CASE MANAGER

Universal Health Services; Houston (TX); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Challenging and rewarding work env

Career development opportunities with/

Competitive Compensation

Excellent Medical, Dental, Vision and

401(K) with company match and stock

Generous Paid Time Off

Free Basic Life Insurance

Job summary

Kingwood Pines Hospital in Kingwood, near Houston, seeks a Case Manager to advocate for patients’ access to services during treatment team meetings and physician contact.

You will participate in treatment team meetings, continued stay reviews, and coordinate discharge plans with families while communicating with payors to secure necessary certifications.

Qualifications

• High School Diploma required.
• Minimum of one year of case management/inpatient psychiatric experience.
• CPR and HWC Crisis Intervention training must be completed prior to beginning work (can be obtained upon hire).

Responsibilities

• Provides clinical information to managed care companies to determine length of stay or certified days.
• Conducts reviews and communications to obtain certification and maximize reimbursement; liaises with internal and external reviewers.
• Provides timely updates on patient status for daily admissions, reviews, and discharges.
• Coordinates discharge plans with family, guardians and other service providers.

Skills

Case management

Inpatient psychiatric experience

Payor communications

Education

High School Diploma

Job description

Responsibilities

Kingwood Pines Hospital is a 116 bed facility located in the beautiful residential Kingwood community. We are located about 30 miles northeast of the Houston Medical Center. The hospital provides 24-hour emergency services. We serve children, adolescents, and adults for psychiatric and behavioral health. The hospital also has services in intensive outpatient and partial hospital program services.

Website: www.kingwoodpines.com

Position Summary

The Case Manager advocates for the patient's access to services during treatment team meetings and through individual physician contact. The Case Manager participates in treatment team meetings and continued stay reviews as indicated.

Job Duties/Responsibilities

• Provides clinical information to managed care companies, insurance companies and other third party reviewers to establish the length of stay or number of certified days.
• Conducts reviews and other communications and documentation as required by payor standards to obtain necessary certification to maximize reimbursement, and are the liaison for both internal and external reviewers.
• Provides timely updates regarding patient status on log sheets that are prepared for daily meetings concerning admissions, reviews, and discharges.
• Coordinates discharge plans with family, guardians, and other appropriate service providers.

Benefit Highlights

• Challenging and rewarding work environment
• Career development opportunities within UHS and its Subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401(K) with company match and discounted stock plan
• Generous Paid Time Off
• Free Basic Life Insurance

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

• High School Diploma required.
• Minimum of one (1) year of case management/inpatient psychiatric experience or comparable experience. Demonstrated proficiency in psychiatric care required.
• CPR and HWC Crisis Intervention training must be completed prior to beginning work (Can be obtained upon hire).

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.