Manager, ED & Observation Case Management
GHI Staffing Solutions · Houston, TX · 2 wk ago
On-siteManagement$109k–$130k/yrFull-time
Key Responsibilities
- Lead day-to-day operations of the ED and Observation Case Management team
- Oversee utilization management, care coordination, and discharge planning activities
- Partner with physicians, nursing leadership, social work, and ancillary departments to improve patient outcomes
- Utilize data and metrics to drive performance improvement initiatives
- Support staff development, coaching, mentoring, and performance management
- Assist with departmental budgeting, resource management, and strategic planning
- Ensure compliance with regulatory and payer requirements
- Promote patient-centered care and operational excellence
Requirements
- Current Texas RN license OR LMSW required (LCSW preferred)
- Case Management Certification (CCM, ACM, or equivalent) required
- Minimum 5 years of experience in:
- Utilization Management
- Case Management
- Discharge Planning
- Cost/Quality Management Programs
- Minimum 3 years of hospital-based nursing or social work experience
- Minimum 3 years of leadership experience
- Strong understanding of payer requirements, utilization review, care coordination, and performance improvement