Kelsey-Seybold

  • Case Manager Concurrent Review

    Location US-TX-Pearland
    Posted Date 2 months ago(5/31/2018 1:00 PM)
    Job ID
    2018-18769
    Category
    Clerical/Administrative Support
  • Overview

    Case Manager Concurrent Review

    Location: Pearland Administrative Office

    Job Type: Full-Time

    Department: KS Plan Advantage-Managed Care

     

    Company Profile

    Kelsey-Seybold Clinic. Your Doctors for Life.

    Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.​​

      

    JOB SUMMARY

    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.

     

     EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

    (A = basics; B = preferred)

    Education

    A.

    Registered Nurse, ADN or Masters 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 ENVIRONMENT

    Office

     

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed