The Manager of Case Management is responsible for the supervision of the following functions: Case Management, Care Coordination, Social Services, Discharge Planning, and Utilization Review. The Manager will assure that the department performs the following functions: assessment, discharge planning, implementation, coordination, monitoring, and evaluation of the care of patients in the facility, through the continuum of care. Functions as a resource person for supervisory staff members and assists in necessary education of individual supervisory members of staff. The Manager will coordinate with her staff to guarantee facilitation and collaboration with physicians, patients, families, and payers, as well as the multidisciplinary healthcare team to maximize efficient utilization of the patient and hospital resources to promote quality, cost-effective outcomes.
QualificationsMINIMUM EDUCATION:
Graduate from an accredited nursing school
MINIMUM WORK EXPERIENCE:
Three to five years management experience in Case Management in an acute care setting, with a certificate in Case Management (CCM). CPUR or other certification a plus, but not required.
REQUIRED LICENSES/CERTIFICATIONS:
Current licensure in Texas as a Registered Nurse. CCM – CPUR or other certification a plus but not required.
REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:
Proficient in data analysis. Must possess clinical and communication skills necessary to assist with the strategic planning for the management of clinical and financial risk. Self-directed, and able to work independently. Exercise sound judgment, discretion and initiatives. Demonstrates a positive professional and personal image. Maintains confidentiality. Basic typing skills and computer knowledge. In-depth knowledge of Interqual, Commercial Insurance, Medicare and Medicaid regulations.
ABOUT OAKBEND:
OakBend Medical Center is an independent hospital providing exceptional and compassionate care to patients and the community since 1950. The OakBend family consists of outstanding team members caring for the community at three hospitals and many specialty centers. OakBend’s services and programs include its signature No Wait ER, an advanced trauma center, certified stroke program, hospital air ambulance services and a hospital-based skilled nursing facility. We remain committed to providing a rewarding environment to our team members, to providing necessary services to the community and to developing the best methods to care for our patients, ensuring a healthy future for generations.
Skills Required
- Graduate from an accredited nursing school
- Three to five years of case management management experience in an acute care setting
- Certified Case Manager (CCM) certification
- Current Texas Registered Nurse license
- CPUR or other related certification
- Proficiency in data analysis
- Clinical and communication skills for clinical and financial risk planning
- Knowledge of InterQual, commercial insurance, Medicare, and Medicaid regulations
- Basic typing and computer skills
What We Do
OakBend Medical Center is an independent, nonprofit hospital serving Fort Bend County, Wharton County, and surrounding communities in Texas. It provides primary and specialty care, emergency services, inpatient and outpatient surgery, hospitalization, imaging, laboratory, wound care, cardiopulmonary services, and other advanced medical programs. Its mission is to deliver exceptional, compassionate healthcare to the community regardless of patients’ ability to pay.
