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Skills: Case management, Utilization review, Discharge planning, Social work intervention, Regulatory compliance
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The Director of Case Management plans and monitors hospital-wide efforts to ensure appropriate levels of care and psychosocial interventions. They coordinate programs across departments to optimize patient admissions, length of stay, and discharge planning while ensuring regulatory compliance.
Requirements
Candidates must have 3-5 years of hospital case management experience with utilization review and hold a valid Texas RN license. A BSN and prior supervisory experience are preferred.
Full job description
JOIN OUR TEAM!!!
Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key?
We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees love their work here. Many have been with us from the very beginning. Because we’re physician-owned, we understand the value of having a well-trained, well-resourced staff. When it comes to procedural healthcare, experience matters.
Lubbock Heart & Surgical Hospital is committed to providing better outcomes for our employees!
Great Benefits – Medical, Vision, Dental, PTO & 401K
Individually Tailored 6-12 Week Orientation
Opportunities for Advancement
Career Ladder for RNs, LVNs, & CSTs
Consumer discounts through Perks
Family Atmosphere
Opportunity for Multi-Unit Training
Free CEUs through Cornerstone, our online training system
We are looking for a dedicated Director of Case Management like you to join our Lubbock Heart team.
What You Will do in this Role:
Plans, directs, implements and monitors hospital-wide efforts to ensure appropriate level of care and psychosocial interventions while serving as a liaison for the hospital with medical staff, hospital departments and services, regulator and extra review agencies, third party payers, financial services and community health and welfare services.
Coordinates programs among departments and ensures services according to the appropriateness of care, appropriateness of admissions and continued hospitalizations, monitors length of stay, observation status utilization, delays in discharges or care, case mix index and other reimbursement/financial indicators in order to recommend and implement hospital-wide improvement strategies.
Performs concurrent reviews for patients to ensure that extended stays are medically justified and documented in patient’s medical records.
Refers to the Utilization Review Physician Advisor (s) all cases that do not meet established guidelines for admission or continued stay.
Assists in patient facilitation through participation in daily bed management meetings and implementation of multi-disciplinary activities to improve quality of care.
Participates in the development of effective hospital-wide Care Management strategies, ensuring compliance with external accrediting agencies and patient care review requirements.
Ensures compliance regarding resource allocation, discharge planning and social work intervention processes in accordance with regulatory agencies including but not limited to DOH, CMS, etc., and other authority, and acts as a liaison of the same.
Serves as a change agent for implementation of new programs and existing ones.
Works independently and provides and coordinates patient care using an interdisciplinary approach encompassing the entire continuum of care which may include outpatient, inpatient and post hospital services.
Helps to develop and utilizes medical guidelines in an effort to provide high quality, cost effective care sensitive to the resources available.
Utilizes data to make informed decisions related to the delivery and outcomes of Case Management, department productivity and staffing.
Assesses needs and plans, communicates and designs services that are appropriate to the hospital mission and patient/family needs.
Complies monthly reports and statistics to the Utilization Review Committee. Integrates and coordinates services using continuous quality improvement tools.
Maintains a positive work environment for staff and physicians and promotes team efforts.
Adheres to established departmental operation and salary budgets, and provides explanations of budget variances.
Ensures performance evaluations are current and are reviewed by employees and completed timely.
Completes initial departmental orientation and competency review for newly hired employees.
Ensures that all licensure/credentials certificates for applicable personnel are valid and up to date. Updates and maintains job descriptions for each job classification in accordance with hospital policy and procedures. Additional duties as assigned
What Qualifications You Will Need:
3 – 5 years’ experience in a hospital setting as a case manager with utilization review experience
Certification as a Case Manager preferred
Licensed as an RN in the state of Texas, BCLS.
BSN preferred
Prior supervisory experience preferred
Your Shift: Full Time
LHSH Incentives
Flexible Scheduling
No mandatory overtime
Career Ladder
Lubbock Heart & Surgical Hospital specializes in the care of cardiac, orthopedic, nephrology, urology, and general medical patients. We are also a highly active inpatient center mainly centered on surgical procedures that include cardiothoracic, orthopedic, urology, and general surgery. We have a 24-hour Emergency Department with 5 fully equipped ED rooms, 4 fully operating OR rooms, 4 cardiac catherization labs with 1 electrophysiology room, 11-day surgery rooms, 58 acute care beds spread over three units, and 16 cardiac critical care rooms. We pride ourselves on giving the best overall care possible to our patients and on our family style atmosphere that includes everyone: patients and their families, physicians, and our employees.
Lubbock#250
Related keywords
Case ManagementUtilization ReviewRNTexasBCLSBSNHospitalCMSDOHDischarge PlanningQuality ImprovementBudgetingStaffingClinical LeadershipPatient CareRegulatory Agencies
Creating exceptional value for our patients, physicians and payors through our unique healthcare delivery model.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2004
Headquarters
Brentwood, Tennessee
LinkedIn followers
22,968
Total funding
$2.6B
Surgery Partners is a leading operator of surgical facilities and ancillary services with more than 180 locations nationwide. We provide exceptional integrated healthcare experiences between our providers and patients.
Our diverse company operates multiple types of healthcare services dedicated to improving the quality of care in a convenient and cost-effective manner.
Our integrated approach to advancing markets allows for flexibility to provide care on an individualized, local market basis. Whether entering into a new market with surgical facilities, ancillary services or joint ventures with health systems, or furthering an existing market’s growth potential by focusing on base business, in-market development and new service lines, our experience has shown us that no two markets are alike. We see value in individuality.
At Surgery Partners, our mission is to enhance patient quality of life through partnership. Surgery Partners is an organization deeply committed to providing quality, compassionate and personalized care, to meet the needs of our diverse patients, employees and physician partners in the communities in which we serve. Our colleagues are critical in achieving that mission. As it truly brings out the best in all of us, Surgery Partners is committed to diversity and inclusion.
Our Surgery Partners team is comprised of more than 15,000 employees and 4,600 affiliated physicians, serving more than 600,000 patients annually. Want to work with us? Check out our website for current employment opportunities.
Offices: 340 Seven Springs Way, Suite 600, Brentwood, Tennessee 37027, US
Ambulatory Surgery CentersAnesthesiology GroupsHealthcare SolutionsHospitalsAncillary ServicesTotal Joint ReplacementNursingand PhysiciansHospitalHealth Care
How many Management & Leadership jobs are open in Lubbock, TX right now?
There are currently 444 open management & leadership positions in Lubbock, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Management & Leadership roles in Lubbock, TX?
Companies currently hiring include The Wendy's Company, PROVIDENCE MEDICAL INSTITUTE, Starbucks, Leprino, CVS Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Management & Leadership jobs in Lubbock, TX?
Yes — 45 of the 444 open management & leadership positions offer remote or hybrid work (12 remote, 33 hybrid).
How do I apply for Management & Leadership jobs in Lubbock, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.