Supplemental Case Manager, - Houston, United States - Memorial Hermann Health System

Memorial Hermann Health System

Verified Company

Houston, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community.

When we say every member of our community, that includes our employees.

We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency.

If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary
Two years of Care Manager experience required

Three years of hospital based Nursing required

Monday - Friday Days

The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors.

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions.

In addition, the Case Manager helps drive change by identifying areas where performance improvement in needed (e.g., day to day workflow, education, process improvements, patient satisfaction).

The position is responsible for coordinating a wide range of self management support and provides information to update and maintain relevant disease registry activity.

Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.

Minimum Qualification

Two years of Care Manager experience required

Three years of hospital based Nursing required

Education:
Graduate of an accredited school of professional nursing: Bachelors of Nursing preferred; Master's degree preferred

Licenses/Certifications:

Current and valid license to practice as a Registered Nurse in the state of Texas
Certification in Case Management required within two (2) years of hire into the Case Manager position

Experience / Knowledge / Skills:

Three (3) years of experience in hospitalbased nursing
Experience in utilization management, case management, discharge planning or other cost/quality management program preferred
Excellent interpersonal communication and negotiation skills
Demonstrated leadership skills
Strong analytical, data management and PC skills
Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement
Understanding of preacute and postacute venues of care and postacute community resources, physician office routines, and transitional procedures for pre and post acute care
Demonstrated understanding of motivational interviewing and change management
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 physicians, payors, and patients and their families
Effective oral and written communication skills
Demonstrates commitment to the PartnersinCaring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of "we advance health" through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.

Principal Accountabilities

Coordinates/facilitates patient care progression throughout the continuum.
Works collaboratively and maintains active communication with physicians, nursing and other members of the multidisciplinary care team to effect timely, appropriate patient care.
Addresses/resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge.
Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis:
completion and reporting diagnostic testing;

- completion of treatment plan and discharge plan;
- modification of plan of care, as necessary, to meet the ongoing needs of the patient;
- communication to third party payors and other relevant information to the care team;
- assi