Case Management Manager

University Health; San Antonio (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

University Hospital seeks a Nursing Manager to lead care coordinators, case managers, and clerical staff, ensuring smooth patient flow from admission to discharge and follow-up. The role collaborates with Social Services to craft interdisciplinary plans of care and drive evaluation of outcomes.

The ideal candidate has prior hospital nursing leadership, with experience in case management, utilization review, and quality assurance to improve patient care and payer alignment.

Qualifications

• Requires leadership and coordination of care teams.
• Experience coordinating across disciplines to optimize patient flow.
• Strong knowledge of case management principles and payer requirements.

Responsibilities

• Manage the care coordinators, home health coordinators and clerical staff.
• Ensure smooth patient flow from preadmission to discharge and follow up.
• Coordinate with the Manager for Social Services to create an interdisciplinary plan of care.
• Facilitate service delivery, evaluate effectiveness, track outcomes, and lead the team.

Skills

Nurse 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.