Responsibilities

　　The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to established criteria to determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward recovery for early identification of continuing care needs in an attempt to facilitate discharge for specified populations. This position works closely with Medical Management Physician leadership and various internal departments.

　　Job Title: Case Manager Concurrent Review - KCA Utilization Mgmt

　　Clinic Location: Pearland Administrative Office

　　Department: KCA Utilization Management

　　Job Type: Full Time

　　Salary Range: $90,932 - $112,318 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

　　Qualifications

　　Education

　　Required: Registered Nurse, ADN or master’s degree in Social Work

　　Preferred: Certification in area of specialization, BSN

　　ACP certification

　　Experience

　　Required: Five years nursing experience or three years’ experience in medical social work with an emphasis in case management of high risk patient population

　　Preferred: Proven program development skills

　　License(s)

　　Required: TX RN license or TX LCSW license, valid Texas Driver’s license

　　Preferred: Case Management Certification

　　Special Skills

　　Required: Proven communication and problem-solving skills; Computer literate

　　Preferred: At least 2 years in area of specialization, 2 years of Case Management/Utilization Review experience

　　Other

　　Required: Managed Care knowledge

　　Preferred: N/A

　　Working Environment: Office

　　About Us

　　Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.

　　Why Kelsey-Seybold Clinic?

　　Medical, Vision, and Dental

　　Tuition Reimbursement

　　Company Matching 401K

　　Employee Reward and Recognition Program

　　Paid time off for vacation, sick, and holidays

　　Employee Assistance Program

　　Continuing Medical Education allowance

　　Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.