Director, Case Management – Houston, TX - $125,000 - $156,600

Director, Case Management – Houston, TX
$125,000 - $156,600


The Director of Case Management is responsible and accountable for the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.

The Director is responsible for developing systems and processes for care/utilization management and discharge planning at the hospital level.  In addition, the Director may be responsible for managing the department’s activities related to discharge planning and clinical quality improvement.  The Director evaluates and ensures that hospital resources are used appropriately and effectively.  The Director oversees the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.  The Director promotes interdisciplinary collaboration, fosters teamwork and champions service excellence.

Minimum Qualifications

Education: Bachelors of Nursing (BSN) or Masters Social Work (MSW); Masters degree preferred

Licenses/Certifications:

·         Current and valid license to practice as a Registered Nurse in the state of Texas or

·         Current and valid Texas license as a Master’s Social Worker (LMSW), required

·         LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM) or

·         Fellowship of the American Academy of Case Management (FAACM), required

Principal Accountabilities

·         Plans, directs and supervises all aspects of the local level program.

·         Facilitates growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.

·         Responsible for approving and managing the day to day local level operational budget.

·         Assures that revenue, expenses, contribution margin and FTE’s meet or exceed budget.

·         Prepares and submits budget and related reports.

·         Forecasts and accurately projects expenses.

·         Takes corrective action to address negative variances.

·         Identifies and proposes capital budget items appropriately.

·         Identifies and achieves optimal targeted financial outcomes via the inpatient case management process.

·         Responsible for departmental personnel functions (hiring, firing, etc.) in conjunction with the Executive Director of Medical Management.

·         Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in department.

·         Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.)

·         Responsible for leading a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.

·         Uses data to drive decisions, plan, and implement performance improvement strategies for case management.

·         Oversees the education of physicians, managers, staff, patients and families related to the case management process at the local level.

·         Participates in this evolutionary process by constantly identify future needs of current customers and/or identifying potential new customers.

·         Ensures safe care to patients, staff and visitors; adheres to all Our Client’s policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.

·         Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

·         Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Our Client’s’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

·         Other duties as assigned..

Behavioral Health Therapist LCSW - Lawton, OK - $64,480 - $95,680

Behavioral Health Therapist LCSW

Lawton, OK

$64,480 - $95,680

Job Description

We a 198-bed facility. Our BHS campus holds 92 of the 198 beds with an Adult Unit, Children’s Unit, Adolescent Unit, Intake, Outpatient Clinic, and Main Camp, We are nestled in Lawton, Oklahoma which is on Forbes’ list as one of the “Best Small Places for Business and Careers.” We value our team and recognize their exceptional contributions in creating a safe and welcoming environment for our guests. We’re excited to enhance our team of compassionate and professionals with a new Behavioral Health Therapist.

As a member of our team, you will have the chance to:

·        Make a real difference in the lives of our patients through the delivery of exceptional customer service experience!

·        Be part of a collaborative, professional environment where your opinions and expertise are valued.

·        Enjoy a flexible schedule that respects your work-life balance.

·        Receive competitive compensation that recognizes your skills and experience, with the added benefit of our updated pay rates.

We offer a robust benefits package that will give you and your family the peace of mind you deserve, and most start after 30 days of hire.

Multiple offers to choose from, which include:

- PPO to include HSA, FSA,

- Dental

- Vision

- Life Insurance: Supplemental Life

- 401K

- Perkspot (discount program)

- Voluntary Benefits (legal, critical illness, Accident Insurance, Permanent Life insurance, Hospital Indemnity, Auto Home Ins., Identity theft, and Pet insurance)

- Quantum Health

- Multi-facetted wellness program

- Employee Assistance Program

- Telemedicine Program

Education Assistance (Reimbursement and Advance)

Career Development

- Employee Resource Groups (ERGs)

- Clinical Ladder Program

- Tuition Advancement Payback Plan

Job Responsibilities

·        The BEH Therapist participates in observing, reporting, and recording of patient behaviors.

·        Responsible for providing high quality patient care, including assessment, psycho-diagnosis, treatment, planning, individual, family and group therapies and discharge planning.

·        Responsibilities also include helping to provide a safe and secure unit environment for all patients and staff in compliance with hospital and departmental policies and procedures

·        Motivated to achieve the financial and operational objectives of the hospital. 

·        Must possess effective communication, professionalism, and interpersonal skills and ability to work with others as a team to ensure quality patient care.

Educational Requirements

·        Current LCSW, LPC, LBP or LMFT License from the State of Oklahoma or under supervision for same

·        CPR/AED

·        MAB Managing Aggressive Behavior

To Apply Please Complete the Form Below

Social Worker - Louisburg, NC - $43,804 - $69,992

Social Worker

Louisburg, NC

$43,804 - $69,992

Job Description

The Social Worker is responsible for providing high quality patient care, displaying good skills in assessment, psychodiagnosis, psychotherapy, treatment planning, group treatment, individual treatment, family treatment, and discharge planning. Additionally, he/she is expected to function well as a member of the multidisciplinary team and participate in the unit community relations program.

Reports to: Director of Behavioral Health

Responsibilities of the Position

·        Interviews and assesses patients and/or patient's family, caregivers, and/or legal representatives.

·        Determines, prioritizes, provides and/or arranges for needed internal and external services/interventions.

·        Participates in case reviews to evaluate case management and progress. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment plan.

·        Assists with discharge planning and processes. Identifies appropriate resources, including transportation, housing, healthcare, and social/spiritual services, and provides referrals as part of the discharge plan.

·        Engages in timely, efficient discharge planning. Works in close conjunction with patient, family, nursing staff, and attending physician. Shows good knowledge of referral/placement process and available community resources.

·        Assists patients with Safety Net applications when needed.

·        Coordinates/Develops appropriate safety plan/measures if patient’s plan is to be discharged to the community.

·        Provides brief, solution-focused interventions to patients with the goal of assisting in stabilizing crisis.

·        Provides information to hospital staff related to community resources and behavioral health processes.

·        Coordinates with outpatient Behavioral Health service providers to create continuity of care including securing outpatient appointments as necessary.

·        Completes behavioral health consultations with patients that present for medical services throughout the hospital system either in person or by use of telemedicine equipment.

·        Monitors compliance with standards of care for patients with behavioral health needs in the Emergency Department. This includes making recommendations related to maintaining a safe environment of care and level of observation needs of the patient.

·        Completes psychosocial evaluations on assigned patients in a timely fashion. Displays good interviewing, diagnostic, and report-writing skills.

·        Provides ongoing education to patient and family as needed.

·        Other duties as requested within the scope of practice.

Minimum Education

·        Masters Degree in Social Work, or related field.

·        Licenses: Licensed Clinical Social Worker or Licensed Clinical Social Worker Associate within 12 months of hire.

·        State Boards: 1st Evaluation credentialed or obtain within 6 months of accepting position.

·        Certification: Must complete BLS upon 90 days of hire and Handle with Care within 6 months of employment.

Minimum Work Experience

·        Minimum 3 years experience providing care in mental health and/or substance abuse field is preferred.

1.  Experience providing crisis services

2. Experience working on an inpatient Behavioral Health Unit

3. Experience using Telemedicine equipment for assessment

4. Knowledge of Recovery and Wellness Philosophy

To Apply Please Complete the Form Below

Director, Care Management -The Texas Medical Center - Houston, TX - $141,128 - $176,404

Director, Care Management -The Texas Medical Center

Houston, TX

$141,128 - $176,404

Job Description

The Director of Care Management is responsible and accountable to work with the Directors of Case Management on the implementation of the case management program at the local level.  The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.

The Director is responsible for overseeing/suggesting the development of systems and processes for care/utilization management at the local level.  In addition, the Director is responsible for monitoring the progress of hospital department activities related to discharge planning and clinical quality improvement.  The Director works with the local level Directors on matters that impact resource utilization and promotes the effective and appropriate use of hospital resources.  The Director supports the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.  The Director promotes interdisciplinary collaboration, fosters teamwork and champions service excellence.

Minimum Qualifications

·        Education: Bachelors of Nursing (BSN) or Masters Social Work (MSW). Masters degree preferred

Licenses/Certifications:

·        Current and valid license to practice as a Registered Nurse in the state of Texas or

·        Current and valid Texas license as a Master’s Social Worker (LMSW) required,

·        LCSW preferred and  Certified Case Manager (CCM), Accredited Case Manager (ACM) or

·        Fellowship of the American Academy of Case Management (FAACM) required .

Experience/ Knowledge/ Skills:

·        Minimum five (5) years’ experience in utilization management, case management, discharge planning or other cost/quality management program

·        Three (3) years of experience in hospital-based nursing or social work preferred

·        Knowledge of leading practice in clinical care and payor requirements

·        Self-motivated, proven communication skills, assertive

·        Background in business planning, and targeted outcomes

·        Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management

·        Working knowledge of the concepts associated with Performance Improvement

·        Demonstrated effective working relationship with physicians

·        Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes

·        Effective oral and written communication skills

Principal Accountabilities

·        Works in collaboration with the local level Directors of Case management to plans and coordinate all aspects of the local level program.

·        Facilitates growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.

·        Identifies and achieves optimal targeted clinical and financial outcomes via the case management process.

·        Assures that revenue, expenses, contribution margin and FTE’s meet or exceed budget.

·        Prepares and submits budget and related reports.

·        Forecasts and accurately projects expenses.

·        Takes corrective action to address negative variances.

·        Identifies and proposes capital budget items appropriately.

·        Participates in the annual and interim performance appraisal reviews of the Directors of Case Management.

·        Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospital staff, community care managers, nurses, community resources, corporate, etc.)

·        Leads a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.

·        Uses data to drive decisions, plan, and implement performance improvement strategies for case management.

·        Oversees the education of physicians, managers, staff, patients and families related to the case management process at the system level.

·        Participates in this evolutionary process by constantly identify future needs of current customers and/or identifying potential new customers.

·        Responsible for the ongoing development of the Care Management program to extend beyond the acute inpatient environment.

·        Ensures safe care to patients, staff and visitors; adheres to all policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.

·        Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

·        Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

·        Other duties as assigned.