Manager of ED and OBS Case Management

Ambition 24Hours Inc · Houston, TX Full Time

Job Description

Manager of ED and OBS Case Management | Houston, TX 77030 | Full-Time Permanent | Mid-Level Location Houston, TX 77030 Employment Full-Time Permanent Setting Acute Care Hospital - Emergency Department & Observation Services Level Mid-Level Salary Range $108,867 $130,000 per annum Travel Travel not required THE ROLE Our client, an acute care hospital system in Houston, TX, is seeking a full-time permanent Manager of Case Management for the Emergency Department and Observation services. This mid-level leadership role is responsible for directing case management operations across the ED and OBS units, with accountability for utilisation management, discharge planning, and compliance. The role requires on-site presence and does not support remote work arrangements. KEY RESPONSIBILITIES Manage and oversee case management operations across the Emergency Department and Observation units Lead utilisation management, discharge planning, and cost/quality management initiatives Supervise, mentor, and develop case management staff within the ED and OBS departments Collaborate with emergency physicians, nursing staff, social work, and multidisciplinary teams Maintain regulatory compliance and alignment with hospital quality standards REQUIREMENTS Must-Have Current and valid Registered Nurse licence in the state of Texas OR Licensed Master Social Worker (LMSW) - LCSW preferred; Case Manager Certification required Licensed Master Social Worker (LMSW) - LCSW preferred; Case Manager Certification required Case Manager Certification (CCM or ACMA) - required Minimum five (5) years' experience in utilisation management, case management, or discharge planning Minimum three (3) years' demonstrated leadership experience AND three (3) years' experience in hospital-based nursing or social work Preferred / Nice-to-Have LCSW licensure Experience in emergency department or observation unit case management CONFIDENTIALITY This search is being conducted on a confidential basis. Qualified candidates should submit a letter of interest and current CV to bookings@ambition24hours.com. All enquiries will be handled with strict discretion. Apply now: bookings@ambition24hours.com

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.

What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the Houston market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.

Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the Houston metro area earn a median wage of $57.69/hr ($119,995/yr). The typical range is $45.94 – $73.58/hr (25th–75th percentile).

Entry Level (10th) $72,987/yr

Houston Median $119,995/yr

Experienced (90th) $205,400/yr

vs. National Median +1.7%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.