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Lindale Healthcare
Houston
Job Description Job Description We are seeking a highly organized and bilingual medical case handler to join our team. The ideal candidate will be fluent in both English and Spanish, possess excellent communication skills, and have a passion for providing exceptional customer service in a medical setting. **Responsibilities:** - Schedule appoi
Job Source: Lindale HealthcareTop Tier Reps LLC
Houston, TX, United States
Position Overview The Case Manager is integral to supporting physicians, primary medical homes, and interdisciplinary teams. This role facilitates patient care with the goal of improving clinical outcomes, patient satisfaction, and cost management while ensuring timely communication with payors. Responsibilities include coordinating resource utili
Job Source: Top Tier Reps LLCSouthwest Key Programs
Houston, TX, United States
Job Summary:: The Case Manager is responsible for the submission of service plans and other assessments required for the compiling of a comprehensive case file found on Southwest Key Programs (SWK) designated web-based program with supporting. documentation maintained in physical files. The Case Manager is required to maintain a flexible, organize
Job Source: Southwest Key ProgramsMemorial MRI & Diagnostic
Houston, TX, United States
Job Type Full-time Description Under general supervision administrative personnel, the Case Manger will liaise with the attorneys and record retrieval personnel. Coordinate to ensure that the care plan to treat the patients is carried out properly and that it has the desired result. JOB FUNCTIONS Case Managers are responsible for the maintenan
Job Source: Memorial MRI & DiagnosticInteletech Global Inc.
Houston, TX, United States
Responsibilities: Coordinates services through an interdisciplinary process which provides a clinical and psychosocial approach through the continuum of care. Assists in development, planning, coordination and administration of the activities of clinical review, discharge planning, resource utilization and utilization review. Job Benefits: Comp
Job Source: Inteletech Global Inc.Nation Mind
Houston
Job Description Job Description Job Description: The purpose of the Case Manager position is to support the physician, primary medical homes, and interdisciplinary teams. Facilitates patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing tim
Job Source: Nation MindPusch & Nguyen Law Firm, PLLC
Houston
Job Description Job Description Description: The Case Manager will deliver stellar client service to clients on behalf of Pusch and Nguyen Injury Lawyers while adhering to the highest ethical standards. In a team environment, communicate with clients, insurance companies, medical providers, and law enforcement offices on a regular basis. Take owne
Job Source: Pusch & Nguyen Law Firm, PLLCNorthwest Talent Solutions
Houston, TX, United States
About the job Case Manager Position: Case Manager Company Overview: Northwest Talent Solutions LLC is a leading recruitment firm working with an outstanding US-based healthcare client. The Northwest Talent Solutions team is a group of experienced professionals dedicated to delivering top talent to our list of esteemed clients. Job Summary: We
Job Source: Northwest Talent SolutionsHouston, TX, United States
The Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination between the health care team members involving both the resident and family in the decision-making process. Activities include encouraging appropriate use of health care services and striving to improve quality of care and maintain cost-effectiveness on a case-by-case basis. The Case Manager is responsible for establishing a positive relationship with payer sources and initiating necessary documentation for re-authorization of the resident's continued stay.
JOB SPECIFIC RESPONSIBILITIES:
•Assembles treatment team to conduct admissions conference with patient and/or support persons.
•Assures a secure and comforting welcome to patient/support person upon admission.
•Upon patient admission, contact external payor source case manager/representative of the patient's actual admission and reviews schedule for clinical updates.
•Completes admission forms as required on each assigned patient.
•Uses admission profile information to prepare for discharge planning and updates profile as patient/family context changes.
•Liaisons with patient's attending physicians and medical staff to ensure patient's medical needs are met.
•Liaisons with treatment team members to ensure patient's treatment is accurately focused on patient needs.
•Coordinates with medical staff to attend weekly team rounds and arrange for diagnostics, equipment, supplies, or medicals services as ordered.
•Completes Clinical Pre-assessments on patients as needed.
•Provides input to the Administrator regarding Case Management issues.
•Provides third-party payor sources with appropriate clinical updates as per the agreed-upon reporting schedule.
•Presents a positive and helpful working relationship with all external case managers/representatives and community agencies, demonstrating effective internal case management.
•Acquires appropriate information to address payor denials necessary to receive payment due.
•Maintain initial and ongoing documentation in the medical record regarding patient status related to treatment progress, family issues, estimated length of stay, and discharge needs.
•Arranges proper and timely discharge planning for all patients in coordination with family or support persons.
•Coordinates input and feedback from a multidisciplinary team, patient's family, or support persons for discharge needs from admission to actual discharge.
•Acquires necessary community resources to meet the patient's needs before discharge.
•Coordinates discharge with patient's payer sources and community services to ensure a safe, timely, and effective discharge is achieved.
•Verifies community services have been arranged to ensure a timely and uninterrupted discharge transition of a patient is to the most appropriate setting.
•Resolves patient family or support person's complaints or concerns to appropriate team members and follows up to ensure resolutions are acceptable to all parties.
•Exhibits a positive professional demeanor to residents and relevant parties, offering constructive communication, cooperation, and assistance to ensure a satisfactory patient stay of treatment.
•Provides effective assistance and positive relations with co-workers that demonstrate collaborative multidisciplinary treatment team approach to resident or program problem-solving issues.
•Provides timely information/feedback to the designated supervisor on any resident/family/support person/payor source relevant issue that could jeopardize the patient's treatment, family/support person/payor sources, or discharge planning issue.
•Communicates with the manager and department directors to ensure team-focused patient-centered care.
•Performs other duties as assigned.
POSITION QUALIFICATIONS:
EDUCATION:
•Bachelor's Degree in health care field preferred
EXPERIENCE:
•Experience in pediatric case management
•Strong background in healthcare
•3-5 years direct pediatric patient care experience
LICENSURE/CERTIFICATION:
•Current license as a Registered Nurse or Social Worker in the state of Texas.
•Current AHA BLS certification.
Email Alert for Case Manager jobs in Houston, TX, United States
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