Case Manager - Utilization Management

KelseySeybold Clinic   •  

Pearland, TX

Industry: Healthcare

  •  

5 - 7 years

Posted 173 days ago

This job is no longer available.

COMPANY PROFILE

Kelsey-Seybold Clinic. Your Doctors for Life.

Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.

  

JOB SUMMARY

The case manager is primarily responsible for providing Case Management services on specified patient populations. This includes, but is not limited to: tracking utilization of resources, coordinating complex treatment protocols, cooperate with a multidisciplinary team to facilitate discharge planning, acting as a resource for external and internal customers and developing and implementing disease management programs.

 

EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

(A = basics; B = preferred)

 

Education

A.

Registered Nurse, ADN

B.

Certification in area of specialization, BSN

Experience

A.

Five years nursing experience

B.

Proven program development skills

Licenses

A.

TX RN license, valid Texas Drivers license

B.

Case Management Certification

Special Skills

A.

Proven communication and problem solving skills; Computer literate

B.

At least 2 years in area of specialization, 2 years of Case Management/Utilization Review experience

Other

A.

Managed Care knowledge

B.

 

2018-18914