Case Manager Concurrent Review

Responsibilities

The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward recovery for early identification of continuing care needs in an attempt to facilitate discharge for specified populations. This position works closely with Medical Management Physician leadership and various internal departments

Job Title: Case Manager Concurrent Review

Location: Pearland Administrative Office

Department: KCA Utilization Management

Job Type: Full Time

Salary Range: $90,932 - $112,318 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

Qualifications

Education

Required: Registered Nurse, ADN or master's degree in Social Work

Preferred: Certification in area of specialization, BSN

ACP certification

Experience

Required: Five years nursing experience or three years' experience in medical social work with an emphasis in

case management of high risk patient population.

Preferred: Proven program development skills

License(s)

Required: TX RN license or TX LCSW license, valid Texas Driver's license

Preferred: Case Management Certification

Special Skills

Required: Proven communication and problem-solving skills; Computer literate

Preferred: At least 2 years in area of specialization, 2 years of Case Management/Utilization Review

experience

Other

Required: Managed Care knowledge

Preferred: N/A

Working Environment: Office/Medical Clinic/Other

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties.

Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

Why Kelsey-Seybold Clinic?

• Medical, Vision, and Dental

• Tuition Reimbursement

• Company Matching 401K

• Employee Reward and Recognition Program

• Paid time off for vacation, sick, and holidays

• Employee Assistance Program

• Continuing Medical Education allowance

Case Manager Concurrent Review