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Catholic Health Initiatives Manager Care Management in Houston, Texas

Manager Care Management

Baylor St. Luke's Medical CenterHouston, Texas

Requisition ID 2022-253734 Employment Type Full Time Department Care Coordination Hours/Pay Period 80 Shift Day Weekly Schedule Monday-Friday Remote No Category Case Management and Social Work

Overview

JOB SUMMARY / PURPOSE

Responsible for the daily oversight of the daily operations and coordination for designated units related to the

activities assigned to Case Management staff including daily team operations, internal and external

departmental relations, and recruitment/evaluation of staff. This includes both internal and external case

managers in order to meet regulatory guidelines and maintain or obtain Manage Care contracts. Proactively

Develops and promotes methodologies that effect staff productivity. Serves as the subject matter expert for

case management Functions and regulatory compliance for the director and department members.

Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment our new McNair Campus is designed around the human experience—modeled on evidence-based practices for the safety of patients visitors staff and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care research and education. Our strong alliance with Texas Heart® Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.

Responsibilities

  1. Facilitates staff a. Provides leadership, direction and coordination of assignments for staff. b. Assesses daily

staffing needs and Provides staffing resources to ensure efficient and effective coordination of services. c.

Responsible for performance appraisals, corrective action for team members. 2. Clinical Management a.

Serves as a clinical resource for utilization management, compliance for the rules and regulations for

government, non-government payers and regulatory agencies. b. Collaborates with he medical staff, nursing

staff, patient, family, decision maker(s), other disciplines int he coordination of the plan of care. c. Use of

critical thinking skills in the development of care plans. 3. Monitoring of departmental goals a. Collaborates

with Director and staff to implement, monitor and review enhance plans to achieve established for the

department. b. Reviews reports applicable to CIC and responds with an appropriate action plan. c. Reviews

work assignments and projects of the department staff to ensure departmental goals are achieved. 4.

Outcomes Management a. Participates in the development, implementation, evaluation of policies and

procedures. b. Assesses data and implementation of process(as) improvement initiatives as needed. 5.

Professional Development a. Initiates and Participates in activities to enhance professional development. b.

Serves as a resource to staff by providing coaching in order to promote staff member accountability and

responsibility.

Qualifications

Required Education/Licensure/Certification: Bachelors

Preferred Experience: Five (5) years of Leadership experience

Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to

a diverse and inclusive workforce. All qualified applicants will be considered for

employment without regard to race, color, religion, sex, sexual orientation, gender

identity, national origin, age, disability, marital status, parental status,

ancestry, veteran status, genetic information, or any other characteristic protected

by law. For more information about your EEO rights as an applicant,

pleaseclick here. (https://tbcdn.talentbrew.com/company/35300/img/v1_0/EEOLawPoster.pdf)

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c).

External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health™ participates in E-Verify.

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