EdmondRecruiter Since 2001
the smart solution for Edmond jobs

RN Care Manager -Full Time -Day Shift- Bass Baptist Hospital ,Enid, Ok

Company: Integris Health
Location: Jet
Posted on: February 25, 2021

Job Description:

RN Case Mgr

Job Code: 1318

Position Summary:

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.

Essential Functions:

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.

Mental Health Only:
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.

INTEGRIS Certified Case Management Only:
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.

Accountability:

The Case Manager reports to the Director of the Case Management Services. 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

Required Physical Demands (Subject to Reasonable Accommodation):
Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time
Standing/Walking: Occasionally; activity exists up to 1/3 of the time
Strength (Lift/Carry/Push/Pull): Light (Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently)
Talking (Must be able to effectively communicate verbally): Yes
Seeing: Yes
Hearing: Yes
Color Acuity (Must be able to distinguish and identify colors): Yes

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.

Environmental Conditions:

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.

Keywords: Integris Health, Edmond , RN Care Manager -Full Time -Day Shift- Bass Baptist Hospital ,Enid, Ok, Executive , Jet, Oklahoma

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Remote Enterprise Data Governance Data Quality Manager
Description: A financial company has an open position for a Remote Enterprise Data Governance Data Quality
Company: VirtualVocations
Location: Tulsa
Posted on: 03/7/2021

Assistant General Manager
Description: The Job: As a SONIC Drive-In Assistant General Manager, you are responsible for assisting and managing the daily operations of the Drive-In in conjunction with the General Manager to provide quality (more...)
Company: Sonic
Location: Bethany
Posted on: 03/7/2021

General Manager
Description: Your new career is just a few clicks away As the global leader in third-party hotel management, our growing portfolio represents 1,400 hotels in 49 states and 20 countries, from top international lodging (more...)
Company: Regional Recreation Corporation of Wood Buffalo
Location: Oklahoma City
Posted on: 03/7/2021


Assistant Restaurant Manager - 501 W. MAIN STREET- Braum's
Description: Overview br br Assistant Restaurant Manager-Food Service Supervisor-Management br br If you are a positive, energetic person looking for a career that offers an excellent compensation package (more...)
Company: Braum
Location: Independence
Posted on: 03/7/2021

Restaurant Manager
Description: Overview: When working at Cracker Barrel, you will enjoy a fast-paced, family environment, where we treat every guest as a guest in our own home. You ll be Pleasing People with our made-from-scratch recipes (more...)
Company: Cracker Barrel
Location: Tulsa
Posted on: 03/7/2021

Manager Subcontracts Admin 3
Description: Discover opportunities that can positively change the world through advancements in defense technology at Northrop Grumman. Expand your career through experience and exposure, all while supporting our (more...)
Company: Northrop Grumman
Location: Oklahoma City
Posted on: 03/7/2021

Director of Preparatory School
Description: Director of Preparatory School Middle School The Director of Preparatory School provides leadership, management, and supervisory skills that promote the academic and social-emotional learning for all (more...)
Company: The Opsrc
Location: Tulsa
Posted on: 03/7/2021

MDS Coordinator/ RN Case Manager
Description: The MDS Coordinator/RN completes MDS for SNF/LTC residents and transmits for billing. He/she strives to enhance lives so people thrive at all times and serves in a leadership role for team members to (more...)
Company: Epworth Villa
Location: Oklahoma City
Posted on: 03/7/2021

Hospitalist Medical Director - 12123BR
Description: Further your career through our excellent opportunity for a full-time physician to lead our Hospitalist team at INTEGRIS Canadian Valley Hospital in Yukon, Oklahoma a bedroom community of Oklahoma City, (more...)
Company: TeamHealth
Location: Yukon
Posted on: 03/7/2021

Associate Property/Asset Management Analyst
Description: Discover careers that change the world and further advancements in defense, technology, and engineering today at Northrop Grumman. Use your experience to grow your career and support our global customers (more...)
Company: Northrop Grumman
Location: Oklahoma City
Posted on: 03/7/2021

Log In or Create An Account

Get the latest Oklahoma jobs by following @recnetOK on Twitter!

Edmond RSS job feeds