Director Registered Nurse (RN) - Case Management - $45+ per hour

Houston, TX, United States

Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Houston, Texas.

Job Description & Requirements Specialty: Case Management

Discipline: RN

Duration: Ongoing

40 hours per week

Shift: 8 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 Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.

The Director is responsible for developing systems and processes for care/utilization management and discharge planning at the hospital level. In addition, the Director may be responsible for managing the department's activities related to discharge planning and clinical quality improvement. The Director evaluates and ensures that hospital resources are used appropriately and effectively. The Director oversees the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement. The Director promotes interdisciplinary collaboration, fosters teamwork and champions service excellence. Job Description

Minimum Qualifications

Education : Bachelors of Nursing (BSN) or Masters Social Work (MSW); Masters degree preferred

Licenses/Certifications :

Current and valid license to practice as a Registered Nurse in the state of Texas or

Current and valid Texas license as a Master's Social Worker (LMSW), required

LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM) or

Fellowship of the American Academy of Case Management (FAACM), required

Experience / Knowledge / Skills:

Minimum five (5) years experience in utilization management, case management, discharge planning or other cost/quality management program

Three (3) years of experience in hospital-based nursing or social work preferred

5 years supervisory experience

Self-motivated, proven communication skills, assertive

Background in business planning, and targeted outcomes

Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management

Working knowledge of the concepts associated with Performance Improvement

Demonstrated effective working relationship with physicians

Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes

Effective oral and written communication skills

Principal Accountabilities

Plans, directs and supervises all aspects of the local level program.

Facilitates growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.

Responsible for approving and managing the day to day local level operational budget.

Assures that revenue, expenses, contribution margin and FTE's meet or exceed budget.

Prepares and submits budget and related reports.

Forecasts and accurately projects expenses.

Takes corrective action to address negative variances.

Identifies and proposes capital budget items appropriately.

Identifies and achieves optimal targeted financial outcomes via the inpatient case management process.

Responsible for departmental personnel functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management.

Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in department.

Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.)

Responsible for leading a high performance team of "system thinkers" who incorporate leadership principles and vision in performing the functions of case management.

Uses data to drive decisions, plan, and implement performance improvement strategies for case management.

Oversees the education of physicians, managers, staff, patients and families related to the case management process at the local level.

Participates in this evolutionary process by constantly identify future needs of current customers and/or identifying potential new customers.

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 #10276_1341168792. Posted job title: director of case management

About Memorial Hermann Health System Company Overview:

Charting a better future. A future thats 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 6,100 affiliated physicians and 29,000 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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