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    Medical Case Manager - Houston, United States - Hiresigma

    Hiresigma
    Hiresigma Houston, United States

    3 weeks ago

    Default job background
    Healthcare
    Description

    Experience / Knowledge / Skills:

    • Three (3) years of nursing or social work experience acute hospital-based preferred, or three (3) years of experience comparable clinical setting (i.e., ambulatory surgery center, infusion/dialysis clinic, Federally Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic).
    • 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 pre-acute and post-acute venues of care and post-acute 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.
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