Case Manager / Behavioral Health

 
Position: Case Manager / Behavioral Health

Job ID: 140274

Location: US-TX-Houston

Department: Behavioral Health

Talent Area: Administrative Support

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, a second community hospital opening in 2017. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for a Manager, Clinical Case Management – Health Plan Case Management - someone who works well in a fast-paced hospital setting. In this position, you’ll manage daily clinical and personnel activities and to provide analytics assessments to predict, monitor, and actions to mitigate financial claim expense. You’ll also, participate and coordinate the delivery of high quality, family centered and developmentally appropriate patient care at the unit level.

 

Think you’ve got what it takes?



Responsibilities :

  • Maintains clinical competency of self and direct professional reports by ensuring proficiency in psychosocial and environmental assessment and use of family-centered care
  • Ensures staffing needs of the unit are adequately met.  Supports staff in the development of their schedules and monitors productivity and quality service delivery. Maintains final decision-making processes for hiring new employees to unit
  • Oversees the daily operations, ensuring compliance with policies and procedures and state regulators and accrediting standards
  • Utilizes an inter-disciplinary approach to coach and develop unit- based staff to ensure the delivery of high quality patient care in a safe environment.  Assists in developing staff along the continuum
  • Develops and manages budgets.  Reviews current year budget and actual expenditures.  Reviews strategic plan for desired direction and  focus.  Develops cost center budget projections.  Submits individual cost center budget to Director.  Monitor budget expenses throughout the year
  • Demonstrates effective communication skills with health care team and works to eliminate communication barriers.  Serves as a liaison between physicians, families, nursing staff and ancillary departments
  • Supports the implementation of unit goals and communication of the IDS strategic plan to staff
  • Facilitates staff participation and participates in Community Events, Collaborative, and unit-based quality initiatives for the purpose of developing and monitoring clinical and financial outcomes that demonstrate excellence


Qualifications:

  • Current Licensure by the Texas Board of Nurses (RN) or Texas Board of Social Work (LSW)
  • Bachelor’s degree in Nursing or Social Work
  • Certification by the Commission for Case Manager (CCM), Certification in Managed Care Nursing (CMCN), or Certified Professional in Healthcare Management (CPHM)
  • Three (3) years of clinical experience
  • Two (2) years health plan or management experience

Preferred:

  • Lean Six Sigma Greenbelt
  • Applicant will have several months of training onsite before having flexibility to start work day from home.
  • RN applicants
  • High preference to applicants with both behavioral health and medical background

 



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