimination of barriers.
* Performs post-discharge review by analyzing the inpatient record to ensure that compliance with quality indicators are met. Intervenes and takes appropriate action to foster real-time compliance with CMS guidelines and other performance measures associated with certification programs and other regulatory, national, regional or locally- sponsored quality programs. Provides reports, as needed, to appropriate parties showing: • compliance with established governmental and/or institutional rules and regulations • analysis of problematic areas, and • actions taken to improve compliance
* Conducts chart audits and performs peer-to-peer evaluations for continuous quality improvement.
* Identifies opportunities to improve patient satisfaction with focus on discharge domain and collaborates with unit leadership to implement evidence-based patient engagement strategies.
FINANCE ESSENTIAL FUNCTIONS
* Monitors Length of Stay (LOS) for case load on an ongoing basis. Identifies population and/or service-specific trends impacting LOS and addresses/resolves problems impeding treatment progress. Proactively takes action to achieve continuous improvement and expedite care/facilitate discharge. Contributes to meeting departmental financial target on scorecard
* Manages all patients in Observation Status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.
* Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and federal agencies. Responds to requests for information, monitors covered days, and initiates review to assure that all days are covered and reimbursable.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
* Provides education to unit-based physicians, nurses, and other healthcare providers on any casemanagement topics.
* Identifies opportunity for practice changes. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.
* Identifies and presents areas for innovation, efficiency and improvement in casemanagement or department operations using evidence-based practice literature. Completes and updates the individual development plan (IDP) on an on-going basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
* Uniform: No
* Scrubs: No
* Business professional: Yes
* Other (department approved): No
ON-CALLNote that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
* On Call* Yes
TRAVELTravel specifications may vary by department
* May require travel within the Houston Metropolitan area Yes
* May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist The Woodlands Hospital opened in June 2017. This 725,000-square-foot, full-service, acute-care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also, on the beautiful hospital campus, located at the intersection of Interstate 45 and Texas State Highway 242, are two medical office buildings, which include a Breast Care Center; Cancer Center; infusion center; heart and vascular services; neurology; orthopedics and sports medicine; rehabilitation services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened Healing Tower - a $250 million expansion project that added 106 beds, focused on medical-surgical and women's services, and provided nine operating rooms. The project also included the expansion of the endoscopy center, emergency department and diagnostic imaging department with an enhanced neurodiagnostic and interventional center.
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