3952 Management jobs in Deer Park
Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
Works as Psychiatric Response Team Clinician providing care within various Emergency Departments, medical units and tele-psychiatry throughout the Memorial Hermann Healthcare System. The Response Team Clinician is part of a mobile team required to travel to all system hospitals in their personal automobile. This role is identified as essential personnel for the Healthcare system and must staff all shifts (days, evenings, overnights, and weekends). The Response Team Clinician is part of Disaster Team A.The Response Team Clinician intervenes with patients who have identified psychiatric or chemical dependency needs or are identified as at risk of harm to self or others.
Suicidal Ideations
Severely distressed/extremely anxious
ubstance abuse and dependency
nexplained somatic complaints
onfusion /disorientation (Not caused by a medical condition)
izarre/agitated behavior
allucinations/delusions/ paranoia
hreat of harm to others
ood disturbances
ehavioral disturbances
The Response Team Clinician must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Demonstrate clinical skills for effective crisis intervention and a thorough knowledge of the DSM-IV TR. The clinician conducts a psychiatric evaluation including diagnosis Axis I-V and determines voluntary or involuntary status with the patient. Evaluate risk factors for patient safety; suicide and homicide assessments to determine treatment plan and level of care needed. In addition, the clinician offers crisis intervention counseling to patients and their families. Based on the treatment and psychosocial needs of the patient the clinician coordinates/facilitates care plan including; psychiatric hospitalization transfers, referral information, and aftercare plan for patients with behavioral health needs. Consult with Response Team medical directors (psychiatrists) and attending physician for case review and medication recommendations. Consult with family and physicians, and facilitates disposition regardless of payor source. The clinician verifies payor source parameters for determination of public and/or private program eligibility and facilitates case disposition based on patient acuity. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses, and other members of the care team).Job Description
Minimum Qualifications
Education: Masters Degree in Social Work and licensure as a clinician or undergoing clinical supervision; or Master’s degree in counseling or related field.
Licenses/Certifications:
- Licensed Master Social Worker, LMSW
- Licensed Clinical Social Worker, LCSW
- Licensed Professional Counselor, LPC
- Licensed Marriage Family Therapist-Associate, LMFT-A or
- Licensed Marriage Family Therapist, LMFT
Experience / Knowledge / Skills:
- Two (2) years psychiatric/healthcare field experience preferred, Internships considered.
- Knowledge of best practices in working with various psychiatric populations.
- The ability to work independently.
- Demonstrates capability in conducting evaluations to determine the psychosocial and psychiatric needs of adults, children and families.
- Insight into the importance of thorough risk assessments for suicide and homicide.
- Awareness of the role of the Diagnostic Statistical Manual (DSM) in diagnosing mental illness.
- Possesses understanding of psychiatric levels of care.
- Verbalizes understanding of crisis intervention techniques as well as some general counseling techniques with both individuals and family members.
- Academic knowledge/experience of family systems and effective strategies for engaging the family in the patient’s treatment.
- Theoretical knowledge of interviewing, assessment, organizational and problem solving skills.
- Ability to apply theory into the practice of : 1) identifying appropriate community resources on assigned caseload and 2) working collaboratively with patients, families, multi-disciplinary team and community agencies to achieve desired patient outcomes 3) Seeking consultation/supervision from team clinical leaders on complex psychiatric and/or medical cases when clinically appropriate.
- Possess knowledge of the importance of interpersonal communication and negotiation skills in interactions with patients, families, physicians and health care team colleagues. Good analytical and PC skills. Understands the need to develop collaborative relationships with physicians, families, patients, interdisciplinary team and other community agencies. Good communication skills and the theoretical knowledge of the importance of negotiation skills.
- Openness to working with people of all social, economic, and cultural backgrounds; being open-minded and adaptable to change. Demonstrate the ability to connect patients and families with necessary services, both inside and outside the MHHS network. Some knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources. Demonstrate patience and tact when dealing with clients and other staff.
Principal Accountabilities
- On the basis of a Comprehensive Behavioral Health Assessment, the BHCI will assess the patient and their psychosocial risk factors through evaluation of current and prior functioning levels, patient’s mental health history, severity of psychiatric symptoms, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
- Evaluates for self-injurious or harmful behaviors and recommends precautions according to patient acuity.
- Consults with BHS medical directors (psychiatrists) and attending physician for case review and medication recommendations.
- Provides psychiatric diagnoses and appropriately document clinical criteria and psychiatric symptoms.
- Provides counseling and/or treatment to individuals, couples, families, or groups by establishing and maintaining a therapeutic relationship to understand and intervene in intrapersonal, interpersonal, and psychosocial dynamics; and to diagnose and treat mental, emotional, and behavioral disorders and addictions.
- Educates to adults, children and families experiencing emotional disturbances, mental illness or problems related to substance abuse.
- Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs.
- Provides intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
- Serves as a resource person and provides crisis counseling and intervention related to treatment decisions.
- Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system and the community at large.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: psych response team case manager
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The position is responsible for coordinating a wide range of self management support and provides information to update and maintain relevant disease registry activity. Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.Job DescriptionMinimum Qualifications
Education : Graduate of an accredited school of professional nursing required; Bachelors of Nursing preferred, or graduate of an accredited Master of Social Work program
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
- Certification in Case Management required within two (2) years of hire into the Case Manager position
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
Principal Accountabilities
- Coordinates/facilitates patient care progression throughout the continuum.
- Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient care.
- Addresses/resolves system problems impeding diagnostic or treatment progress.
- Proactively identifies and resolves delays and obstacles to discharge.
- Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
- Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
- Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
- Facilitates the following on a timely basis: Completes and reports diagnostic testing, Completes treatment plan and discharge plan, Modifies plan of care as necessary, to meet the ongoing needs of the patient, Communicates to third party payors and other relevant information to the care team.
- Assigns appropriate levels of care.
- Completes all required documentation in TQ screens and patient records
- Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
- Completes Utilization Management and Quality Screening for assigned patients.
- Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Department standards.
- Identifies at-risk populations using approved screening tool and follows established reporting procedures. Monitors LOS and ancillary resource use on an ongoing basis.
- Takes actions to achieve continuous improvement in both areas.
- Refers cases and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated.
- Communicates with Resource Center to facilitate covered day reimbursement certification for assigned patients.
- Discusses payor criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
- Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department.
- Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.
- Manages all aspects of discharge planning for assigned patients.
- Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician.
- Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation.
- Ensures/maintains plan consensus from patient/family, physician and payor.
- Refers appropriate cases for social work intervention based on Department criteria.
- Collaborates/communicates with external case managers.
- Initiates and facilitates referrals through the Resource Center for home health care, hospice, medical equipment and supplies.
- Documents relevant discharge planning information in the medical record according to Department standards.
- Facilitates transfer to other facilities as appropriate.
- Actively participates in clinical performance improvement activities.
- Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
- Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data.
- Collects, analyzes and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team.
- Uses concurrent variance data to drive practice changes and positively impact outcomes.
- Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Outcomes Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning).
- Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently.
- Leads the development, implementation, evaluation and revision of clinical pathways and other Case management tools as a member of the clinical resource/team.
- Assists in compilation of physician profile data regarding LOS, resource utilization, denied days, costs, case mix index, patient satisfaction and quality indicators (e.g., readmission rates, unplanned return to OR, etc.)
- Acts as preceptor/mentor to new hires.
- Assists in development of orientation schedule and helps identify individual needs for learning.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: case manager
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
Level II Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management Level II for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
Position is responsible for responding to inquiries from subscribers, providers and the client.Job DescriptionMinimum Qualifications
Education: Some college preferred
Licenses/Certifications: (None)
Experience / Knowledge / Skills:
Three (3) years Customer Service or Claims processing experience in a TPA or HMO environment
Bilingual preferred
Principal Accountabilities
Efficiently and courteously responds to telephone inquiries from subscribers regarding benefit verification, claims issues, and eligibility.
Interprets plan coverage for subscribers and providers to determine correct level of benefit coverage.
Provides claim filing instructions when needed to subscribers and providers.
Provides telephone assistance to subscribers and providers, and verifies eligibility as required.
Promptly returns phone calls resulting from inquiries that require additional research.
Efficiently enters data simultaneously while listening attentively.
Provides a high degree of confidentiality/discretion and independent judgment.
Keeps workstations stocked and organized at all times.
Performs daily clerical duties, including sending faxes, making copies, and assisting in other areas.
Efficiently makes requested changes (temporary address changes, ID card requests).
Ensures safe care to patients, staff and visitors, adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: csr ii case management and support services - memorial city
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The position is responsible for coordinating a wide range of self management support and provides information to update and maintain relevant disease registry activity. Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.Job DescriptionMinimum Qualifications
Education : Graduate of an accredited school of professional Nursing required; Bachelor's of Nursing preferred, or graduate of an accredited Masters of Social Work program.
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.
- Certification in Case Management required within two (2) years of hire into the Case Manager position.
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.
Principal Accountabilities
- Coordinates/facilitates patient care progression throughout the continuum.
- Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient care.
- Addresses/resolves system problems impeding diagnostic or treatment progress.
- Proactively identifies and resolves delays and obstacles to discharge.
- Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
- Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
- Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
- Facilitates the following on a timely basis: completes and reports diagnostic testing, completes treatment plan and discharge plan, modifies plan of care as necessary, to meet the ongoing needs of the patient, communicates to third party payors and other relevant information to the care team.
- Assigns appropriate levels of care.
- Completes all required documentation in TQ screens and patient records.
- Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
- Completes Utilization Management and Quality Screening for assigned patients.
- Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings based on department standards.
- Identifies at-risk populations using approved screening tool and follows established reporting procedures. Monitors LOS and ancillary resource use on an ongoing basis.
- Takes actions to achieve continuous improvement in both areas.
- Refers cases and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated.
- Communicates with Resource Center to facilitate covered day reimbursement certification for assigned patients.
- Discusses payor criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
- Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department.
- Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.
- Manages all aspects of discharge planning for assigned patients.
- Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician.
- Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation.
- Ensures/maintains plan consensus from patient/family, physician and payor.
- Refers appropriate cases for social work intervention based on department criteria.
- Collaborates/communicates with external case managers.
- Initiates and facilitates referrals through the Resource Center for home health care, hospice, medical equipment and supplies.
- Documents relevant discharge planning information in the medical record according to department standards.
- Facilitates transfer to other facilities as appropriate.
- Actively participates in clinical performance improvement activities.
- Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
- Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data.
- Collects, analyzes and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team.
- Uses concurrent variance data to drive practice changes and positively impact outcomes.
- Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Outcomes Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning).
- Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently.
- Leads the development, implementation, evaluation and revision of clinical pathways and other Case Management tools as a member of the clinical resource/team.
- Assists in compilation of physician profile data regarding LOS, resource utilization, denied days, costs, case mix index, patient satisfaction and quality indicators (e.g., readmission rates, unplanned return to OR, etc.).
- Acts as preceptor/mentor to new hires.
- Assists in development of orientation schedule and helps identify individual needs for learning.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: case manager
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
Level II Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management Level II for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
Position is responsible for responding to inquiries from subscribers, providers and the client.Job DescriptionMinimum Qualifications
Education: Some college preferred
Licenses/Certifications: (None)
Experience / Knowledge / Skills:
Three (3) years Customer Service or Claims processing experience in a TPA or HMO environment
Bilingual preferred
Principal Accountabilities
Efficiently and courteously responds to telephone inquiries from subscribers regarding benefit verification, claims issues, and eligibility.
Interprets plan coverage for subscribers and providers to determine correct level of benefit coverage.
Provides claim filing instructions when needed to subscribers and providers.
Provides telephone assistance to subscribers and providers, and verifies eligibility as required.
Promptly returns phone calls resulting from inquiries that require additional research.
Efficiently enters data simultaneously while listening attentively.
Provides a high degree of confidentiality/discretion and independent judgment.
Keeps workstations stocked and organized at all times.
Performs daily clerical duties, including sending faxes, making copies, and assisting in other areas.
Efficiently makes requested changes (temporary address changes, ID card requests).
Ensures safe care to patients, staff and visitors, adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: csr ii case management and support services - memorial city
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
Works as Psychiatric Response Team Clinician providing care within various Emergency Departments, medical units and tele-psychiatry throughout the Memorial Hermann Healthcare System. The Response Team Clinician is part of a mobile team required to travel to all system hospitals in their personal automobile. This role is identified as essential personnel for the Healthcare system and must staff all shifts (days, evenings, overnights, and weekends). The Response Team Clinician is part of Disaster Team A.The Response Team Clinician intervenes with patients who have identified psychiatric or chemical dependency needs or are identified as at risk of harm to self or others.
Suicidal Ideations
Severely distressed/extremely anxious
ubstance abuse and dependency
nexplained somatic complaints
onfusion /disorientation (Not caused by a medical condition)
izarre/agitated behavior
allucinations/delusions/ paranoia
hreat of harm to others
ood disturbances
ehavioral disturbances
The Response Team Clinician must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Demonstrate clinical skills for effective crisis intervention and a thorough knowledge of the DSM-IV TR. The clinician conducts a psychiatric evaluation including diagnosis Axis I-V and determines voluntary or involuntary status with the patient. Evaluate risk factors for patient safety; suicide and homicide assessments to determine treatment plan and level of care needed. In addition, the clinician offers crisis intervention counseling to patients and their families. Based on the treatment and psychosocial needs of the patient the clinician coordinates/facilitates care plan including; psychiatric hospitalization transfers, referral information, and aftercare plan for patients with behavioral health needs. Consult with Response Team medical directors (psychiatrists) and attending physician for case review and medication recommendations. Consult with family and physicians, and facilitates disposition regardless of payor source. The clinician verifies payor source parameters for determination of public and/or private program eligibility and facilitates case disposition based on patient acuity. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses, and other members of the care team).Job Description
Minimum Qualifications
Education: Masters Degree in Social Work and licensure as a clinician or undergoing clinical supervision; or Master’s degree in counseling or related field.
Licenses/Certifications:
- Licensed Master Social Worker, LMSW
- Licensed Clinical Social Worker, LCSW
- Licensed Professional Counselor, LPC
- Licensed Marriage Family Therapist-Associate, LMFT-A or
- Licensed Marriage Family Therapist, LMFT
Experience / Knowledge / Skills:
- Two (2) years psychiatric/healthcare field experience preferred, Internships considered.
- Knowledge of best practices in working with various psychiatric populations.
- The ability to work independently.
- Demonstrates capability in conducting evaluations to determine the psychosocial and psychiatric needs of adults, children and families.
- Insight into the importance of thorough risk assessments for suicide and homicide.
- Awareness of the role of the Diagnostic Statistical Manual (DSM) in diagnosing mental illness.
- Possesses understanding of psychiatric levels of care.
- Verbalizes understanding of crisis intervention techniques as well as some general counseling techniques with both individuals and family members.
- Academic knowledge/experience of family systems and effective strategies for engaging the family in the patient’s treatment.
- Theoretical knowledge of interviewing, assessment, organizational and problem solving skills.
- Ability to apply theory into the practice of : 1) identifying appropriate community resources on assigned caseload and 2) working collaboratively with patients, families, multi-disciplinary team and community agencies to achieve desired patient outcomes 3) Seeking consultation/supervision from team clinical leaders on complex psychiatric and/or medical cases when clinically appropriate.
- Possess knowledge of the importance of interpersonal communication and negotiation skills in interactions with patients, families, physicians and health care team colleagues. Good analytical and PC skills. Understands the need to develop collaborative relationships with physicians, families, patients, interdisciplinary team and other community agencies. Good communication skills and the theoretical knowledge of the importance of negotiation skills.
- Openness to working with people of all social, economic, and cultural backgrounds; being open-minded and adaptable to change. Demonstrate the ability to connect patients and families with necessary services, both inside and outside the MHHS network. Some knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources. Demonstrate patience and tact when dealing with clients and other staff.
Principal Accountabilities
- On the basis of a Comprehensive Behavioral Health Assessment, the BHCI will assess the patient and their psychosocial risk factors through evaluation of current and prior functioning levels, patient’s mental health history, severity of psychiatric symptoms, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
- Evaluates for self-injurious or harmful behaviors and recommends precautions according to patient acuity.
- Consults with BHS medical directors (psychiatrists) and attending physician for case review and medication recommendations.
- Provides psychiatric diagnoses and appropriately document clinical criteria and psychiatric symptoms.
- Provides counseling and/or treatment to individuals, couples, families, or groups by establishing and maintaining a therapeutic relationship to understand and intervene in intrapersonal, interpersonal, and psychosocial dynamics; and to diagnose and treat mental, emotional, and behavioral disorders and addictions.
- Educates to adults, children and families experiencing emotional disturbances, mental illness or problems related to substance abuse.
- Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs.
- Provides intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
- Serves as a resource person and provides crisis counseling and intervention related to treatment decisions.
- Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system and the community at large.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: psych response team case manager
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The position is responsible for coordinating a wide range of self management support and provides information to update and maintain relevant disease registry activity. Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.Job DescriptionMinimum Qualifications
Education : Graduate of an accredited school of professional Nursing required; Bachelor's of Nursing preferred, or graduate of an accredited Masters of Social Work program.
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.
- Certification in Case Management required within two (2) years of hire into the Case Manager position.
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.
Principal Accountabilities
- Coordinates/facilitates patient care progression throughout the continuum.
- Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient care.
- Addresses/resolves system problems impeding diagnostic or treatment progress.
- Proactively identifies and resolves delays and obstacles to discharge.
- Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
- Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
- Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
- Facilitates the following on a timely basis: completes and reports diagnostic testing, completes treatment plan and discharge plan, modifies plan of care as necessary, to meet the ongoing needs of the patient, communicates to third party payors and other relevant information to the care team.
- Assigns appropriate levels of care.
- Completes all required documentation in TQ screens and patient records.
- Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
- Completes Utilization Management and Quality Screening for assigned patients.
- Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings based on department standards.
- Identifies at-risk populations using approved screening tool and follows established reporting procedures. Monitors LOS and ancillary resource use on an ongoing basis.
- Takes actions to achieve continuous improvement in both areas.
- Refers cases and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated.
- Communicates with Resource Center to facilitate covered day reimbursement certification for assigned patients.
- Discusses payor criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
- Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department.
- Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.
- Manages all aspects of discharge planning for assigned patients.
- Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician.
- Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation.
- Ensures/maintains plan consensus from patient/family, physician and payor.
- Refers appropriate cases for social work intervention based on department criteria.
- Collaborates/communicates with external case managers.
- Initiates and facilitates referrals through the Resource Center for home health care, hospice, medical equipment and supplies.
- Documents relevant discharge planning information in the medical record according to department standards.
- Facilitates transfer to other facilities as appropriate.
- Actively participates in clinical performance improvement activities.
- Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
- Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data.
- Collects, analyzes and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team.
- Uses concurrent variance data to drive practice changes and positively impact outcomes.
- Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Outcomes Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning).
- Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently.
- Leads the development, implementation, evaluation and revision of clinical pathways and other Case Management tools as a member of the clinical resource/team.
- Assists in compilation of physician profile data regarding LOS, resource utilization, denied days, costs, case mix index, patient satisfaction and quality indicators (e.g., readmission rates, unplanned return to OR, etc.).
- Acts as preceptor/mentor to new hires.
- Assists in development of orientation schedule and helps identify individual needs for learning.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: case manager
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
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Registered Nurse (RN) - Case Management - $45+ per hour
Posted today
Job Viewed
Job Description
Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Duration: Ongoing
- 36 hours per week
- Shift: 12 hours, days, nights
- Employment Type: Staff
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.
Job Summary
The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The position is responsible for coordinating a wide range of self management support and provides information to update and maintain relevant disease registry activity. Accountable for a designated patient caseload and plans effectively in order to meet patient needs across the continuum, provide family support, manage the length of stay, and promote efficient utilization of resources.Job DescriptionMinimum Qualifications
Education : Graduate of an accredited school of professional nursing required; Bachelors of Nursing preferred, or graduate of an accredited Master of Social Work program
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
- Certification in Case Management required within two (2) years of hire into the Case Manager position
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
Principal Accountabilities
- Coordinates/facilitates patient care progression throughout the continuum.
- Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient care.
- Addresses/resolves system problems impeding diagnostic or treatment progress.
- Proactively identifies and resolves delays and obstacles to discharge.
- Seeks consultation from appropriate disciplines/departments as required to expedite care and facilitate discharge.
- Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues.
- Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
- Facilitates the following on a timely basis: Completes and reports diagnostic testing, Completes treatment plan and discharge plan, Modifies plan of care as necessary, to meet the ongoing needs of the patient, Communicates to third party payors and other relevant information to the care team.
- Assigns appropriate levels of care.
- Completes all required documentation in TQ screens and patient records
- Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
- Completes Utilization Management and Quality Screening for assigned patients.
- Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Department standards.
- Identifies at-risk populations using approved screening tool and follows established reporting procedures. Monitors LOS and ancillary resource use on an ongoing basis.
- Takes actions to achieve continuous improvement in both areas.
- Refers cases and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated.
- Communicates with Resource Center to facilitate covered day reimbursement certification for assigned patients.
- Discusses payor criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
- Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department.
- Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.
- Manages all aspects of discharge planning for assigned patients.
- Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician.
- Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation.
- Ensures/maintains plan consensus from patient/family, physician and payor.
- Refers appropriate cases for social work intervention based on Department criteria.
- Collaborates/communicates with external case managers.
- Initiates and facilitates referrals through the Resource Center for home health care, hospice, medical equipment and supplies.
- Documents relevant discharge planning information in the medical record according to Department standards.
- Facilitates transfer to other facilities as appropriate.
- Actively participates in clinical performance improvement activities.
- Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
- Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data.
- Collects, analyzes and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team.
- Uses concurrent variance data to drive practice changes and positively impact outcomes.
- Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Outcomes Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning).
- Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently.
- Leads the development, implementation, evaluation and revision of clinical pathways and other Case management tools as a member of the clinical resource/team.
- Assists in compilation of physician profile data regarding LOS, resource utilization, denied days, costs, case mix index, patient satisfaction and quality indicators (e.g., readmission rates, unplanned return to OR, etc.)
- Acts as preceptor/mentor to new hires.
- Assists in development of orientation schedule and helps identify individual needs for learning.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Memorial Hermann Health System Job ID # . Posted job title: case manager
About Memorial Hermann Health SystemCompany Overview:
Charting a better future. A future that’s built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do – charting a better future for all.
*Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
Our Mission
Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
Our Vision
To create healthier communities, now and for generations to come.
Our Values
Community: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.
Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.
Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.
Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.
Benefits- Dental benefits
- Vision benefits
- Employee assistance programs
- 403b retirement plan
- Health Care FSA
- Dependent Care FSA
- School loan reimbursement
Staff - Neonatal ICU Nurse Manager - $41-52 per hour
Posted today
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Job Description
Core Medical-Perm is seeking a Registered Nurse (RN) Manager, NICU - Neonatal Intensive Care Manager for a nursing job in Houston, Texas.
Job Description & Requirements- Specialty: NICU - Neonatal Intensive Care
- Discipline: RN
- Start Date: 12/08/2025
- Duration: Ongoing
- 40 hours per week
- Shift: 8 hours
- Employment Type: Staff
- We will provide you with input, advice and expertise during the discovery phase in finding your new position.
- We will help you customize your resume for maximum effect.
- We will be your agent during the, often uncomfortable "marketing" phase of your search.
- We will set up your interview, while providing you tips and suggestions tailored towards winning you the position.
- We will provide you with streamlined communication and feedback from, sometimes hard to contact, hiring managers.
- We will provide you with market input for offer consideration.
CoreMedical Group is a nationally recognized leader in the medical recruitment and employment industry. Core will provide you with dedicated, personalized support from a recruiter who understands your needs and healthcare industry trends.
Our services will connect you with open positions like this one nationwide. Working with a CoreMedical Group recruiter is free and confidential. You'll get access to:
- Extensive healthcare industry expertise that will help you map out your career
- Resume edits and formatting to make sure you put your best foot forward when applying
- Interview scheduling and coaching to help you win the job
- Support during difficult conversations, including help with pay negotiations
- Streamlined communication and feedback from the hiring manager
- Advice and support for relocation requirements
CoreMedical Group also offers you the opportunity to earn a free, all-inclusive vacation each year as our way of saying "thank you" for your hard work. Join other healthcare professionals on the annual Club Coremed retreat and you'll see why candidates choose to work with us to expand their careers.
Your career is too valuable to tackle on your own. Let CoreMedical Group help you with your healthcare journey!
Core Medical Direct Job ID # . Posted job title: RN
About Core Medical-PermCoreMedical Group is one of the largest healthcare staffing agencies in the country. We have jobs nationwide in travel nursing, travel allied health, interim, locum tenens, and permanent placements! Join the staffing agency with Club CoreMed, the best perk in the industry - an all inclusive paid trip to a tropical resort!
Executive Advisor - Asset Management (Mining and Resources)
Posted today
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Job Description
Executive Advisor - Asset Management (Mining and Resources) at GHD Group summary:
The Executive Advisor - Asset Management (Mining and Resources) leads growth in maintenance and reliability services within the mining sector, focusing on sustainable commercial outcomes and strategic client leadership. This role involves diagnosing complex client issues, facilitating workshops, managing projects, and delivering innovative advisory solutions across the US, Canada, and Latin America. The advisor also acts as a subject matter expert, drives business advisory decisions, and nurtures client relationships to support enterprise mining clients and cross-sector opportunities.
Job DescriptionTo solve complex challenges, you need to challenge the status-quo.
At GHD Advisory we are invested in creating sustainable commercial outcomes with clients driving change in water, energy and urbanization.
Join a team committed to solving complex challenges across the value chain, from capital deployment to asset management, enabling resilience, growth and sustainability.
Together, we'll help create a future for generations to come.
Who are we looking for?
We are seeking an Executive Advisor to join our Business Advisory team in Houston, TX to lead growth in Maintenance and Reliability Services, supporting enterprise mining clients while advancing cross-sector opportunities in the United States, Canada, and Latin America. This role combines technical excellence with client leadership, positioning GHD to capture new markets, strengthen strategic relationships, and develop the next generation of maintenance consultants. As a seller/doer role, it offers the opportunity to shape strategy, drive measurable outcomes, and accelerate GHD's presence in the mining sector.
Our Hybrid Work Model:
Be part of the dynamic culture! Our workplace thrives on a hybrid model, combining in-office collaboration and flexibility. Join us in the office three days a week to contribute, connect and excel in our vibrant environment.
Working with an energetic and high performing team, this position offers a variety of work and will see you involved in:
- Data Collection and Analysis: Make authoritative recommendations that have a significant impact on the business over the short and long term. Recommendations could be technical or professional in nature.
- Workshop Facilitation: Facilitate complex process development workshops with subject-matter experts, drive agreement on process flows across functional areas, and document processes and activity workflows to develop clear and detailed process maps.
- Client Issue Clarification: Develop interview frameworks and protocols and conduct strategic interviews to gather information from senior managers and to clarify complex client issues.
- Client Issue Diagnosis: Conduct in-depth analysis of the strategic and operational information gathered through interviews and research to diagnose complex underlying business unit/function issues and problems and to inform the design of multiple solutions.
- Community of Practice Management: Contribute strongly on a strategically significant area to a community of practice in a defined area of expertise or consulting, or lead on an area of expertise or consulting practice, to contribute to thought leadership and to develop innovative practice among colleagues.
- Consulting Project Content Development: Develop innovative approaches and write materials that are highly visible-such as slide decks for presentations on innovative solutions to top management, or bespoke and market-leading client reports-to complete the work of client team.
- Consulting Project Delivery: Deliver bespoke training, facilitate workshops with senior management, and provide advice and reports to address identified senior management issues. Manage the delivery quality of the work in own area of specialism to ensure maximum client satisfaction.
- Consulting Project/Program Design: Design the project/program architecture, building on the initial proposal and the strategic client interviews to develop multiple solutions that meet the client's stated requirements and address complex client issues.
- Personal Capability Building: Act as subject matter expert in an area of technology, policy, regulation, or operational management for the team and beyond in the function. Maintain external accreditations and in-depth understanding of current and emerging technologies, external regulation, and industry best practices through continuing professional development, attending conferences, and reading specialist media.
- Project Management: Manage a portfolio of major projects in line with overall project management strategy.
- Business Advice: Manage corporate decision-making for business advisory within a function, ensuring alignment with broader organizational objectives.
- Client & Customer Management (External): Manage key client and customer relationships. Likely to involve using account teams to maintain customer satisfaction and loyalty.
Education
- Bachelor's Degree or Equivalent Level
Experience
- General Experience: Experience level enables job holder to provide leadership to others regarding work related systems, processes and challenges (More than 15 years)
- Managerial Experience: Experience of supervising and directing people and other resources to achieve specific end results within limited timeframes (13 months to 3 years)
#LI-JS1
As a multicultural organization, we encourage individual achievement and recognize the strength of a diverse workforce. GHD is an equal opportunity employer. We provide equal employment opportunities to all qualified employees and applicants without regard to race; color; religion; genetic information; national origin; sex (including same sex); sexual orientation; gender identity; pregnancy, childbirth, or related medical conditions; age; disability or handicap; citizenship status; service member status; or any other category protected by federal, state, or local law.
About Us
Take on some of the world's toughest challenges - with GHD supporting you every step of the way.
We'll give you control over your career, empower you to find innovative solutions and help you create a lasting impact.
See where your commitment could take you with GHD.
Our Pledge to You
At GHD, we don't just believe in the power of commitment, we live and breathe it every day.
That's why we pledge to empower our people to make a positive impact. Combining our deep technical expertise with the capabilities of our clients and partners, we respond to some of the most complex challenges facing our planet today.
See where your commitment could take you.
That's the #PowerOfCommitment
Who we are
GHD is a global professional services company that leads through engineering, architecture, and construction expertise. We are an employee-owned company with over 11,000 diverse and skilled individuals, across more than 200 offices spanning five continents.
The Power of Commitment is our brand promise. It's what makes us different. We are bound to our stated vision and determination to address humanity's most urgent needs: to make water, energy and urbanisation sustainable for generations to come.
Keywords:
asset management, maintenance and reliability, mining advisory, strategic consulting, project management, client relationship management, workshop facilitation, sustainability consulting, business advisory, process optimization