Case Manager Advanced (RN) - Emergency Room

About the role

This position will focus on comprehensive emergency room initial assessments and multi-visit patients. At Houston Methodist, the Case Manager (CM) Advanced position is responsible for promoting the achievement of optimal clinical and resource outcomes, accountable for assignments that are considered more complex and resource intensive.

Responsibilities

• Performing the duties and responsibilities of the CM Certified, this position has achieved an expert level at all the objectives delineated in the Case Manager and Case Manager Certified job roles and is responsible for facilitating appropriate length of stay (LOS) and reimbursement for all hospital admissions in accordance with set goals and objectives.
• Analyzes variances to identify opportunities for improvement and acts as the key information and education resource for the interprofessional health care team.
• Promotes and maintains compassionate, quality of care through collaboration with all service team members, patients and families and works with the leadership team for special project activities related but not limited to, throughput, readmissions, and utilization management to align with the visions and goals of the department and organization.
• Serves as the primary resource for the department in the absence of management, and leads projects or performs specialized responsibilities including oversight of staff, in the absence of leadership, as a regular part of their normal job responsibilities.

Qualifications

• Education: Bachelor’s degree or higher from an accredited school of nursing, Master’s degree preferred.
• Licenses and Certifications: Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) and Magnet ANCC-recognized Case Management certification: ACHPN-HPCC or CCM or CMC or ACM-NBCM or CDCES or CHPN-HPCC or CMGT-BC or CM-ABOHN or CMCN or ANCC-NCM or CMC-NACCM or COHN or COHN/CM or CPHRM.
• Experience: Seven years hospital clinical nursing experience which includes five years in case management.

Skills

• Strong assessment, organizational and problem-solving skills.
• Knowledge of community resources, health care financial and payer issues, Medicare, Medicaid and Managed Care requirements and eligibility for state, local and federal programs.
• Expert knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.
• Understanding of pre-acute and post-acute venues of care and post-acute community resources.
• Proficient in computer skills of the entire Microsoft Office Suite (Access, Excel, Outlook, PowerPoint and Word).

Benefits

Commensurate with experience.

Pay

TBD

Schedule

TBD

Supplemental Requirements

• Work Attire: Uniform: No Scrubs: No Business professional: Yes Other (department approved): No
• On Call*: Yes
• Travel**: May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No

Equal Opportunity Employer

Houston Methodist is an Equal Opportunity Employer.