Care Manager, Inpatient - Medical Center

Texas Children's Hospital Houston , TX 77020

Posted 5 months ago

Job Summary

We are searching for a Care Manager - someone who works well in a fast-paced hospital setting. In this position, you'll function as a member of the interdisciplinary healthcare team in the provision of patient care with the underlying objectives of enhancing the quality of clinical and financial outcomes and patient satisfaction while managing the plan of care. Within the purview of financial management, you will proactively communicate with members of the healthcare team to ensure appropriate medical necessity for patients in beds, as well as communicate with payors and the patient/family/health care team regarding payor information as necessary.

Think you've got what it takes?

Responsibilities

  • Complete a comprehensive problem identification analysis to identify opportunities for intervention that are appropriate and realistic for the patient/family's psycho-social, cultural, spiritual, and physical plan of care

  • Coordinate, facilitate, and monitor the plan of care for patients throughout the episode and continuum of care to achieve the optimal clinical and financial outcomes

  • Oversee discharge planning and facilitate safe transitions to community settings

  • Serve as a liaison between members of the interdisciplinary care team, community providers, payor sources, and the patient/family to ensure safe and effective plans and smooth transitions between internal and external levels of care

  • Effectively and efficiently oversee the plan of care to optimally assure clinical and financial outcomes

Qualifications

  • Bachelor's or associate's degree in nursing, or technical diploma in nursing with acceptance or current enrollment in BSN program and signed agreement

  • Registered Nurses License by State of Texas Nursing Board

  • Certified Basic Life Support by American Heart Association

  • Certified Case Manager

  • 3 years of experience in position requiring RN licensure in an acute care setting

  • Pediatric and case/care management experience preferred

  • Knowledge of specific nursing processes, anatomy, and physiology

  • Excellent verbal and written communication skills

  • Analytical decision making and judgment skills

  • Demonstrated ability to function as a clinical care team leader

  • Knowledgeable of all clinical resources available to patients both inpatient and outpatient

  • Data entry and word processing skills

Company Profile

Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years.

Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; and Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston. We have also created the nation's first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Convenient Care Center Medical Assistant

Memorial Hermann

Posted 3 days ago

VIEW JOBS 7/16/2019 12:00:00 AM 2019-10-14T00:00 At Memorial Hermann, we're about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care. Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it. Job Summary Responsible for assisting providers in the administration of patient care in assigned clinical areas. Assists with patient examinations, procedures, diagnostic studies, treatment, and dressing changes. Also performs general administrative duties in accordance with TJC, CLIA, HIPAA, NCQA and government standards, as well as company policies and procedures. All patient care is under the direction of a physician and within the scope of a medical assistant.Job Description Minimum Qualifications Education: * High school diploma or GED required;andGraduation from a Medical Assistant program or * Eligible for certification by either the American Medical Technologist (AMT) or * The American Association of Medical Assistants (AAMA) or * National Health career Association (NHA) or National Association for Health Professionals (NAHP) required Licenses/Certifications: * Registered Medical Assistant (RMA) ora Certified Medical Assistant (CMA) orCertified Clinical Medical Assistant (CCMA) or * Nationally Registered Certified Medical Assistant (NRCMA) required within 12 months of hire; and Current American Heart Association BLS/CPR certification within 30 days of hire * Maintains required credentials Experience / Knowledge / Skills: * Six (6) months of medical assistant experience required; or Completion of a medical assistant externship required * Demonstrates ability to maintain good communications; ability to establish and maintain positive working relationships with employees, physicians, patients, families, and the public * Working knowledge of ICD9/10 and CPT coding and insurance procedures * Works primarily a pre-determined schedule but occasional requirements to work evenings or weekends depending on patient care needs may exist; ability to float to other clinic practices as needed is an expectation * Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of "we advance health" through innovation, accountability, empowerment, collaboration, compassion and results while ensuring One Memorial Hermann. Principal Accountabilities * Under the overall supervision of the Practice Manager, direct clinical supervision of the physician and within established policies and procedures, the incumbent performs the following functions: * Delivers appropriate care to patients, at a proficient level; is cross-trained to competently care for patients in a Patient Centered Medical Home (PCMH) setting. * Reviews charts prior to patients' scheduled appointment to assure that all requested lab work and diagnostic procedures have been completed and that reports have been returned and are accessible to the provider. * Reviews, obtains, and records patient vital signs, temperature, pulse, height, weight and blood pressure and reason for visit and uses the Electronic Medical Record (EMR) appropriately and follows guidelines. * Cross trains to perform patient access tasks, including: take messages and assist providers with return phone calls to patients and pharmacies appropriately. * Direct patients to examination rooms; assists in preparing patients for examination. Notifies provider of patient's arrival and readiness for their examination. * Assists providers with patient examinations and procedures, including (but not limited to) surgical procedures, GYN exams, diagnostic studies, and treatments. * Operates and monitors functioning of equipment; hands instruments to the provider. * Conducts hearing, vision, breathing and EKG testing; records results in chart. * Administers medications as directed using seven rights. Performs venipuncture, collects urine specimens, and complete lab tests procedures according to policies and procedures. Handles all specimens using Universal Precautions. * Recognizes emergency situations, seeks assistance and intervenes appropriately. * Monitors patient during and following procedures; looks for reactions and other visible complications; reacts to emergency situations; notifies the appropriate person in the event of a medical emergency. * 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. * Other duties as assigned. Memorial Hermann Houston TX

Care Manager, Inpatient - Medical Center

Texas Children's Hospital