Case Management Manager

University Health; San Antonio (TX); On-site; USD 90,000 - 130,000; Full time

Job summary

University Health seeks an experienced nursing manager to oversee care coordinators, home health coordinators and clerical staff. The role ensures patient flow from preadmission through discharge and follow-up, aligning with payer requirements and interdisciplinary plans.

You will lead service delivery, track outcomes and drive program effectiveness in a hospital setting, collaborating on treatment plans and ensuring optimal patient care.

Qualifications

• Bachelor's degree in Nursing preferred; two years of management experience required; three years of hospital clinical nursing experience
• One year in case management, utilization review or hospital quality assurance; hospital setting experience preferred

Responsibilities

• Directs care coordinators, home health coordinators and clerical staff to ensure smooth patient flow
• Collaborates with the Manager for Social Services to develop interdisciplinary treatment plans
• Monitors service delivery, evaluates outcomes and leads the care team to achieve payer and patient goals

Skills

Management

Case management

Utilization review

Hospital quality assurance

Education

Bachelor's degree in Nursing

Job description

POSITION SUMMARY/RESPONSIBILITIES

Manages the care coordinators (case managers), home health coordinators and clerical staff to insure a smooth patient flow from preadmission to discharge and follow up in accordance with the patient’s and the payers requirements. Works with the Manager for Social Services to ensure an interdisciplinary treatment plan of care for patients. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the manager of the team.

EDUCATION/EXPERIENCE

Graduation from an accredited college or university with a bachelor's degree in nursing is preferred. Required experience: minimum of two years recent management experience; three years of hospital clinical nursing experience and one year experience in case management, utilization review or hospital quality assurance. Experience in each of these areas in a hospital setting is preferred.

LICENSURE/ CERTIFICATIONS

Current registration with the Texas State Board of Nurse Examiners and current CPR certification (BLS) is required. Case Manager Certification (CCM or ANCC) is highly desirable.