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Oklahoma City, Oklahoma, United States Spectrum Healthcare Resources Full timeJob Title: RN - Case Manager PositionWe are seeking a skilled Registered Nurse to fill a Case Manager position in our team.Job Summary:As a Case Manager RN, you will be responsible for providing nursing services to injured Federal workers in Oklahoma City and surrounding areas.Key Responsibilities:* Provide nursing services to injured Federal workers* Manage...
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Oklahoma City, Oklahoma, United States INTEGRIS Health Full timeJob SummaryWe are seeking a skilled RN Case Manager to join our team at INTEGRIS Health Baptist Medical Center. As a RN Case Manager, you will be responsible for coordinating patient care and ensuring optimal clinical outcomes.Key Responsibilities:Conduct comprehensive assessments of patients' clinical, psychological, and financial needsDevelop and implement...
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RN - Case Manager Position
2 weeks ago
Oklahoma City, Oklahoma, United States Spectrum Healthcare Resources Full timeJob Summary:Spectrum Healthcare Resources is seeking a skilled Registered Nurse Case Manager to provide nursing services to injured Federal workers in Oklahoma City and surrounding areas.Key Responsibilities:Provide nursing services to injured Federal workers who have immediate time loss and have not returned to work within a specified number of days.Manage...
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Travel Nurse RN Case Manager
3 weeks ago
Oklahoma City, Oklahoma, United States Talent4Health Full timeTalent4Health is seeking a skilled travel nurse RN to join their team as a Case Manager.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, days, nightsEmployment Type: TravelAs a travel nurse RN Case Manager, you will be responsible for providing high-quality patient care and managing cases with...
RN Case Manager
2 months ago
INTEGRIS Health Baptist Medical Center, Oklahoma's largest not-for-profit health system, is seeking a skilled RN Case Manager to join our team. As a key member of our Case Management team, you will work collaboratively with patients, families, and healthcare professionals to ensure seamless transitions of care and optimal clinical outcomes.
Responsibilities- Conduct comprehensive assessments of patients' clinical, psychological, and financial needs, utilizing all available resources.
- Develop, implement, and evaluate plans for discharge, including referrals to other healthcare and community organizations as needed.
- Communicate discharge care plans and any changes to patients, families, and healthcare professionals.
- Assist physicians and hospital staff in optimizing resource utilization through the application of utilization criteria and facilitating timely discharge planning.
- Coordinate services between hospital departments to facilitate timely patient discharge.
- Conduct concurrent reviews of patient records on admission and as determined by the patient's clinical condition.
- Apply utilization criteria accurately to determine appropriate resource utilization.
- Notify internal and external contacts of utilization issues that may affect patient care and/or reimbursement.
- Facilitate patient transfers to other healthcare organizations in accordance with hospital policies and applicable state and federal guidelines.
- Act as a resource and advisor to physicians regarding discharge planning, medical record documentation, and issues affecting resource utilization and reimbursement.
- Maintain knowledge and understanding of CMS regulations, Medicare/Medicaid, managed care, and other payer regulations and benefit limits.
- Develop and maintain knowledge and understanding of hospital and community resources, and facilitate the use of the most appropriate level of care to conserve patient, hospital, and payer resources.
- Identify opportunities to reduce the cost of managing patient care without impacting quality or outcomes.
- Participate in collecting and recording data for utilization and Quality Improvement reporting.
- 5 years of 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 required.
- BSN preferred.
- Excellent interpersonal, communication, and collaboration skills required.
- 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 required.
INTEGRIS Health 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.
