Nurse Case Manager

 

Job Title: Clinical Performance Program Manager

Job location: Beaumont, TX

Schedule: M – F, No weekends, no nights

Summary:

  • Great leadership opportunity for an RN ready to step into a management role.
  • Partner with Medical Directors and Administrators to enhance clinical outcomes and patient experience.
  • Leverage your critical care or ER experience to drive performance and quality initiatives.
  • Work on special projects that improve patient care and operational efficiency.

Duties

  • Build and maintain strong relationships with referral sources, hospital teams, and providers to enhance patient care and program success.
  • Support provider onboarding, training coordination, and facility-specific requirements.
  • Facilitate physician interviews, provider engagement, and retention efforts.
  • Act as the primary liaison between hospital administration, care teams and Company.
  • Monitor performance, identify challenges, and recommend process improvements.
  • Drive clinical performance initiatives, including workflow optimization, data analysis, and service recovery.
  • Ensure compliance with hospital and regulatory quality measures, including length of stay, readmission rates, and coding trends.
  • Participate in strategic planning, quality assurance, and continuous improvement efforts.
  • Support value-based care goals and operational efficiency.

EDUCATION:

  • Bachelor’s degree in nursing, or healthcare relevant field required.
  • Master’s degree, preferred.

Experience

  • RN required, BSN preferred; Bachelor’s in nursing or healthcare field required, Master’s preferred.
  • 5+ years of clinical experience in an acute care setting, ICU/EM preferred.
  • 2+ years of leadership and team management experience.
  • Experience in case management, quality assurance, and healthcare analytics.
  • Knowledge of Medicare, Medicaid, and regulatory requirements.
  • Strong problem-solving, process improvement, and data analysis skills.
  • Proficiency in Microsoft Office, virtual communication tools, and large data analysis.