Manager Case Management Utilization Review

2 weeks ago

Oklahoma City, United States OU Health Full time


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.
General Responsibilities:
  • 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. #cb

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.

  • Manager Case Management Utilization Review

    4 weeks ago

    Oklahoma City, United States OU Health Full time

    Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment:Case ManagementJob 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. ...

  • Manager Case Management Utilization Review

    1 week ago

    Oklahoma City, United States OU Health Full time

    Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment:Case ManagementJob 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. ...

  • Case Manager

    3 weeks ago

    Daly City, United States Camden Case Management Full time

    The 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.

  • Travel Nurse RN

    6 days ago

    Oklahoma City, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...

  • Travel Nurse RN

    6 days ago

    Oklahoma City, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...

  • Travel Nurse RN

    5 days ago

    Oklahoma City, United States Medical Solutions Remote Work Freelance Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma. Job Description & Requirements Specialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We're seeking talented healthcare professionals whose adventure game is as...

  • RN Case Manager

    2 weeks ago

    Oklahoma City, United States INTEGRIS Health Full time

    INTEGRIS Health Southwest Medical Center, Oklahoma's largest not-for-profit health system has a great opportunity for a Registered Nurse Case Manager in Oklahoma City, Oklahoma. In this position, you'll work with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of...

  • Travel Nurse RN

    6 days ago

    Oklahoma City, United States Medical Solutions Full time

    Job DescriptionMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...

  • Travel Nurse RN

    6 days ago

    Oklahoma City, United States Medical Solutions Full time

    Job DescriptionMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...

  • Travel Nurse RN

    5 days ago

    Oklahoma City, OK, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma. Shift: 8 hours, days ~ Employment Type: Travel We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game. Some of the industry-leading benefits enjoyed by Medical...

  • Travel Nurse RN

    6 days ago

    Oklahoma City, OK, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma. Shift: 8 hours, days ~ Employment Type: Travel We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game. Some of the industry-leading benefits enjoyed by Medical...

  • Travel Nurse RN

    5 days ago

    Oklahoma City, OK, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We’re seeking talented healthcare professionals whose...

  • Travel Nurse RN

    6 days ago

    Oklahoma City, OK, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We’re seeking talented healthcare professionals whose...

  • Utilization Review-Care Management Coordinator PT/Day

    6 days ago

    King City, United States Mee Memorial Hospital Full time

    JOB SUMMARY: Under the direct supervision of the Manager of Case Management and Social Services, the Care Management Coordinator (CMC) serves as a liaison among all disciplines including Administration, Medical staff, HIM, Nursing, and Finance. The CMC works collaboratively with the MMHS health care team to achieve best practices, discharge planning,...

  • RN Case Manager

    3 weeks ago

    Oklahoma City, United States INTEGRIS Health Full time

    INTEGRIS Health, Oklahoma's largest not-for-profit health system has a great opportunity for a RN Case Manager in Oklahoma City, OK. In this position, you'll work Days, Full-time, with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live...

  • RN Case Manager

    2 weeks ago

    Oklahoma, United States Integris Health Full time

    INTEGRIS Health Southwest Medical Center, Oklahoma’s largest not-for-profit health system has a great opportunity for a Case Manager in Oklahoma City, Oklahoma. In this position, you’ll be a part of our Case Managment team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with...

  • Remote Case Coordinator

    1 week ago

    Culver City, United States Advanced Medical Review Full time

    Overview: Remote Case Coordinator is responsible to ensure reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates. This position is required to assist with quality assurance questions and provide overall support to the Quality Assurance...

  • Case Management Manager

    4 weeks ago

    Boulder City, United States Boulder City Hospital Full time

    false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 GENERAL PURPOSE: Effectively performs Case Management and Utilization Review functions and assists with hospital-wide Quality Improvement Monitoring and Infection Control as needed. ESSENTIAL FUNCTIONS: Primary responsibilities of the Case Management/Utilization Review RN include case...

  • Travel Nurse RN

    4 days ago

    Oklahoma City, OK, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...

  • Travel Nurse RN

    4 days ago

    Oklahoma City, OK, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: Travel We’re seeking talented healthcare professionals whose...