Case Manager Full Time Job at ScionHealth, Houston, TX

eVk3WDZFQTNheHhSLzU5T0l1cDhQWEdJclE9PQ==
  • ScionHealth
  • Houston, TX

Job Description




At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions
Care Coordination

  • Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
  • Monitors all areas of patients’ stay for effective care coordination and efficient care facilitation.
  • Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
  • Appropriately refers high risk patients who would benefit from additional support.
  • Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
  • Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.
  • Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients’ care throughout the care continuum.

Knowledge/Skills/Abilities/Expectations

  • Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
  • Knowledge of Medicare benefits and insurance processes and contracts.
  • Knowledge of accreditation standards and compliance requirements.
  • Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
  • Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
  • Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers
  • Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.
  • Approximate percent of time required to travel, 0%
  • Must read, write and speak fluent English.
  • Must have good and regular attendance.
  • Performs other related duties as assigned.
Qualifications

Education

  • Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations

Licenses/Certification

  • Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations. 
  • Certification in Case Management a plus.

Experience

  • Two years of experience in a healthcare setting preferred.
  • Prefer prior experience in case management, utilization review, or discharge planning.

Job Tags

Full time, Work at office,

Similar Jobs

US Army Installation Management Command

CYS Training Specialist NF-04 Job at US Army Installation Management Command

 ...continuous years immediately preceding the start of Federal affiliation. Duties Plan and implement a comprehensive training and professional development program that promotes positive growth and development of children and youth IAW all applicable regulations... 

International House Hotel

Director of Engineering / Chief Engineer Job at International House Hotel

 ...T he Chief Engineer is responsible for the operation, maintenance and repair of the entire hotel facility, including equipment, tools and facilities to ensure guest service and sustainability standards are achieved and maintained throughout the hotel. This includes oversight... 

Shawnee Health

Care Coordinator Supervisor Job at Shawnee Health

Care Coordinator Supervisor Location Remote : Shawnee Health - Care Coordinator Supervisor Join Southern Illinois' leading healthcare organization, with over 380 team members who believe that in taking care of each other and our patients and clients, we create new opportunities... 

Aramark

- CDL Bus Driver Class B - Lincoln University Facility Job at Aramark

 ...Job Description The Driver II has a CDL and may drive a bus, shuttle van, or straight truck, or boathauling vehicle. Drivers in this position that hold a Class B CDL; drive vehicles under 26,000 lb such as a passenger bus or a straight truck with air brakes or a combination... 

Bath Concepts Independent Dealers

Call Center Manager Job at Bath Concepts Independent Dealers

 ...Call Center Manager | New Bay Remodeling Location: Clearwater, FL Full-Time About Us: At New Bay Remodeling , were transforming...  ...coaching, and conflict resolution skills Comfortable with evening and weekend availability Tech-savvy with solid computer and...