Current jobs related to Manager Case Management Utilization Review - Oklahoma City - OU Health
-
RN Case Manager
16 hours ago
Oklahoma City, Oklahoma, United States Healthcare Partners Investments Full timeJob SummaryWe are seeking a skilled RN Case Manager to join our team at Healthcare Partners Investments. As a key member of our multidisciplinary team, you will be responsible for coordinating care and services for individual patients and/or patient populations, promoting effective utilization of resources and achieving optimal outcomes.Key...
-
RN Case Manager
2 weeks ago
Oklahoma City, Oklahoma, United States OU Health Full timeJob Summary:OU Health is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a critical role in ensuring that patients receive the highest quality care while minimizing unnecessary costs.Key Responsibilities:Conduct timely medical necessity reviews for all patients using medical coverage guidelines to determine...
-
RN Case Manager
3 weeks ago
Oklahoma City, United States OU Health Full timeJob Description : New to OU Health? Ask your recruiter about our competitive total rewards package including a $10,000 sign-on bonus! Location: University of Oklahoma Medical Center Shift Available : Full-Time (40 Hourly/Weekly) 8 hours 7:30-4:30p or 8a-5p Monday-Friday with some Weekend Rotation typically every 4-6 weeks. General...
-
RN Case Manager
1 month ago
Oklahoma City, United States OU Health Full timeJob Description : New to OU Health? Ask your recruiter about our competitive total rewards package including a $10,000 sign-on bonus! Location: University of Oklahoma Medical Center (Hybrid) Position initially is remote but once office is available will be onsite Shift Available : Full-Time (40 Hourly/Weekly) 8 hours 7:30-4:30p or 8a-5p...
-
RN Case Manager
6 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Professional Case Management. As a RN Case Manager, you will be responsible for conducting in-home nursing visits for our clients, providing case management services, and directing a team of RNs, LPNs, and caregivers in the delivery of care.Key Responsibilities:Conduct...
-
King City, United States V R Della Infotech Inc Full timeJob DescriptionJob DescriptionLooking for an experienced Case Manager/Discharge/Utilization Review RN to work Mon-Fri 8hr days 40hrs a week. Must have active CA RN license. Start ASAPShift: 8hr Days - Mon - FriSpecialty Type: Mid-Revenue Cycle SolutionsSub Specialties: Acute Care RN Case Manager Util Rev/Discharge Planning ,Acute Care RN Case Manager...
-
Manager of Utilization Review
1 month ago
Kansas City, United States Elevance Health Full timeJob Description : Manager of Utilization Review - Kansas Location: This position will work a hybrid model (remote and office). Must reside in Kansas and within 50 miles/1hour commute of a Kansas Elevance Health location (Olathe, Kansas City, or Topeka). The Manager of Utilization Review is responsible for managing a team of physical health...
-
Nurse Case Manager
1 day ago
West Valley City, Utah, United States Professional Case Management Full timeJob Title: Registered Nurse Case ManagerJoin our team of dedicated healthcare professionals at Professional Case Management as a Registered Nurse Case Manager. As a key member of our team, you will play a vital role in providing high-quality care to our clients.About the Role:We are seeking a skilled and compassionate Registered Nurse to join our team as a...
-
Nurse Case Manager
1 day ago
West Valley City, Utah, United States Professional Case Management Full timeJob Title: Registered Nurse Case ManagerJoin our team of dedicated professionals at Professional Case Management as a Registered Nurse Case Manager. As a key member of our team, you will play a vital role in providing high-quality care to our clients.About the Role:We are seeking a skilled and compassionate Registered Nurse to join our team as a Case...
-
RN Case Manager
6 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerProfessional Case Management is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for conducting in-home nursing visits for our clients, who are former Nuclear Weapon's Workers with chronic/terminal illness due to exposure to toxic substances while working for the Government.Key...
-
RN Case Manager
5 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerProfessional Case Management is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for conducting in-home nursing visits for our clients, who are former Nuclear Weapon's Workers with chronic/terminal illness due to exposure to toxic substances while working for the Government.Key...
-
RN Case Manager
5 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerProfessional Case Management is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for conducting in-home nursing visits for our clients, who are former Nuclear Weapon's Workers with chronic/terminal illness due to exposure to toxic substances while working for the Government.Key...
-
RN Case Manager
6 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerProfessional Case Management is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for conducting in-home nursing visits for our clients, who are former Nuclear Weapon's Workers with chronic/terminal illness due to exposure to toxic substances while working for the Government.Key...
-
RN Case Manager
5 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Professional Case Management. As a RN Case Manager, you will be responsible for providing high-quality care to our clients in the comfort of their own homes.Key Responsibilities:Conduct in-home nursing visits for clients with chronic or terminal illnessesProvide physical...
-
RN Case Manager
6 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerProfessional Case Management is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for conducting in-home nursing visits for our clients, who are former Nuclear Weapon's Workers with chronic/terminal illness due to exposure to toxic substances while working for the Government.Key...
-
RN Case Manager
6 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerProfessional Case Management is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for conducting in-home nursing visits for our clients, who are former Nuclear Weapon's Workers with chronic/terminal illness due to exposure to toxic substances while working for the Government.Key...
-
RN Case Manager
5 days ago
Benton City, Washington, United States Professional Case Management Full timeJob Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Professional Case Management. As a RN Case Manager, you will be responsible for providing high-quality care to our clients in their homes.Key Responsibilities:Conduct in-home nursing visits for clients with chronic or terminal illnessesProvide physical assessments, ensure...
-
Case Manager
4 weeks ago
Daly City, CA, United States Camden Case Management Full timeThe case manager role for Camden Case Management is for an individual that is either an AMFT, MFT trainee or anyone looking to receive hours if needed towards licensure. This role is remote mainly and consists of working closely with a team of experienced mental health professionals who strive to help individuals recover from mh and/or sud.
-
Nurse Case Manager
6 days ago
Basin City, United States Professional Case Management Full time{"title": "Nurse Case Manager", "content": "Job SummaryAt Professional Case Management, we are seeking a skilled and compassionate Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality care to our clients, who are former Nuclear Weapon's Workers with chronic/terminal illness due to...
-
Nurse Case Manager
1 day ago
West Valley City, Utah, United States Professional Case Management Full timeJob Title: Registered Nurse - Case ManagerJoin our team of dedicated healthcare professionals at Professional Case Management as a Registered Nurse - Case Manager. As a key member of our team, you will play a vital role in providing high-quality care to our clients.About the Role:We are seeking a skilled and compassionate Registered Nurse to join our team as...
Manager Case Management Utilization Review
4 months ago
Position Title:
Manager Case Management Utilization Review - OU Medical Center
Department:
Case Management
Job Description:
General Description:
Under direction, the Manager of case management supervises the case managers and assists in the management of the department.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
- Assesses, plans, facilitates and advocates options and services to meet a patient's health needs and to promote cost-effective outcomes.
- Assists in developing and implementing the Utilization Plan, departmental goals, and departmental policies and procedures.
- Evaluates work performance of case manager in collaboration with the Director.
- Ensures appropriate case management staffing.
- Compiles reports as appropriate.
- Ensures compliance with applicable federal guidelines.
- Represents the department on assigned hospital committees.
- Ensures cost-effective care through utilization management and care coordination.
- Performs other duties as assigned
Minimum Qualifications:
Education: Bachelor of Science in Nursing; and
Experience: Three (3) years clinical nursing experience in an acute care facility. One year supervisory experience.
License(s)/Certification(s)/Registration(s) Required: Current RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact RN License (eNLC). Current Basic Life Support issued by the American Heart Association required upon hire.
Knowledge, Skills and Abilities:
Knowledge of nursing practices and procedures. Strong clinical assessment skills. Must be knowledgeable about resources available in the community for use by patients, families and the health care team that would facilitate in the recovery of the patient. Requires knowledge of third party payer issues concerning reimbursement and regulatory perimeters. Must be able to explain technical and complex information in such a way that patients and family can understand. Strong interpersonal skills that facilitate the gathering of information necessary for assessing the patient's needs and the range of treatment and care necessary.
Current OU Health Employees - Please click HERE to login.
OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.
by Jobble