Clinical Case Manager: Care Coordination & Discharge

Memorial Hermann; Houston (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

Memorial Hermann is seeking a Case Manager to support physicians, primary medical homes, and interdisciplinary teams in coordinating patient care across the continuum. The role focuses on achieving high-quality outcomes, controlling costs, and ensuring timely information to payors.

You will drive change through performance improvement, care facilitation, and efficient resource utilization. Responsibilities include coordinating care plans, collaborating with care teams, and guiding discharge

Qualifications

• Three years of hospital-based nursing or social work experience.
• Experience in utilization management, case management, discharge planning or related programs.
• Excellent interpersonal communication and negotiation skills.
• Demonstrated leadership abilities.
• Strong analytical, data management and PC skills.
• Knowledge of discharge planning, utilization management and value-based care.
• Understanding of pre-acute and post-acute care settings.
• Experience with motivational interviewing and change management.
• Strong organizational and time management skills.
• Ability to work independently and communicate effectively with physicians, payors, patients and families.
• Effective written and oral communication.

Responsibilities

• Coordinates/facilitates patient care progression throughout the continuum.
• Collaborates with physicians, nursing and other care team to ensure timely care.
• Addresses/resolves system problems impeding diagnostic or treatment progress.
• Seeks consultation to expedite care and facilitate discharge.
• Leads development, evaluation and revision of clinical pathways and case management tools.
• Acts as preceptor/mentor to new hires and helps orient staff.
• Completes discharge planning documentation in patient records and systems.
• Communicates with payors regarding criteria and coverage for care.
• Monitors LOS and resource use; drives performance improvement strategies.
• Promotes safe, compassionate, and efficient experiences for patients and families.

Skills

Interpersonal communication

Negotiation skills

Leadership

Analytical skills

Discharge planning

Utilization management

Performance improvement

Motivational interviewing

Time management

Independent work

Oral and written communication

Education

RN license (Texas)

MSW or BSN preferred

Job description

Memorial Hermann is seeking a Case Manager to support physicians, primary medical homes, and interdisciplinary teams in coordinating patient care across the continuum. The role focuses on achieving high-quality outcomes, controlling costs, and ensuring timely information to payors.

You will drive change through performance improvement, care facilitation, and efficient resource utilization. Responsibilities include coordinating care plans, collaborating with care teams, and guiding discharge