Manager, ED & Observation Case Management
📍 Location: Houston, TX (Texas Medical Center – Onsite)
💼 Employment Type: Full-Time
🚫 Visa Sponsorship: Not Available
🚚 Relocation Assistance: Full
💰 Compensation: $108,867 – $130,000 + 10% Target Management Incentive (Up to 15%)
Overview
A leading healthcare system is seeking a Manager of ED & Observation Case Management to oversee daily operations for the Emergency Department and Observation Case Management program.
This leadership role is responsible for care facilitation, utilization management, discharge planning, performance improvement, and team leadership, ensuring high-quality patient outcomes while optimizing hospital resources and regulatory compliance.
Key Responsibilities
Case Management Leadership
Oversee daily operations of the ED and Observation Case Management team.
Lead utilization management, discharge planning, and care coordination activities.
Support quality improvement initiatives and performance metrics.
Collaborate with physicians, nursing, and interdisciplinary care teams.
Operational Management
Assist with department staffing, performance management, and professional development.
Monitor financial and quality outcomes using performance data.
Ensure compliance with payer requirements, regulatory standards, and organizational policies.
Drive process improvements and operational efficiency.
Quality & Patient Care
Coordinate safe, timely patient transitions and discharge planning.
Promote evidence-based case management practices.
Foster collaboration across hospital departments and community resources.
Lead initiatives to improve patient experience and clinical outcomes.
Required Qualifications
Education
Bachelor's Degree in Nursing (BSN) or Social Work (BSW) required.
Master's Degree preferred.
Licensure & Certification
✔ Current Texas RN License OR
✔ Licensed Master Social Worker (LMSW) (LCSW preferred)
✔ Case Manager Certification (Required)
Experience
✔ 5+ years of experience in:
Utilization Management
Case Management
Discharge Planning
Cost/Quality Management
✔ 3+ years of hospital-based nursing or social work experience.
✔ 3+ years of leadership or management experience.
Preferred Qualifications
LCSW designation.
Experience leading hospital-based case management teams.
Strong knowledge of managed care and payer requirements.
Performance improvement and quality management experience.
Proven ability to collaborate with physicians and interdisciplinary teams.
Ideal Candidate
The ideal candidate is an experienced healthcare leader with a strong background in hospital case management who can effectively manage operations while improving quality, patient outcomes, and resource utilization.
They should possess:
Strong utilization management expertise.
Leadership experience within an acute care hospital.
Excellent communication and physician relationship-building skills.
Experience leading multidisciplinary teams.
Data-driven decision-making and performance improvement experience.
Candidate Snapshot
Requirement
Details
Experience
5+ Years Case Management
Leadership
3+ Years
License
Texas RN or LMSW (LCSW Preferred)
Certification
Case Manager Certification Required
Industry
Acute Care Hospital
Location
Houston, TX
Bonus
Up to 15% MIP
Relocation
Full
Screening Questions
Do you hold a current Texas RN License or an LMSW (LCSW preferred)?
Do you have an active Case Manager Certification?
Do you have at least five years of experience in utilization management, case management, or discharge planning?
Do you have at least three years of hospital-based nursing or social work experience?
Do you have three or more years of leadership or management experience?
Have you previously worked in an acute care hospital setting?
When would you be available to start?
Have you previously worked for this healthcare system as an employee or agency staff member?
Do you use tobacco or nicotine products?
What Makes Someone Successful in This Role?
Strong leadership in hospital case management operations.
Expertise in utilization management and discharge planning.
Ability to build collaborative relationships with physicians and interdisciplinary teams.
Experience improving quality, financial, and operational outcomes.
Strong communication, organizational, and problem-solving skills.
Commitment to delivering exceptional patient-centered care.