Manager, ED & Observation Case Management

A leading healthcare organization in Houston is seeking an experienced Manager of Emergency Department (ED) & Observation Case Management to provide leadership and oversight for a high-performing case management team.

This leadership role is responsible for coordinating and managing daily operations related to care facilitation utilization management case management and discharge planning while supporting quality outcomes patient throughput and financial performance.

• Lead day-to-day operations of the ED and Observation Case Management team
  
• Oversee utilization management care coordination and discharge planning activities
  
• Partner with physicians nursing leadership social work and ancillary departments to improve patient outcomes
  
• Utilize data and metrics to drive performance improvement initiatives
  
• Support staff development coaching mentoring and performance management
  
• Assist with departmental budgeting resource management and strategic planning
  
• Ensure compliance with regulatory and payer requirements
  
• Promote patient-centered care and operational excellence
  

Qualifications:

• Current Texas RN license OR LMSW required (LCSW preferred)
  
• Case Management Certification (CCM ACM or equivalent) required
  
• Minimum 5 years of experience in:
  • Utilization Management
    
  • Case Management
    
  • Discharge Planning
    
  • Cost/Quality Management Programs
    
• Minimum 3 years of hospital-based nursing or social work experience
  
• Minimum 3 years of leadership experience
  
• Strong understanding of payer requirements utilization review care coordination and performance improvement
  

Compensation & Benefits

• Base Salary: $108867 - $130000
  
• Annual Management Incentive Bonus Target: 10%
  
• Maximum Bonus Opportunity: 15%
  
• Full Relocation Assistance Available
  
• Comprehensive Benefits Package
  
• Career Growth Opportunities Within a Large Healthcare System