Healthcare Management Nurse II

1 week ago


Tulsa, Oklahoma, United States Oklahoma Human Services Full time
Job Title: Healthcare Management Nurse II

This position is open to current OKDHS employees only.

Location: Tulsa, Oklahoma City, or McAlester, Oklahoma

Job Summary:

We are seeking a highly skilled Registered Nurse to join our team as a Healthcare Management Nurse II. In this role, you will conduct medical level of care assessments and make recommendations using the Uniform Comprehensive Assessment Tool (UCAT).

Responsibilities:
  • Conduct medical level of care assessments and make recommendations using the UCAT
  • Evaluate applicants for the Medically Fragile Waiver, demonstrating a knowledge base of other waivers
  • Makes appropriate referrals to community resources
  • Makes recommendations for change in services to meet the member's person-centered plan
  • Assures the individual's freedom of choice by informing the individual, legal guardian and/or representative of alternatives available, including institutional or home and community-based waiver services
  • Works in collaboration to resolve escalated issues
  • Performs Health and Safety reviews, Morbidity & Mortality Reviews, critical incidents within required time frames for designated Medically Fragile Waiver members, with identified risk factors
Requirements:
  • Possession of a valid permanent Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or Registered Nurse Licensure Compact (eNLC)
  • Three years of professional nursing experience
  • Must be able to frequently lift up to 15 lbs for transporting computer
  • Must have stable and reliable home Internet (not a hot spot) for teleworking or will be required to work in office
Knowledge, Skills, and Abilities:

The KSAs required are the knowledge, skills, and abilities to analyze complex health concerns and issues; including the evaluation of adherence to established healthcare standards and the effectiveness of health management plans/programs and recommending changes/revisions.

Employees have a high degree of independence in planning and completing work assignments and may function as the lead person on some special projects.

Also requires professional nursing knowledge in reviewing, auditing, and analyzing nursing and healthcare services provided by direct care providers to ensure that the appropriate healthcare resources are used at the appropriate level to meet the healthcare needs of clients.

If you have questions, please contact [email protected]

OKDHS is a Fair Chance Employer.

This is a position in the Oklahoma Civil Service.



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