Top 116 Registered nurse case manager Jobs in North 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
Registered Nurse Hospice Case Manager
Allegiance Hospice —Conroe, TX
- $85,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- CPR Certification
- Paid time off
Quick Apply
Manager Case Management & Social Services RN
Houston Methodist —Houston, TX
- Full-time
- Acute care
- Nursing
- RN License
5d
RN CLINICAL CASE MANAGER
Legent Health —Bellaire, TX
- Full-time
- Nursing
- Mid-level
- US work authorization
- Paid time off
Quick Apply
Registered Nurse Case Manager
Houston Methodist Cypress Hospital —Cypress, TX
- Full-time
- Acute care
- Nursing
- Microsoft Excel
Care Manager - Remote
CareVitality Inc —Houston, TX
- $60,000 - $77,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Care Coordinator RN
St Luke's Health - The Woodlands Campus —The Woodlands, TX
- $43.10 - $64.11 an hour
- PRN
- Nursing
- RN License
- Hospital
Complex Case Manager
Harris Health —Houston, TX
- $80,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Case Manager
Memorial Hermann Health System —The Woodlands, TX
- Full-time
- Master of Social Work
- Nursing
- RN License
1d
Case Manager-Registered Nurse (RN)
Houston Methodist Hospital —Houston, TX
- Full-time
- Acute care
- Nursing
- Microsoft Excel
5d
Case Manager - Registered Nurse (RN) PRN
Houston Methodist Hospital —Houston, TX
- PRN
- Acute care
- Nursing
- Microsoft Excel
8d
Certified Case Manager
Houston Methodist Cypress Hospital —Cypress, TX
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
3d
Case Manager-Registered Nurse (RN)
Houston Methodist Hospital —Houston, TX
- Part-time
- Acute care
- Nursing
- Microsoft Excel
5d
Case Manager - Transition in Care
Houston Methodist —Houston, TX
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
2d
RN Case Manager
Team Select Home Care —Houston, TX
- $75,000 - $85,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
Quick Apply
Patient Care Manager - RN
Heart to Heart Hospice —Houston, TX
- Full-time
- RN License
- Mid-level
- Driver's License
- Mileage reimbursement
- Paid holidays
Quick Apply
Case Manager / RN (PRN)
Houston Methodist Willowbrook Hospital —Houston, TX
- PRN
- Nursing
- Microsoft Excel
- Microsoft Outlook
12d
Hospice RN Case Manager - Full Time
Optum —Houston, TX
- $83,580 - $125,370 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
Quick Apply
Care Manager
Arosa Houston —Houston, TX
- $70,000 - $85,000 a year
- Part-time
- Nursing
- LVN
- RN License
- Paid training
- Mileage reimbursement
Quick Apply
Patient Care Manager RN
Optum —Tomball, TX
- $94,164 - $141,246 a year
- Full-time
- CPR Certification
- Management
- RN License
- Health insurance
Quick Apply

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registered nurse case manager jobs near north 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

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Refine Your Search

registered nurse case manager jobs in north houston tx

RN Case Manager Acute Care

Registered Nurse Hospice Case Manager

Manager Case Management & Social Services RN

RN CLINICAL CASE MANAGER

Registered Nurse Case Manager

Care Manager - Remote

Care Coordinator RN

Complex Case Manager

Case Manager

Case Manager-Registered Nurse (RN)

Case Manager - Registered Nurse (RN) PRN

Certified Case Manager

Case Manager-Registered Nurse (RN)

Case Manager - Transition in Care

RN Case Manager

Patient Care Manager - RN

Case Manager / RN (PRN)

Hospice RN Case Manager - Full Time

Care Manager

Patient Care Manager RN

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