Texas Regional Case Manager

Location US-TX-The Woodlands
Posted Date 3 weeks ago(2/1/2018 4:11 PM)
Job ID
2018-6721
Facility
Emerus Holdings Inc
Type
Full-Time
Shift Type
Days

About Us

Emerus is a nationally recognized, innovative leader in the delivery of inpatient, surgical, and diagnostic medical health care. Specializing in the identification, development and management of improved-access community medical facilities, Emerus provides cost effective, scalable growth opportunities to large-scale, national health care systems throughout the United States. 

 

By providing operationally efficient facilities and focused alignment with current health care trends, Emerus’ community-based hospitals prioritize limited inpatient stays, efficient emergency rooms and cost effective pricing in a smaller campus setting. Based in The Woodlands, Texas, Emerus has more than 1,000 employees, with expert concentrations in over 20 different fields throughout the medical industry.

Position Overview

The Case Manager RN coordinates the overall interdisciplinary plan of care for patient, from admission to discharge. The purpose of this position is to provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction.  Promotes continuity of care and cost effectiveness, through the integration of case management, utilization review, and discharge planning.  This position is accountable for the care, and coordination of all patients.

Essential Job Functions

  • Provide case management/utilization review and discharge planning to ensure that the patient progresses through the continuum of care and is discharged to the most appropriate and least restrictive environment.
  • Coordinate the integration of social service function into patient care
  • Acts as patient advocate: investigates and reports adverse occurrences and performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery
  • Complete expanded assessment of patient and family needs at time of admission
  • Collaborate with clinical staff in the development and execution of the plan of care and achievement of goals
  • Monitor the care plan daily to ensure the effectiveness and appropriateness of in‐ patient services; ensure that services are being delivered and meet the needs of the client upon discharge
  • Assess the physical, functional, social, psychological, environmental, and financial needs of clients/patients; identify a comprehensive plan to meet the families’ service needs, and implement the plan. 
  • Mentor interdisciplinary healthcare team in critical thinking processes essential to continuum of care issues.
  • Coordinates patient and family education as needed.

 

Other Job Functions

  • Participates in the development of the Case Management/Utilization Review function by developing processes and procedures
  • Perform other duties as assigned

Basic Qualifications

  • Associate’s Degree required; Bachelor’s Degree preferred
  • RN licensed to practice in the state of Texas
  • Hospital experience required
  • 3 years’ recent Hospital utilization review/case management
  • Active Commission for Case Management Certification (CCMC) desired
  • System experience desired
  • Superior interpersonal skills
  • Proven team building skills in dealing within intra-professional clinical and operations teams including medical staff in diverse settings
  • Ability to establish and maintain collaborative and effective working relationships
  • Ability to communicate professionally and effectively in oral, written and electronic formats
  • Demonstrated analytical and critical thinking abilities with proactive decision-making and negotiation skills.
  • Demonstrates good organizational skills
  • Ability to manage multiple tasks simultaneously
  • Position requires fluency in English; written and oral communication

 

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