Top 16 Clinical documentation & utilization review Jobs in Longview, Tx

Care Manager LSW- PRN
Longview Regional Medical Center —Longview, TX
- Part-time
- Hospital
- Licensed Clinical Social Worker
- Inpatient
- 401(k) matching
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Senior LTSS Service Care Manager (RN) - J01077
BravoTech —Texas
- $70.88 an hour
- Contract
- Nursing
- RN License
- Mid-level
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Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
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Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
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Highlife Recovery —Columbus, OH
Complete comprehensive biopsychosocial assessments and diagnostic evaluations within the clinician’s license and scope of practice.
$60,000 - $70,000 a year
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clinical documentation & utilization review jobs near longview, tx

Care Manager LSW- PRN

Longview Regional Medical Center -
Longview, TX

Quick Apply

Job Details

Part-time

Benefits

401(k) matching

Qualifications

Inpatient experience
Social Work License
Bachelor's degree in social work
Acute care facility experience
Bachelor's degree

Full Job Description

Why You’ll Love Working Here:

Future Security – 401(k) with employer matching to help you build long-term financial stability.

Role: Licensed Social Worker-Care Manager

Location: Longview Regional Medical Center

Schedule: PRN- Weekdays & Weekends- prefer someone with recent acute care experience to prevent extended orientation

Job Summary

The Care Manager - LSW is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
Refers cases to physicians or managers or RNs when patients do not meet established criteria, ensuring timely and appropriate interventions.
Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.

Qualifications

Bachelor's Degree in Social Work required
Master's Degree in Social Work preferred
2-4 years of experience in an acute care hospital setting required

Knowledge, Skills and Abilities

Strong understanding of case management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and Joint Commission standards related to case management.
Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
Ability to assess complex situations, identify solutions, and implement care plans efficiently.
Proficiency in electronic medical records (EMR) and documentation systems.
Ability to plan, organize and direct the activities of others.
Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

LCSW- License Clinical Social Worker required or
LMSW - Licensed Medical Social Worker - State Licensure required

INDBH

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Refine Your Search

clinical documentation & utilization review jobs in longview, tx

Care Manager LSW- PRN

Senior LTSS Service Care Manager (RN) - J01077

Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)

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