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Manager Case Management

Company: Seton Family of Hospitals, TX
Location: Austin
Posted on: June 14, 2018

Job Description:

Job ID: 254623 Manager Case Management Austin, Texas Regular / Day Additional Job Information Title:--RN Mgr-Case Mgmt City, State:-- Austin,TX Location:-- Dell Seton Medical Center Department:---- Case Management 001 Additional Job Details:----Full-Time,Day,--40 hours,Weekly About Us At Seton, we---re using the power of purpose to change healthcare--for the better. --As part of Ascension's Texas Ministry Market we do this through collaboration. Seton brings great minds and proven results from the across the nation together. From the best hires and strategic plans for growth, to the proactive connections we make within our community, we reach out to move ahead. Now, partnering with the University of Texas to build the new Dell Seton Medical Center, our future looks brighter than ever. We do this in force. With more than 12,800 associates, Seton is the leading healthcare service provider in Central Texas as well as its second largest employer. We serve an eleven county area of more than 1.8 million people. We have five urban acute care hospitals, two rural hospitals, a mental health hospital, three primary care clinics for the uninsured, and an increasing number of storefront care locations. We do this with vision. Since our founding in 1902, Seton has led the way in Austin --- expanding thoughtfully and with purpose; caring for our neighbors, because we know them so well. As a non-profit with a mission --- rather than a bottom line --- guiding us, improving health at a community level is our number one priority. Austin. It---s our home, and our heart. Located at the center of Texas hill country --- just a few hours from Dallas, Houston, and San Antonio --- Austin offers an appealing blend of hometown comfort and high-tech care. Whether you are looking for a vibrant nightlife and live music, recreational areas and activities, family-friendly fun, or educational offerings, Austin is a city that not only calls to you, but gently encourages you to sit down and stay awhile. With cultural diversity, a mild climate (and truly great outdoors), attractive and affordable housing options, and no state income tax, Austin is a feel-good choice for a rewarding way of life. The way we connect, the lives we affect. The Seton Healthcare Family is always looking for dedicated, talented professionals willing to share their hearts with those we serve. Being part of our close-knit team means performing to a higher standard. Embracing innovation, while understanding the importance of individual connections. And continually collaborating, learning and growing to realize new levels of personal and professional satisfaction. -- Job Description Job Summary: Manages assigned Registered Nurse (RN) case managers, related activities and workflow to ensure effective and efficient patient care. Responsibilities:

  • Manages professional and clerical associates who work with a range of functions, including but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care Coordination, Collaborative treatment planning and core measures, Discharge Planning, tracking of the post-acute period and provision of disease management, and contracting internally and externally.
  • Communicates with administration and medical staff in matters related to appropriateness of hospital admissions, discharge planning, and length of stay.
  • Serves as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation.
  • Develops staff schedule and revises assignments daily to assure optimal unit coverage and distribution of workload within staffing standards. Covers on units as needed and serves as a resource for complex case management issues.
    Qualifications Licenses/Certifications/Registration:
    • Required Credential(s):
    • BLS Provider--credentialed from the--American Heart Association (AHA)--obtained within--3 Months (90 days)--of hire date or job transfer date.--
    • Registered Nurse--credentialed from the--Texas Board of Nursing--.---- Education:
      • Diploma--
      • Bachelor's degree in nursing, or combination of diploma from an accredited school/college of nursing and related experience required Master's degree in a related field, or combination of Bachelor's degree and related experience preferred Work Experience:
        • 3 Years Required Technical Experience. 5 Years Preferred Technical Experience. 1 Year Required Leadership/Mgmt. 5 Years Preferred Leadership/Mgmt Experience. Equal Employment Opportunity Seton Healthcare Family is an equal employment opportunity / Affirmative Action employer and complies with all applicable federal, state and local equal employment regulations and laws. It is the policy of the Seton Healthcare Family to afford equal employment opportunities to all employees and prospective employees without regard to their race, color, ancestry, religion, sex, sexual orientation, national origin, age, physical or mental disability, citizenship status, veteran status, gender identity or expression, or any other characteristic or status that is protected by federal, state, or local laws. This policy applies to all personnel actions, such as hiring, promotion, transfer, demotion, termination, layoff and all other conditions and privileges of employment in accordance with applicable federal, state, and local laws. Affirmative Action goes beyond the concept of equal employment opportunity. Affirmative Action policies and programs are required to overcome the present effects of past discrimination and to achieve equal employment opportunity for members of groups that are or have been formerly under-represented. Affirmative Action policies and programs are tools whereby additional efforts are made to recruit, employ and promote qualified members of formerly excluded groups, even if that exclusion cannot be traced to particular discriminatory actions. Through specific and result-oriented activities, Seton Healthcare Family---s goals are to ensure that every person is given full consideration through equal employment opportunity policies and practices and to achieve a representative workforce through its affirmative action efforts.-- It is further the policy of the Seton Healthcare Family to encourage vendors, contractors, affiliate institutions and others doing business with the Seton Healthcare Family to observe the principles of Equal Employment Opportunity and Affirmative Action. -- Seton Healthcare Family is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the ---EEO is the Law--- poster: EEO is the Law Poster Supplement -- Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. Share: -->

          Keywords: Seton Family of Hospitals, TX, Austin, Manager Case Management, Executive, Austin, Texas

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