Description

Introduction

Do you have the career opportunities as a(an) Nurse Manager of Case Management you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

Methodist Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Nurse Manager of Case Management where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

The Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating all aspects of hospital based case management for his/her assigned area of responsibility in alignment with the goals of the Case Management Department. The Manager for Case Management is accountable for the overall day-to-day oversight and management of the case management program including coordination, supervision, and administrative oversight of the case management team. The Manager for Case Management functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for the members of the case management team. The Manager for Case Management supervises and monitors professional and support staff and ensures that effective care coordination and case management practices are consistent with hospital policies, and applicable regulations and guidelines. The Manager for Case Management monitors quality of the interactions, documentation and assessments of the case management staff. The Manager for Case Management coordinates activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.   

Essential Job Functions: 

1. Determines department staffing needs, coordinates the hiring, assignment, training and supervision of all Case Managers and Social Workers. Facilities the ongoing training and continuing education of staff and completes staff evaluation in accordance with hospital policy. 

2. Assists in developing all department/service policies and procedures, assuring compliance with all regulatory agencies. Coordinates staff education/compliance with these policies. 

3. Assists in developing the department’s goals/objectives in concert with the hospital mission, vision and values; educates staff to the goals/ objectives and provides periodic feedback as to the success in meeting these. 

4. Prepares and presents pertinent data to the Case Management committee (i.e. targeted DRG’s by LOS and cost/case, pertinent payment/resource issues, etc.) 

5. Assists in the management of the Case Management program, which includes monitoring the appropriateness and medical necessity of admissions, continued stay and discharge planning. 

6. Maintains department employee files within the Case Management department to include but not limited to competencies, new employee orientation checklist, equipment checklist, in-service attendance, signed job description, annual feedback, and active license documentation. 

What qualifications you will need:

• Bachelor's Degree in Nursing or Master's Degree in Social Work.
• 3+ years of clinical nursing or social work experience.
• 2+ years case management experience.
• InterQual experience 
  

• Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation or currently licensed as an LMSW in the state(s) of practice according to law and regulation
• Certification in Case Management
• Certification in InterQual or IQCI 

Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 900 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.

As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community. We’ve recently been named the No.1 Best Regional Hospital by the U.S. News and World Report for 2019-20. We pride ourselves on providing the highest quality of care possible for our patients, which is proven by our consecutive Grade A Leapfrog Hospital Safety scores. In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. For more information, please visit our website at www.sahealth.com and select Methodist Hospital under Locations.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Nurse Manager of Case Management opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.