%3Cp%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3E%3Cstrong%3EKindred Hospital Houston Medical Center and Acute Rehabilitation Unit (ARU) %3C/strong%3Eprovide specialized care for patients with complex medical needs. Our long-term acute care hospital (LTACH) offers advanced, hospital-level treatment for chronically and critically ill patients requiring extended stays. In addition, our Acute Rehabilitation Unit is dedicated to helping patients recover from the effects of acute injuries, impairments, or illnesses. With a focus on personalized care, both the LTACH and ARU collaborate with your physician to provide 24/7 clinical care, ensuring continuous support on your path to recovery.%3C/span%3E%3C/p%3E%3Ch3%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3E%3Cstrong%3EJob Summary%3C/strong%3E%3C/span%3E%3C/h3%3E%3Cp%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThe Director – Case Management directs Case Management and Utilization Management activities within a ScionHealth hospital. This role oversees the coordination of care for patients and families through effective management of clinical service delivery, ensuring quality outcomes and efficient resource utilization.%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThe Director partners with external customers, referral sources, and payors to facilitate effective discharge planning while serving as a patient and family advocate. This position is accountable for the facility’s denial management program and ensures case management services comply with regulatory requirements, including the Conditions of Participation. The Director collaborates closely with hospital executive leadership including the CEO/Administrator, COO, CFO, CCO, and Regional Office leadership.%3C/span%3E%3C/p%3E%3Ch3%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3E%3Cstrong%3EEssential Functions%3C/strong%3E%3C/span%3E%3C/h3%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EOversees coordination of patient care to support development, monitoring, and refinement of individualized treatment plans.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EAssumes responsibility for the effective daily operations of the Case Management Department.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EEnsures regular, accurate, and timely reporting of case management performance outcomes and key metrics.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EPromotes ScionHealth hospitals within the provider community and local educational institutions when appropriate.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EImplements and monitors processes to ensure optimal utilization of resources and appropriate reimbursement.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EParticipates as a member of the Utilization Management Committee and other hospital committees as required.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EIdentifies opportunities to achieve hospital goals using comparative data, performance metrics, and benchmarking.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EAggregates and analyzes hospital utilization services statistics and recommends corrective actions when necessary.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EEnsures departmental compliance with CMS, state, and accreditation standards, including documentation and record requirements.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EParticipates actively in surveys, audits, and regulatory reviews.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3ESupports organizational initiatives that improve care coordination, patient outcomes, and operational performance.%3C/span%3E%3C/li%3E%3C/ul%3E%3Ch3%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3E%3Cstrong%3EKnowledge, Skills, and Abilities%3C/strong%3E%3C/span%3E%3C/h3%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThorough knowledge of case management processes, utilization management practices, and care coordination models.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EExperience managing case management programs using an interdisciplinary team approach.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EStrong leadership skills with the ability to motivate, guide, and develop staff.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EExcellent interpersonal, verbal, and written communication skills to collaborate effectively with leadership, physicians, payors, and external stakeholders.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EKnowledge of accreditation standards, regulatory requirements, and compliance expectations.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EKnowledge of government and commercial payor practices, regulations, and reimbursement methodologies.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EStrong critical thinking, prioritization, and time management skills.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EProficiency with Microsoft Office applications including Word, Excel, and other productivity tools.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EAbility to maintain confidentiality and adhere to organizational policies and regulatory requirements.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EMust be able to read, write, and speak fluent English.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EMaintains regular attendance and availability as required to support departmental operations.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EAbility to travel approximately 5% as needed.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EPerforms other related duties as assigned.%3C/span%3E%3C/li%3E%3C/ul%3E
Education
- Bachelor’s Degree in a clinical field. (Required)
- Bachelor’s Degree in Nursing. (Preferred)
- Equivalent combination of education and experience. (May be considered)
Licenses/Certifications
- Registered Nurse (RN) – State Licensure and/or Compact State Licensure or Respiratory Therapist or Physical Therapist or Occupational Therapist or Social Worker (LSW or LCSW). (Required upon hire)
- Certified Case Manager (CCM), Accredited Case Manager (ACM), or Certified Rehabilitation Registered Nurse (CRRN). (Preferred upon hire)
Experience
- Three (3) or more years of experience in hospital case management. (Required)
- Prior experience in a leadership or interim director role. (Preferred)
- Experience demonstrating familiarity with managed care, reimbursement practices, and regulatory standards. (Required)