Top 361 Nurse case managers Jobs in Houston, Tx

RN Case Manager Acute Care
River Oaks Hospital and Clinics —Houston, TX
- $70,000 - $80,000 a year
- Full-time
- Background check
- Spanish
- Nursing
- Disability insurance
- Health insurance
Quick Apply
Home Health RN Case Manager
Omnix Health Care Services —Crosby, TX
- From $78,000 a year
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
6d
RN Health Coach (Harris County, Texas)
Genuine Health Group LLC —Harris County, TX
- $84,000 a year
- Full-time
- Background check
- Spanish
- Nursing
- Paid holidays
- Health insurance
Quick Apply
CLINICAL OPERATIONS SUPERVISOR - AM SHIFT- ADVANCED RIVER OAKS HOSPITAL
Advanced Diagnostics Healthcare System —Houston, TX
- $50 - $52 an hour
- Weekends as needed
- Acute care
- Background check
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
Case Manager-Registered Nurse (RN)
Houston Methodist Hospital —Houston, TX
- Part-time
- Acute care
- Nursing
- Microsoft Excel
9d
Clinical Nurse Care Manager I - Eight hour shift AM / Alternating Weekends
Harris Health —Houston, TX
- $98,529.60 - $120,224.00 a year
- 8 hour shift
- Microsoft Word
- Nursing
- Management
4d
Intake Psych Registered Nurses Fulltime
Houston Behavioral Healthcare Hospital —Houston, TX
- Multiple hires
- Nursing
- RN License
- Inpatient
- Health savings account
- AD&D insurance
Quick Apply
Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)
3:15 —Houston, TX
- $55,000 - $65,000 a year
- Full-time
- Remote
- Background check
- RN License
- Computer literacy
- AD&D insurance
- Health insurance
Quick Apply
LTSS Nursing Facility Service Coordinator Level 1*
Harris Health —Houston, TX
- $67,200 - $85,000 a year
- Full-time
- Remote
- Nursing
- Clean driving record
- RN License
- Health insurance
- Dental insurance
Field Care Manager, LTSS (RN) - IDD Experience Required - Local Travel
Molina Healthcare —Houston, TX
- $26.41 - $51.49 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- RN License
- Health insurance
Case Manager-Registered Nurse (RN)-PRN
Houston Methodist Hospital —Houston, TX
- PRN
- Acute care
- Nursing
- Microsoft Excel
RN CLINICAL CASE MANAGER
Legent Health —Bellaire, TX
- Full-time
- Nursing
- Mid-level
- US work authorization
- Paid time off
Quick Apply
Manager, Trauma Case Management
Career Land Center, LLC —Houston, TX
- Full-time
- Acute care
- RN License
- Hospital
- Relocation assistance
- Health insurance
Quick Apply
Case Manager-Registered Nurse (RN)
Houston Methodist Hospital —Houston, TX
- Full-time
- Acute care
- Nursing
- Microsoft Excel
9d
Case Manager-Registered Nurse (RN)
Houston Methodist Hospital —Houston, TX
- Full-time
- Acute care
- Nursing
- Microsoft Excel
Registered Nurse Case Manager
Meridian Living Center —Houston, TX
- $40 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Quick Apply
Pre-Transplant Coordinator (RN) | Heart
Houston Methodist Hospital —Houston, TX
- Full-time
- Acute care
- Nursing
- RN License
6d
Manager, Emergency Department (ED) and Observation Case Management
Career Land Center, LLC —Houston, TX
- $108,867 - $130,000 a year
- Full-time
- Acute care
- RN License
- Licensed Clinical Social Worker
- Relocation assistance
Quick Apply
Pre-Transplant Coordinator | Renal
Houston Methodist Hospital —Houston, TX
- Full-time
- Acute care
- Nursing
- RN License
3d
FT Admissions Patient Care Manager (RN)
Houston Hospice —Houston, TX
- Full-time
- Nursing
- RN License
- 5 years
Quick Apply
3d

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nurse case managers jobs near houston, tx

RN Case Manager Acute Care

River Oaks Hospital and Clinics
Houston, TX

Quick Apply

Job Details

Full-time
$70,000 - $80,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Spanish
RN License
Intake
Patient assessment
BLS Certification
Microsoft Office
Managing patients as a nurse case manager
Driver's License
Medical records
Case management
Patient care
Discharge planning

Full Job Description

SUMMARY

This position works closely with the interdisciplinary team to facilitate and maintain compassionate, safe and efficient quality care and achieve desired treatment outcomes. This position works closely with the team to ensure effective discharge planning and continuity of care; and communicates clinical information to payers to ensure reimbursement.

Job Duties and Responsibilities
1. Collaborates with the physician and team to facilitate care, monitor the patient’s progress, intervening as needed to ensure high quality, efficient, and cost-effective services to the patient that are timely.

2. Educates staff and serves as a resource for meeting needs of the patient and facility.

3. Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance.

3.1 Identifies when services no longer meet criteria, initiates discussion with physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from physician advisor when needed, and informs management of possible need for issuing Medicare Hospital Initiated Notice of Non-coverage.

3.2 Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay.

3.3 Reviews level of care denials to identify trends and collaborates with team to recommend opportunities for process improvement.

4. Plans for routine / difficult discharge and anticipates / prevents and manages emergent situations. Specific focus is given to discharge plan and elimination of barriers.

5. Performs post-discharge review by analyzing the medical record to ensure that compliance with quality indicators is met. Communicates reports to appropriate leader regarding regulatory concerns.

6. Monitors length of stay (LOS) on an ongoing basis. Proactively takes action to expedite care / facilitate discharge.

6.1 Manages all patients in observation status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.

6.2 Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state / federal agencies.

6.3 Responds to requests for information, monitors covered days, initiates review to assure that all days are covered and reimbursable.

7. Supports and follows the mission, vision, values and policies of the hospital and communicates with the appropriate leadership and staff.

Qualifications (Education, Experience and Certifications)

Education: RN graduate from an accredited nursing program. Master’s Degree preferred.

Certification, Licensure: Current license as a registered nurse in the state of Texas; current American Heart Association BLS certification.

Experience, Training, Knowledge: Three (3) years hospital clinical experience; two (2) years case manager experience.

KNOWLEDGE, Skills And Abilities
Strong assessment, organizational and problem solving skills

Knowledge of Medicare, Medicaid and managed care requirements.

Comprehensive knowledge of community resources, healthcare financial and payer requirements and eligibility requirements for county, state and federal programs.

Adept at computer operating skills, including Microsoft Office.

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

401(k)
Dental insurance
Disability insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance

Medical Specialty:

Primary Care

Language:

Spanish (Required)

Ability to Commute:

Houston, TX 77027 (Required)

Ability to Relocate:

Houston, TX 77027: Relocate before starting work (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

nurse case managers jobs in houston, tx

RN Case Manager Acute Care

Home Health RN Case Manager

RN Health Coach (Harris County, Texas)

CLINICAL OPERATIONS SUPERVISOR - AM SHIFT- ADVANCED RIVER OAKS HOSPITAL

Case Manager-Registered Nurse (RN)

Clinical Nurse Care Manager I - Eight hour shift AM / Alternating Weekends

Intake Psych Registered Nurses Fulltime

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

LTSS Nursing Facility Service Coordinator Level 1*

Field Care Manager, LTSS (RN) - IDD Experience Required - Local Travel

Case Manager-Registered Nurse (RN)-PRN

RN CLINICAL CASE MANAGER

Manager, Trauma Case Management

Case Manager-Registered Nurse (RN)

Case Manager-Registered Nurse (RN)

Registered Nurse Case Manager

Pre-Transplant Coordinator (RN) | Heart

Manager, Emergency Department (ED) and Observation Case Management

Pre-Transplant Coordinator | Renal

FT Admissions Patient Care Manager (RN)

I want to receive the latest job alert for nurse case managers in houston, tx

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