Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes. Promotes interdisciplinary collaboration and champions service excellence. Works collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care.
1. Conducts clinical review and utilizes objective criteria to assign patient to the
appropriate level of care; identifies clinical resources required to achieve
optimal patient outcomes and appropriate reimbursement for the
2. Appropriately identifies and refers cases to physician advisor to support timely
progression of patients along the continuum.
3. Coordinates activities to progress the patient through the healthcare
continuum; initiates referrals and recommends consults to facilitate readiness
for discharge by the target date, performing basic discharge planning
functions. Monitors patient progress toward discharge criteria, collaborating
with the physician and healthcare team to modify the plan of care when
patient progress is less than optimal or patient needs change. Anticipates and
proactively works to prevent delays and barriers to efficient care delivery;
collaborates with involved persons/departments to resolve barriers.
4. Utilizes high risk screening criteria to initiate appropriate referral to the Social
Worker regarding psychosocial and financial aspects of plan of care,
community service options and barriers impacting arrangement of post-acute
5. Coordinates the plan of care with the interdisciplinary team to ensure all
critical elements have been communicated to the patient/family.
6. As patient is transferred, communicates pertinent information to next Case
Manager to transition the patient to the next level of care.
7. Provides ongoing communication to nursing staff and unit manager regarding
complex patients, barriers to appropriate care delivery and progress of
patients toward discharge/transfer. Functions as role model and serves as
mentor to nursing staff.
8. Promotes accuracy and completeness of clinical documentation to reflect the
appropriate severity of illness/intensity of service for all patients in
collaboration with licensed staff and physician.
9. Adheres to standards, policies and procedures at both the hospital and
10. Promotes a service orientation in the performance of position duties and
responsibilities and in interactions with patients, hospital staff and visitors.
Minimum Position Qualifications:
Education: RN, Bachelors degree in Nursing/healthcare related field preferred
Experience: RN, three years of direct patient care experience in an acute care hospital in a leadership role preferred
Previous case management or utilization management experience preferred
License/ Certification: Current licensure in Texas or an approved compact state as a Registered Nurse or proof of application for licensure.
Covenant Health is celebrating nearly 100 years of serving Lubbock and our South Plains region. As the oldest and largest health system in Lubbock and the region, we currently employ over 5,200 people with a medical staff of over 600 physicians.
For nearly 100 years, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person - mind, body and spirit. Our vision and differentiator is we are the only faith-based, integrated health network in the West Texas/eastern New Mexico region dedicated to a Christian ministry of healing.
As an expression of our mission, we believe we hold an important Covenant with our patients and try and treat every interaction as Sacred Encounters.
Our ministry includes six hospitals with over 1,100 licensed beds:
Covenant Medical Center - CMC
Covenant Plainview - PLV
Covenant Levelland - LVL
Trustpoint (joint venture: Rehab Hospital of Lubbock)
Covenant Medical Group (CMG)
Covenant Health Partners
Hospice of Lubbock
Covenant Health's total service area includes 25 counties that covers most of West Texas and eastern New Mexico. The service area covers approximately 750,000 people and approximately 35,000 square miles.
Covenant / St. Joseph Health (SJH) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Covenant / St. Joseph Health (SJH) complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Positions specified as “on call, per diem” refers to employment consisting of shifts scheduled on as “as needed basis” to fill in for staff vacancies.