The Staff Pad is proud to partner with a respected
healthcare organization in Hamilton, TX to recruit an experienced Case
Management Manager who is passionate about improving patient outcomes, leading
high-performing teams, and ensuring safe, efficient transitions of care.
The Case Management Manager leads and supports the
Case Management team in coordinating patient care from admission through
discharge. This role collaborates closely with physicians, nursing staff, and interdisciplinary
teams to remove barriers to timely discharge, improve patient outcomes, ensure
regulatory compliance, and promote cost-effective care while maintaining the
highest standards of patient advocacy
What You’ll Do
Key Responsibilities
- Conduct
discharge assessments on admission & develop timely, appropriate
discharge plans
- Perform
daily patient assessments, monitor, evaluate & document patient
progress
- Coordinate
post-hospital care & coordinate discharge to home and other care
settings
- Provide,
document, and coordinate patient and family education; serve as liaison
among patients, families, physicians, and the care team
- Document
discharge services accurately and timely in accordance with hospital
policy
- Maintain
individualized patient care plans and update them based on changes in
patient status
- Review
denials, identify appeal needs, and ensure appropriate appeal completion
- Review
continued stay, medical necessity, medical reports and treatment plans
- Facilitate
access to financial assistance, advance directives, legal aid, education
and medication assistance programs
- Coordinate
patient care and rehabilitation using consultation findings and social
work expertise
- Partner
with Quality Improvement to enhance patient safety, establish goals, and
submit monthly quality reports
- Review
payer-requested charts and communicate clinical information to payers
- Maintain
referral source database & refer patients, families to community
resources
- Identify
barriers to patient progress & perform social work duties as needed
- Document
ongoing physiological, psychosocial assessments, patient and family
education and responses & interdisciplinary care plan recommendations
- Validate,
transcribe, and co-sign physician orders; report patient progress, and
advise physicians and departments on utilization management regulations
- Perform
utilization reviews in compliance with state regulations and evolving
utilization management regulations
- Monitor
daily case management needs & maintain collaborative staff
relationships
- Communicate
discharge plans with physicians and complete follow-up calls within three
days of discharge
Additional Responsibilities
- Assist
with coordinating quarterly utilization review committee activities and
updating policies and procedures
- Perform
registered nurse duties in accordance with the RN job description
- Maintain
confidentiality and HIPAA compliance when handling sensitive information
- Adhere
to organizational behavioral standards personnel policies and customer
service expectations
- Perform
other duties as assigned
What We Are Looking For
Qualifications
- Graduate
of an accredited School of Nursing
- RN
license in the State of Texas, Current CPR, BLS certification; ACLS
preferred
- 5+
years of Registered Nurse experience; Case Management leadership
experience preferred
- Knowledge
of utilization management, discharge planning, and regulatory requirements
Additional Requirements
- Compassionate
and patient-focused leadership
- Excellent
communication, relationship-building, clinical judgement and
problem-solving skills
- Commitment
to quality, safety, and continuous improvement
- Ability
to multitask and perform in a fast-paced environment
- Ability
to stand, walk, bend, lift up-to 50 pounds, and assist patients as needed
What You Can Expect
Benefits
- Paid
Time Off & Holidays
- Health
& Supplemental Insurance
- Direct
Deposit
- Fitness
Center Membership
- Education
Reimbursement
- Retirement
Plan
If you're a collaborative nurse leader who thrives
in a fast-paced acute care environment looking to lead a dedicated Case
Management team while making a lasting impact on patients and their families,
we encourage you to apply today!