What are the responsibilities and job description for the Case Management Manager position at University Health System- San Antonio?
POSITION SUMMARY/RESPONSIBILITIES
Manages the nurse case manager and navigators to ensure effective care coordination for CareLink members with complex co-morbidities and frequent and/or recent hospitalizations and emergency department visits. Oversees the authorization nurses and pre-authorization of services. Works with leadership to ensure coverage of appropriate high quality, cost-effective care for CareLink members. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the manager of the team.
EDUCATION/EXPERIENCE
Graduation from an accredited college or university with a bachelor's degree in nursing is preferred. Required experience: minimum of two years recent management experience; three years of hospital clinical nursing experience and one year experience in case management, utilization review or hospital quality assurance. Experience in each of these areas in a hospital setting is preferred.
LICENSURE/ CERTIFICATIONS
Current registration with the Texas State Board of Nurse Examiners is required.