Manager, Emergency Department (ED) and Observation Case Management
$108,867–$130,000 year
On-siteHouston, Texas, United States
Job Summary
Direct daily operations of case management services in the Emergency Department and Observation areas, managing utilization review for appropriate level-of-care determinations and payer compliance. Lead discharge planning and care transition processes to support timely patient movement, while supervising and mentoring case management team members. Monitor departmental performance metrics to implement process improvement initiatives that enhance patient throughput and reduce avoidable delays. Collaborate with physicians, nursing staff, and social workers to ensure adherence to federal, state, and organizational regulations. This role requires a Texas RN license or LMSW credential with five years of case management experience and a minimum of three years in leadership. Compensation ranges from $108,867 to $130,000 per year, with relocation assistance available.
Required Qualifications
- Current Texas Registered Nurse (RN) license or Licensed Master Social Worker (LMSW) credential
- Active Case Management Certification
- Minimum of five years of experience in case management, utilization review, and care coordination/discharge planning within a healthcare setting
- At least three years of leadership, supervisory, or management experience
- Minimum of three years of hospital-based nursing or social work experience
- Strong knowledge of healthcare regulations, utilization management principles, and care transition practices
Desired Qualifications
- Licensed Clinical Social Worker (LCSW) designation
- Experience in emergency services, observation care, or acute care settings
- Proven ability to lead multidisciplinary teams in a fast-paced environment
- Excellent communication, problem-solving, and organizational skills
- Knowledge of patient flow management and resource optimization strategies
- Ability to analyze data, drive performance improvements, and achieve operational goals
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