Nurse Manager of Case Management

Healthcare Employment Partners
Houston, TX Full Time
POSTED ON 5/17/2024
Great opportunity for a Nurse Manager of Case Management  in the Houston area of Texas.

Shift: Full Time-No Weekends

Responsibilities of the Nurse Manager of Case Management  
  • Reports directly to the Director of Case Management and provides oversight to the Case management team.
  • Responsible for coordinating, monitoring, executing and evaluating Case Management Department activities.
  • Accountable for assisting hospital utilization performance improvement in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
  • Utilization Management supporting medical necessity and denial prevention
  • Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
  • Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care 
  • Compliance with state and federal regulatory requirements, TJC accreditation standards 
  •  Education provided to physicians, patients, families and caregivers

Requirements of the Nurse Manager of Case Management 
  • Current RN licensure in the State of Texas
  • Graduate of an accredited school of Nursing;  Bachelors degree required 
  • Two years acute hospital case management experience preferred. 
  • One year acute hospital case management leadership experience preferred.  
  • McKesson InterQual® experience preferred. 
  • Accredited Case Manager (ACM) preferred. 
This facility is an acute care hospital that has been serving the north Houston community for more than 40 years, providing a wide range of medical services including cardiology, maternity care, neonatal intensive care, pediatrics, bariatrics and neurology.

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