RN Case Manager
4 months ago
INTEGRIS Health Baptist Medical Center, 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 8a-4p, Part-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 healthier lives speaks to you, apply today and learn more about our increased compensation plans and 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 Case Manager is responsible for the clinical and financial outcomes for an assigned caseload of patients as appropriate. 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. In general, the Case Manager functions in the role of clinician, educator, researcher, manager and advocate to serve the best interests of the system and patient. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires.
- INTEGRIS is an Equal Opportunity/Affirmative Action Employer. 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.
The RN Case Manager responsibilities include, but are not limited to, the following:
- Completes a comprehensive assessment of patients clinical, psychological and financial needs utilizing all available resources.
- Recommends and coordinates timely transfers to appropriate levels of care as indicated by clinical needs and utilization criteria.
- Develops, implements, evaluates and revises, as necessary, a plan for discharge, including referrals to other health care and community organizations based on needs assessment.
- Communicates discharge care plan, and any changes in the plan to patient, family and all appropriate healthcare professionals.
- Assists physicians and hospital staff in appropriate utilization of resources through application of utilization criteria and facilitating timely discharge planning for patients.
- Coordinates services between hospital departments to facilitate timely patient discharge.
- Conducts concurrent review of patient records on admission to the hospital and as determined by the patient's clinical condition.
- Applies utilization criteria accurately in order to determine appropriate utilization of resources.
- Notifies designated internal and external contacts of utilization issues that may affect patient care and/or reimbursement.
- Facilitates patient transfers to other health care organizations in accordance with hospital policies and all-applicable state and federal guidelines and regulations.
- Acts as a resource/advisor to physicians regarding discharge planning, medical record documentation, and all issues that may affect resource utilization and reimbursement.
- Integrates and manages established pathways, where available, to enhance clinical effectiveness and clinical resource management.
- Maintains knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care and other payer regulations and benefit limits.
- Acts as a resource and provides education for patients, their family members and all health care professionals regarding HCFA regulations, Medicare, Medicaid, managed care and other payers.
- Develops and maintains knowledge and understanding of hospital and community resources, and facilitates use of most appropriate level of care to conserve patient, hospital, and payer resources.
- Identifies opportunities to reduce cost of managing patient care without impacting quality or outcomes.
- Participates in collecting and recording data for utilization and Quality Improvement reporting. * Works collaboratively and professionally with patients, family members, and physicians, hospital staff and other individuals and agencies involved in providing patient care.
- Leads age and developmentally appropriate patient education and recreational groups to address the emotional, physical and environmental needs of Mental Health and/or Chemically Dependent patients.
- Provides documentation daily in patients' charts on each group facilitated. Facilitates discharge planning to assist patients in placement and treatment following discharge.
- Participates in the development of patient plans of care to address goals of the patient (emotional, physical, spiritual, environmental) by attending treatment team meetings.
- Participates in the writing of treatment plans with other program staff and physicians on hospital approved form.
- Assists in utilization review process by contacting patients' insurance companies to provide clinical information to authorize patient treatment.
- Serves as a patient advocate in the patients' needs, as well as those individuals involved with patients (as relevant).
- Assists in the development and execution of marketing the program services to appropriate entities (outpatient therapists, primary care physicians, inpatient programs, etc.).
- Completes or facilitates the completion of Emergency Detention paperwork, as well as ensure its distribution and receipt by legally designated individuals.
- Provides physician ordered therapy in the areas of individual, family and marital sessions.
- Develops and facilitates age and developmentally appropriate patient psychotherapeutic groups.
- Is responsible for reviewing and noting physician orders.
- Monitors patients' medications and provide education related to use and side effects.
- Monitors vital signs as indicated by physician orders or if deemed medically necessary.
- Assesses patients for appropriateness of admission to the program.
- Documents and communicates in a timely fashion patients progression throughout the continuum of care to all necessary parties via electronic, written, and verbal means.
- Apprises team members of challenges encountered throughout the continuum of care via electronic, written, and verbal means.
- Utilizing strong organizational skills, personally manage evolving calendar of commitments in the best interest of the patient and organization.
- Utilizing excellent interpersonal, collaborative, and conflict resolution skills, act in the capacity of liaison between the patient, medical provider, and the organization to achieve positive outcome.
- 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.
- Assist in utilization review process by contacting patients? insurance companies to provide clinical information to authorize patient treatment.
- Serves as a patient advocate in the patients' needs, as well as those individuals involved with patient.
- 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 patient's medications and provide education related to use and side effects.
- Monitors vital signs as indicated by physician orders or if deemed medically necessary.
- Provides referrals options for patient's who are assessed, but do not enter the program.
- Completes a comprehensive Initial Mental Health Assessment of patients clinical, psychological and financial needs utilizing all available resources.
- Attends and participates in treatment team.
The Case Manager meets established deadlines, attends required inservices, maintains staff competencies and completes required documentation; collaborates and works as a team player with all disciplines; presents a professional image to all customers and patients.
Mental Health Case Managers report to the Unit Program Manager
INTEGRIS Certified Case Managers report to the Process Manager, Disability Mgmt.
Jim Thorpe Rehab Hospital: Reports to Mgr Post-Acute Care and Rehab
Mental Health staff must be able to assist with physical restraint of patients, utilizing the Mandt System.
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.
Required to be on call as scheduled by the department.
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.
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.
Qualifications
- 5 years experience in a variety of clinical settings (e,g. home health, inpatient, physician office, clinic) required.
- Experience with managed care and payer/provider requirements preferred.
- Current licensure as a Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state.
- BSN preferred.
- Excellent interpersonal communication and collaboration skills.
- Computer experience required. Windows preferred.
- Current Case Management Certification preferred, at minimum attained within one year of hire (INTEGRIS Certified Case Management only)
- Current Driver's License issued by the state of Oklahoma.
-
RN Case Manager
3 weeks ago
Basin City, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
-
RN Case Manager
2 weeks ago
Basin City, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
-
benton city, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Senior Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$44/hr. (including 100% of Hourly Wage Paid for Drive Time)Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...
-
benton city, United States Professional Case Management Full timeSenior Case Manager RN - Paid Drive Time at Professional Case Management summary: The Senior Case Manager RN will oversee the provision of care to clients within the home care setting, ensuring adherence to state nursing regulations and agency policies. This role encompasses direct care responsibilities, case management, and collaboration with a team of...
-
basin city, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Senior Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$44/hr. (including 100% of Hourly Wage Paid for Drive Time)Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...
-
basin city, United States Professional Case Management Full timeSenior Case Manager RN - Paid Drive Time at Professional Case Management summary: As a Senior Case Manager RN, you are responsible for overseeing a team of RN Case Managers in providing high-quality home care. You create your own schedule while ensuring compliance with agency policies and state regulations, facilitating effective patient care, and...
-
RN Case Manager
4 weeks ago
Oklahoma City, United States Integris LLC Full timeINTEGRIS Health Southwest Medical Center, named the top hospital in the Oklahoma City metro by Newsweek, has a great opportunity for a Case Manager in Oklahoma City, Oklahoma. In this position, you'll work Full Time Days with our Case Management team, providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our...
-
basin city, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in Washington Come join our growing team! A few of our perks: Create your own schedule! $44/hr. (including 100% of Hourly Wage Paid for Drive Time) Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...
-
RN Case Manager
2 months ago
Oklahoma City, United States Integris LLC Full timeINTEGRIS Health Baptist Medical Center, 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 8a-430p, Part-time, with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of...
-
RN Case Manager
5 days ago
Oklahoma City, United States Integris LLC Full timeINTEGRIS 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 Full-time, with our Case Management Administration team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people...
-
RN Case Manager
16 hours ago
Oklahoma City, United States INTEGRIS Health Full timeJob Description INTEGRIS Health Southwest Medical Center, named the top hospital in the Oklahoma City metro by Newsweek, has a great opportunity for a Case Manager in Oklahoma City, Oklahoma. In this position, you'll work Full Time Days with our Case Management team, providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare...
-
RN Case Manager
4 weeks ago
Oklahoma City, United States Integris LLC Full timeINTEGRIS 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 PRN Days 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 healthier...
-
RN Case Manager
4 weeks ago
Oklahoma City, United States Integris Health Full timeINTEGRIS Health Baptist Medical Center, 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 8a-430p, Part-time, with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of...
-
RN Case Manager
2 days ago
Oklahoma City, United States Integris Health Full timeINTEGRIS 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 Full-time, with our Case Management Administration team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with...
-
RN Case Manager
2 days ago
Oklahoma City, United States Integris Health Full timeINTEGRIS 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 Full-time, Days, 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...
-
RN Case Manager
3 months ago
Oklahoma City, United States Integris Health Full timeINTEGRIS Health Baptist Medical Center, 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 8a-430p, Part-time, with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of...
-
RN Case Manager
4 weeks ago
Oklahoma City, United States Integris Health Full timeINTEGRIS 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 8a-5p, Full-time, with our Care Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to...
-
RN - Case Manager (FT/Days)
4 weeks ago
Oklahoma City, United States McBride Orthopedic Hospital Full timeJob DetailsLevel Undisclosed Job Location Hospital - Oklahoma City, OK Remote Type N/A Position Type Full Time Education Level Undisclosed Salary Range Undisclosed Travel Percentage Undisclosed Job Shift Days Job Category Undisclosed Description The Case Manager is responsible for facilitating the patient's hospitalization from admit through discharge. The...
-
RN Case Manager
4 weeks ago
Oklahoma City, United States Integris Health Full timeINTEGRIS 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 PRN Days 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...
-
Travel Nurse RN Case Manager Position
1 month ago
Oklahoma City, Oklahoma, United States MedPro Healthcare Staffing Full timeMedPro Healthcare Staffing is seeking a travel nurse RN Case Management professional for a travel nursing assignment in a top healthcare facility.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNShift: 12 hours, daysEmployment Type: TravelAs a travel nurse RN Case Manager, you will be responsible for coordinating continuity of care for...
