RN Care Manager

3 weeks ago

Oklahoma City OK, United States Integris Health Full time

INTEGRIS Health Decisions, Oklahoma’s largest not-for-profit health system has a great opportunity for a RN Care Manager in Oklahoma City, OK. In this position, you’ll be a part of our Decisions team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.
The RN Case Manager NE is responsible for the clinical and financial outcomes for an assigned caseload of patients. The Case Manager facilitates patient care during the hospitalization by managing, coordinating and monitoring resource utilization to achieve optimal clinical outcomes and financial goals. The Case Manager is responsible to proactively plan, coordinate and negotiate efficient patient movement throughout the continuum of care. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
Assesses patient from clinical, social, financial perspective and coordinates post-discharge needs with care team.
Functions as a clinical and financial resource for patients and interdisciplinary team members.
Assists in clinical data collection utilizing established criteria and the InterQual system.
communicates coverage information with third party payers, medical staff and clinical providers.
Leads age and developmentally appropriate patient education groups to address the emotional, physical and environmental needs of Behavioral Health and/or Addiction Recovery patients.
Participates in the writing of treatment plans with other program staff and physicians.
Completes or facilitates the completion of Emergency detention paperwork, as well as ensure its distribution and receipt by legally designated individuals.
Processes orders/refills or laboratory for ordering physician.
Monitors patients medications and provide education related to use and side effects.
Completes a comprehensive Initial Mental Health Assessment of patients clinical, psychological and financial needs utilizing all available resources.
The Case Manager reports to the Director of the Case Management Services.
The Case Manager meets established deadlines, attends required in-services, maintains staff competencies and completes required documentation; Potential exposure to infectious diseases, potential physical danger from disturbed/irate patients and families. Emotional stress due to inability to control volume of timing of referrals and necessity to respond to a wide variety of demands and expectations from patients, families, physicians, and other health care professionals.
Occupational exposure to bloodborne pathogens and other infectious materials as defined by OSHA. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.
All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
home health, inpatient, physician office, clinic) required.
Experience with managed care and payer/provider requirements preferred.
Computer experience required. Windows preferred.

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