Talent.com
Case Manager (LVN or RN) - Hybrid/Field in Houston, TX
Case Manager (LVN or RN) - Hybrid/Field in Houston, TXAstrana Health, Inc. • Houston, Texas, US
Case Manager (LVN or RN) - Hybrid / Field in Houston, TX

Case Manager (LVN or RN) - Hybrid / Field in Houston, TX

Astrana Health, Inc. • Houston, Texas, US
6 hours ago
Job type
  • Full-time
  • Quick Apply
Job description

Description

Astrana Health is looking for a LVN or RN Case Manager in the greater Houston, TX area. We’re open to training candidates without prior case management experience. This role offers the opportunity to work with pediatric and / or adult populations, depending on business needs.

Our Values :

  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do

  • Comply with Case Management Department’s policies and procedures
  • 95 - 100% compliance with Utilization Management health plan delegation standards for Case Management
  • Utilize Milliman Care Guidelines criteria for appropriateness of transition to care by level of skilled needs and acute rehab for post discharge plan
  • Collaborating with Hospitalists, case managers, and discharge planners to establish discharge plans at time of admission
  • Responsible for coordinating the required initial and concurrent reviews based on the review of medical records received and daily accurate reporting of all inpatient admissions to Medical Director and Manager and / or Supervisor of Case Management Department
  • Review of medical records and / or other documentation to determine medical necessity, appropriateness and level of care utilizing Milliman Care and other appropriate Guidelines
  • Assess, plan, implement, coordinate, monitor, and evaluate all options and services with the goal of reducing hospital readmission
  • Attends / coordinates Case Management meetings on and off-site as necessary
  • Interacts with the providers or members as appropriate to communicate determination outcomes in compliance with state, federal and accreditation requirements
  • Attend to provider and interdepartmental calls in accordance with exceptional customer service
  • Maintain good relationships with health plans, hospitals and medical directors. Resolve problems that arise with any IPA medical directors
  • Report to Manager and / or Supervisor of Case Management on activities and / or problems occurring throughout the day
  • Available for Hospital on site Case Management
  • Other duties as assigned
  • Qualifications

  • Active Registered Nurse (RN) license in Texas OR active Licensed Vocational Nurse (LVN) license in Texas
  • Experience using Microsoft applications such as Word, Excel and Outlook
  • At least two (2) years of clinical experience as an RN / LVN
  • You're great for this role if :

  • Excellent analytical critical reasoning
  • Proven ability to prioritize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines
  • Ability to educate and train staff members and other departments as needed
  • Experience using EZCAP
  • Strong communication and customer service skills
  • Environmental Job Requirements and Working Conditions

  • This position is based in Houston, TX. This role follows a primarily remote work structure; however, the candidate must be available to attend on-site meetings as needed at 19500 HWY 249, Suite 570 Houston, TX 77070.
  • This role is required to visit patients in our partnered hospitals surrounding Houston, TX.
  • The target pay range for this role is between $34.00 - $50.00 per hour. The salary range represents our national target range for this role.
  • Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

    Additional Information :

    The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change

    Astrana Health (NASDAQ : ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

    Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

    Create a job alert for this search

    Case Manager Lvn • Houston, Texas, US

    Related jobs
    Remote Case Manager

    Remote Case Manager

    The Firm Exp • Houston, TX, US
    Remote
    Full-time
    We’re looking for a detail-oriented, compassionate, and organized Case Manager to join our growing legal team.In this role, you’ll be the main point of contact for clients, helping mana...Show more
    Last updated: 7 days ago • Promoted
    Case Manager-YBHS

    Case Manager-YBHS

    Gulf Coast Center • Angleton, Texas, United States
    Full-time
    Quick Apply
    Are you seeking a career where you can make a difference? Gulf Coast Center (GCC) recruits people who are committed to compassionate, person-centered service. Paid Holidays each year (in addition to...Show more
    Last updated: 30+ days ago
    RN Case Manager

    RN Case Manager

    Houston Methodist Clear Lake Hospital • Nassau Bay, TX, United States
    Full-time +1
    At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning ...Show more
    Last updated: 30+ days ago • Promoted
    Case Manager, Life Insurance

    Case Manager, Life Insurance

    Covr Financial Technologies • Houston, TX, US
    Full-time
    Reports To : Team Lead, Case Management.Department : Insurance Operations.Work Schedule : M-F, subject to change according to business needs. Location : Houston, Texas (hybrid - 4 days onsite / 1 days rem...Show more
    Last updated: 30+ days ago • Promoted
    Case Manager

    Case Manager

    MyCare Medical Group • Spring, TX, US
    Full-time
    Quick Apply
    MyCare Medical Group is a healthcare organization committed to delivering the highest quality, most cost-effective care to its patients. We are looking for an experienced Case Manager , who will be ...Show more
    Last updated: 8 days ago
    Housing Case Manager C, ESG, CoC

    Housing Case Manager C, ESG, CoC

    Bay Area Turning Point, Inc. • Webster, TX, US
    Full-time
    Housing Case Manager C, ESG, CoC.Be among the first 25 applicants.Housing Case Manager C, ESG, CoC.Summary : Provide housing case management assistance to survivors of domestic violence or sexual as...Show more
    Last updated: 4 hours ago • Promoted • New!
    Qualified Mental Health Professional : Case Manager

    Qualified Mental Health Professional : Case Manager

    EDIFY BEHAVIORAL MANAGEMENT LLC • Spring, TX, US
    Full-time
    Edify Behavioral Management LLC is a community-based behavioral health organization committed to providing resources and services to members of the population of Houston, Texas who suffer from seve...Show more
    Last updated: 30+ days ago • Promoted
    Adult Protective Services Case Manager 2 (Investigator)-00180611

    Adult Protective Services Case Manager 2 (Investigator)-00180611

    Georgia.gov • Richmond, TX, US
    Full-time
    Stronger Families for a Stronger Georgia.The Georgia Department of Human Services (DHS) is a dynamic state agency responsible for delivering a wide range of services to Georgia's most vulnerable po...Show more
    Last updated: 4 hours ago • Promoted • New!
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    Host Healthcare • Texas City, TX, US
    Full-time
    Host Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Texas City, Texas.Job Description & Requirements. Pay package is based on 12 hour shifts and 36...Show more
    Last updated: 10 days ago • Promoted
    Travel Nurse RN - Cardiology

    Travel Nurse RN - Cardiology

    NuWest Travel Nursing • Tomball, TX, US
    Full-time
    NuWest Travel Nursing is seeking a travel nurse RN Cardiology for a travel nursing job in Tomball, Texas.Job Description & Requirements. We have a new assignment for RN - Cardiac in Tomball, TX ...Show more
    Last updated: 30+ days ago • Promoted
    Case Manager - Preferred Communities ICM

    Case Manager - Preferred Communities ICM

    U.S Comm for Refuge • Houston, TX, US
    Full-time
    Committee for Refugees and Immigrants (USCRI),.USCRI, working with nearly 200 affiliates, provides legal, social, and health services to refugees, unaccompanied migrating children, trafficking surv...Show more
    Last updated: 2 days ago • Promoted
    Case Manager, Life Insurance Bilingual Cantonese

    Case Manager, Life Insurance Bilingual Cantonese

    Covr Financial Technologies • Houston, TX, US
    Full-time
    Quick Apply
    Case Manager, Life Insurance – Bilingual Cantonese REPORTS TO : .Team Lead, Case Management DEPARTMENT : Insurance Operations ...Show more
    Last updated: 30+ days ago
    Case Manager - Galveston County Wellness Center

    Case Manager - Galveston County Wellness Center

    Gulf Coast Center • La Marque, Texas, United States
    Full-time
    Quick Apply
    Are you seeking a career where you can make a difference? Gulf Coast Center (GCC) recruits people who are committed to compassionate, person-centered service. Salary increase upon 90 days of employm...Show more
    Last updated: 30+ days ago
    Travel Med-Surg RN

    Travel Med-Surg RN

    AHS Staffing • Texas City, TX, US
    Full-time
    AHS Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Texas City, Texas.Job Description & Requirements. Posted job title : Registered Nurse Med - Surg.At AHS Staffing, we...Show more
    Last updated: 6 days ago • Promoted
    Mgr, Case Management

    Mgr, Case Management

    Memorial Hermann • Houston, TX, US
    Temporary
    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our comm...Show more
    Last updated: 4 days ago • Promoted
    Social Work Case Manager

    Social Work Case Manager

    UVA Health • Kingwood, Texas, US
    Permanent
    RELOCATE TO VIRGINIA OPPORTUNITY.If you would like to know a bit more about this opportunity, or are considering applying, then please read the following job information. Join our esteemed team of h...Show more
    Last updated: 20 hours ago • Promoted • New!
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    Trustaff • Texas City, TX, US
    Full-time
    Trustaff is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Texas City, Texas.Job Description & Requirements. As an Emergency Room RN, you'll provide care for...Show more
    Last updated: 30+ days ago • Promoted
    Case Manager - Houston

    Case Manager - Houston

    Thompson Law Injury Lawyers • Houston, TX, US
    Full-time
    Thompson Law’s vision is to be the law firm of choice for every person injured or killed due to preventable tragedy while providing our clients world-class service and record-setting results....Show more
    Last updated: 7 days ago • Promoted