Case Management Manager

University Health; Town of Texas (WI); On-site; USD 85,000 - 110,000; Full time

Job summary

University Health is seeking a Nurse Manager to lead care coordinators, home health coordinators, and clerical staff, ensuring seamless patient flow from preadmission through discharge. You will collaborate with Social Services to craft interdisciplinary care plans and monitor outcomes to drive quality of care in a hospital setting.

The role emphasizes staff leadership, program coordination, and ensuring adherence to payer and patient requirements in a dynamic health system environment.

Qualifications

• Bachelor's degree in nursing preferred; required experience includes management and clinical nursing.
• Minimum two years of recent management experience and three years hospital nursing experience.
• One year in case management, utilization review or hospital quality assurance.

Responsibilities

• Manages the care coordinators, home health coordinators and clerical staff to insure smooth patient flow from preadmission to discharge and follow up.
• Collaborates with the Manager for Social Services to ensure an interdisciplinary treatment plan of care.
• Facilitates delivery of services, evaluates effectiveness, tracks outcomes and functions as the manager of the team.

Skills

Staff management

Healthcare leadership

Case management

Utilization review

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.