This position performs case management, utilization review and discharge planning responsibilities as described below.

Admission/pre-admission screening for appropriateness of admission and continued stay; concurrent review of inpatients; assess patients for discharge planning and community resource needs; identifies under-utilization and over-utilization of services; assist in identifying problem diagnoses and practice patterns; participates in committees as required; communicates with care providers of appropriateness of admission, treatment , and length of stay; monitors patients for appropriateness of level of care; participates in development and implementation of QI programs; acts as patients' advocate; performs case management assessment and makes appropriate referrals as needed; provide social service consult and follow up as needed; assess for quality of patient care; acts as consultant to the Health Information coders when clinical questions arises;assist in the development of case management policies and procedures; prepares education materials for inservice and training of physicians, hospital personnel and the community as needed; enters data and maintains the appropriate reports; performs other special duties within the case management scope of work as assgined by the Department Director.

Current Texas Licensure; CPR

Two years of direct patient care experience peferably Emergency department.