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Case Manager (RN)

Job Overview

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Employment Type

Full-time
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Work Schedule

Weekend Shifts
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Benefits

Health Insurance
Dental Insurance
Paid Time Off
Retirement Plan
Employee wellness programs
Professional development assistance
Employee assistance program

Job Description

Houston Methodist Baytown Hospital is a renowned healthcare facility that extends the expertise and advanced medical technology of the Houston Methodist system to the Baytown area and its neighboring counties. This hospital is distinguished by its skilled and compassionate team of physicians, nurses, and healthcare staff who are dedicated to delivering exceptional medical care in a state-of-the-art environment close to the community. With a strong commitment to growth and innovation, Houston Methodist Baytown is currently undergoing an extensive master plan expansion that includes the development of a new emergency department, a five-story patient tower, outpatient facilities, a renovated Cancer Center, a neonatal intensive care unit, and technologically advanced operating rooms. This expansion reflects the hospital's mission to meet the ever-evolving healthcare needs of its growing population while maintaining a high standard of medical excellence.

The Weekend Case Manager position at Houston Methodist is designed to oversee and ensure safe, timely, and efficient patient discharges and transitional care during weekend hours when hospital operations continue but support services may be limited. This role is crucial in maintaining seamless care coordination and facilitating the transition of patients from hospital to home or other care settings during these critical times. The Weekend Case Manager works full time in 10-hour shifts every Thursday through Sunday, from 8 AM to 6 PM, providing continuity of care and maintaining the quality and safety of patient discharges.

This position is held by a Registered Nurse (RN) who plays an essential role in assessing the clinical condition of patients and planning comprehensive case management, including discharge planning and care transitions for targeted patient populations on specific hospital units or service lines. The Weekend Case Manager collaborates closely with physicians and a multidisciplinary healthcare team to coordinate clinical care effectively while upholding compassionate and patient-centered care. The responsibilities include jointly managing discharge planning and coordination of care with social workers, ensuring all admissions and continued stays meet medical necessity, and communicating clinical information to third-party payors and post-acute care providers. The ultimate goal of the Weekend Case Manager is to guarantee that patients experience a safe and smooth transition through the healthcare system, thus achieving desired treatment outcomes.

The role demands a highly skilled individual with a deep understanding of Medicare, Medicaid, managed care requirements, discharge planning, utilization management, case management, and post-acute community resources. The Weekend Case Manager must be proficient in clinical problem-solving, critical thinking, and documentation, alongside being well-versed in technology including Microsoft Office applications. Effective communication skills are imperative for liaising with patients, families, physicians, and healthcare providers to address any clinical or ethical issues and to ensure discharge processes are timely and efficient.

Houston Methodist Baytown Hospital fosters a culture of continuous improvement and innovation, encouraging case managers to participate in performance improvement projects and evidence-based practice initiatives. The organization also supports career development and professional growth through regular assessments and development planning. Working under a business professional dress code, the Weekend Case Manager must be prepared for on-call duties during emergency events such as disasters or severe weather. The position may involve travel within the Houston Metropolitan area as needed.

As an equal opportunity employer, Houston Methodist Baytown Hospital is dedicated to providing a supportive and inclusive work environment for all employees. Joining this team offers the opportunity to contribute meaningfully to patient care in a leading hospital setting, participate in a dynamic healthcare community, and advance one's nursing career in case management.

Job Requirements

  • graduate of education program approved by credentialing body
  • bachelor’s degree preferred
  • three years hospital nursing clinical experience
  • acute care case management experience preferred
  • RN with Texas State Licensure or PSV Compact Licensure
  • strong communication skills
  • ability to work independently and exercise sound judgment
  • knowledge of discharge planning, utilization management, and case management
  • proficiency in computer skills
  • ability to travel within Houston Metropolitan area
  • on-call availability during emergencies

Job Qualifications

  • graduate of education program approved by credentialing body
  • bachelor’s degree preferred
  • three years hospital nursing clinical experience
  • acute care case management experience preferred
  • RN with Texas State Licensure or PSV Compact Licensure
  • proficiency in English communication
  • knowledge of Medicare, Medicaid, and managed care requirements
  • strong assessment, organizational, and problem-solving skills
  • proficient in Microsoft Office Suite

Job Duties

  • comprehensively assess clinical condition of patients and plan case management
  • collaborate with physicians and multidisciplinary healthcare team to facilitate clinical care coordination
  • manage discharge planning jointly with social workers
  • communicate clinical information to payors and post-acute care providers
  • participate in multidisciplinary rounds to identify and escalate discharge barriers
  • educate patients and families about disease processes and resources
  • contribute to performance improvement projects and process enhancements

Job Criteria

Experience

Mid Level (3-7 years)


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