Sr Case Manager​/Department Educator

Overview

Join to apply for the Sr Case Manager/Department Educator role at Memorial Hermann Health System
.

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.

The purpose of the Case Manager, Sr. position is to work within a defined patient population to promote the achievement of optimal clinical and resource outcomes. Responsible for facilitating appropriate lengths of stay and reimbursement for all hospital admissions in accordance with its goals and objectives. Acts as the key information and education resource for the interdisciplinary team. Works to develop organization-wide approaches to problem solving.

Analyzes current systems and variances to identify opportunities for improvement. Works to promote quality of care through collaboration with all service team members, patients and families. Works with the leadership team to align the goals and visions. Accountable for a designated patient caseload that is considered more complex and resource intensive. Plans effectively in order to meet patient needs, manage the length of stay, and promote efficient utilization of resources.

Education
:
Bachelor of Science in Nursing (BSN) or Social Work (MSW) required;
Masters degree preferred.

Licenses/Certifications
:

• Current and valid license to practice as a Registered Nurse in the state of Texas or
• Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred
• Case Manager Certification required

• Three (3) years experience in utilization management, case management, discharge planning or other cost/quality management program
• Minimum three (3) years of experience in hospital-based nursing or social work
• 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 and managed care reimbursement
• Understanding of pre-acute and post-acute venues of care and post-acute community resources
• 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

• Oversees the management of specific patient populations across the continuum focusing on high-risk, high-cost patients. Serves as a resource to the multidisciplinary team for the management of complex patients.
• Works with physician leadership and the multidisciplinary team for defined patient populations to develop clinical pathways, continuum care management programs, measurement and feedback of performance indicators for cost, quality and service and patient satisfaction.
• Serves as the primary information resource for case management staff, payors, physicians, other healthcare team members and customers (skill areas include: regulatory requirements, pathway development/implementation, ethics/healthcare law, clinical skill, etc.)
• Facilitates learning experiences of…