Employment Type : Full-Time
Overview: Kelsey-Seybold Clinic, a Houston tradition in patient-centered care, is a multispecialty clinic with over 25 locations and comprises more than 500 physicians providing primary and specialty care in a collaborative manner.
With 55 different clinical and non-clinical specialties, you can design a career path at Kelsey-Seybold Clinic that allows you to grow your future in a completely new direction.
Kelsey-Seybold Clinic is changing the way health cares.
Responsibilities: The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward recovery for early identification of continuing care needs in an attempt to facilitate discharge for specified populations. This position works closely with Medical Management Physician leadership and various internal departments.Qualifications:Case Manager Concurrent ReviewLocation: Pearland Administrative OfficeDepartment: KS Plan Advantage Population HealthJob Type: Full Time
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS(A = basics; B = preferred)
Education
A.
Registered Nurse, ADN or master’s degree in Social Work
B.
Certification in area of specialization, BSN
ACP certification
Experience
A.
Five years nursing experience or three years’ experience in medical social work with an emphasis in case management of high risk patient population
B.
Proven program development skills
Licenses
A.
TX RN license or TX LCSW license, valid Texas Driver’s license
B.
Case Management Certification
Special Skills
A.
Proven communication and problem-solving skills; Computer literate
B.
At least 2 years in area of specialization, 2 years of Case Management/Utilization Review experience
Other
A.
Managed Care knowledge
B.
WORKING ENVIRONMENTOffice