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.