What are the responsibilities and job description for the Case Manager position at USPI?
Baylor Scott & White Medical Center – Uptown is a joint venture surgical hospital between Baylor Scott & White Health (BSWH), United Surgical Partners International (USPI), and local physicians. Baylor Scott & White Medical Center- Uptown provides a wide range of medical and surgical services to the greater North Texas area across 8 ORs, 24 private Inpatient rooms, a full-service ED. The hospital specializes in both inpatient and outpatient procedures in Orthopedics, Joint Replacement, Spine, General, Bariatrics, Surgical Oncology, ENT, Reconstructive Surgery, and other surgical specialties.
The Case Manager will be the leader in navigating the patient through the care coordination process. Services will be coordinated to promote maximum outcomes in relation to appropriate length of stay, effective use of hospital resources, and established guidelines of care. These goals are achieved through facilitation of interdisciplinary team collaboration, and acting as a liaison between the patient, physician, and payor in regards to care coordination. This process requires the case manager to have direct contact with the patient, their family, the patient’s physicians, and the appropriate multidisciplinary health team members to ensure care coordination.
Required Skills:
- Bachelor of Science in Nursing preferred with current license, State of Texas.
- Minimum of 5 years acute hospital experience with a minimum of 3 years of utilization review, discharge planning, or case management preferred (Will consider ER and ICU experience).
- Knowledge and experience with medical terminology, InterQual or Milliman criteria, TJC and Federal/State regs, relative to discharge planning.
- Expert interpersonal skills as demonstrated by the ability to develop and maintain rapport with physicians and care team members.
- Negotiation skills, conflict resolution and assertive communication skills required.
