This position is responsible for assisting the Care Management Director with supervision, training of staff and leadership of the Care Management Department, as directed by the Care Management Director. Assisting with oversight of Case Managers and Social workers who are providing coordination of care for patients and their support systems.
Collaborates with physicians, nursing and all disciplines of care is crucial in determining not only appropriateness of care, but also the continuum of care, discharge planning and post discharge transfer. Must have a working knowledge of resource contacts for continued care.
This position is also responsible for auditing UR, transition planning, authorizations, department processes and data abstraction of the medical record for appropriateness and timeliness. Monitoring system LOS & HCAHPS scores. Assisting with implementing improvement processes.
Demonstrates mastery and competence in computer skills.
Demonstrates knowledge of disease process, normal vs abnormal clinical findings and evidenced based practice.
Demonstrate knowledge of regulatory agencies and how to apply.
Demonstrates excellent communication skills and quality management skills. Participates as a member of the interdisciplinary healthcare team.
Graduate of an accredited school of professional nursing. Minimum requirement is a Bachelor's degree (BSN); Master's (MSN) is preferred.
Must be licensed as Registered Nurse with the State of Texas.
Must obtain Case Manager Certification within 2 years
Three or more years of strong clinical experience in clinical practice area to which assigned.
Must have current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and performance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, theref...ore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.