Case Management is a collaborative practice that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the member’s health and human service’s needs
Job Summary
Case Management is a collaborative practice that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the member’s health and human service’s needs.
The Case Manager facilitates clinically appropriate and fiscally responsible patient care through communication with the treating physicians, and all other members of the health care team.
The Case Management Process is centered on a client/support system and is holistic in its coverage of the client’s situation and addresses medical, physical, emotional, financial, psychosocial, behavioral, emotional, and other needs, as well as that of the member’s support system.
Matching Summary
Case Management is a collaborative practice that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the member’s health and human service’s needs.
Skills & Requirements
Must-have
Medicaid criteria/guidelines knowledge
Managed care contracts/guidelines knowledge
Communication with members and providers
Assess member needs and social support
Manage chronic illnesses
Community/health agency referrals
Nice-to-have
Compassion meets innovation
Employees are family
Data-driven decision-making tools
Key Requirements
Registered Nursing licensure in Texas
Minimum of three (3) years prior clinical experience
One year of acute inpatient case management or managed care experience preferred
Certification in Case Management or Managed Care preferred