Description
Responsibilities
The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward recovery for early identification of continuing care needs in an attempt to facilitate discharge for specified populations. This position works closely with Medical Management Physician leadership and various internal departments
Job Title: Case Manager Concurrent Review
Location: Pearland Administrative Office
Department: KCA Utilization Management
Job Type: Full Time
Salary Range: $90,932 - $112,318 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Qualifications
Education
Required: Registered Nurse, ADN or master?s degree in Social Work
Preferred: Certification in area of specialization, BSN
ACP certification
Experience
Required: Five years nursing experience or three years? experience in medical social work with an emphasis in
case management of high risk patient population.
Preferred: Proven program development skills
License(s)
Required: TX RN license or TX LCSW license, valid Texas Driver?s license
Preferred: Case Management Certification
Special Skills
Required: Proven communication and problem-solving skills; Computer literate
Preferred: At least 2 years in area of specialization, 2 years of Case Management/Utilization Review
experience
Other
Required: Managed Care knowledge
Preferred: N/A
Working Environment: Office/Medical Clinic/Other
About Us
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston?s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance
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