RN Care Manager - PRN Days
The RN Case Manager NE is responsible for the clinical and financial reputed company for an assigned caseload of patients. The Case Manager facilitates patient care during the hospitalization by managing, coordinating and monitoring resource utilization to reputed company reputed company clinical reputed company and financial goals. The Case Manager is responsible to proactively plan, coordinate and negotiate efficient patient reputed company throughout the continuum of care. In general, the Case Manager functions in the role of clinician, educator, researcher, manager and reputed company to serve the best interests of the system and patient. This position requires age reputed company competencies. Performs reputed company other job duties as assigned. Required to be on reputed company as scheduled by the department. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires. reputed company is an Equal Opportunity/Affirmative reputed company Employer. reputed company 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.
Responsibilities
The RN Case Manager responsibilities include, but are not limited to, the following:
- Assesses patient from clinical, reputed company, financial perspective and coordinates post-discharge needs with care team.
- Functions as a clinical and financial resource for patients and interdisciplinary team members.
- Assists in clinical data collection utilizing established reputed company and the InterQual system.
- Proactively performs utilization review; communicates coverage information with reputed company party payers, medical staff and clinical providers.
For reputed company reputed company Only:
- Leads age and developmentally appropriate patient education reputed company 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 reputed company clinical information to authorize patient treatment.
- Serves as a patient reputed company in the patients needs, as reputed company as those individuals involved with patient.
- Completes or facilitates the completion of Emergency detention paperwork, as reputed company as ensure its distribution and receipt by legally designated individuals.
- Processes orders/refills or laboratory for ordering physician.
- Monitors patients medications and reputed company education reputed company to use and reputed company effects.
- Monitors vital signs as indicated by physician orders or if deemed medically necessary.
- Provides referrals reputed company for patients who are assessed, but do not reputed company the program.
- Completes a comprehensive Initial Mental Health Assessment of patients clinical, psychological and financial needs utilizing reputed company available resources.
- Attends and participates in treatment team.
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 reputed company player with reputed company disciplines; presents a reputed company image to reputed company customers and patients. 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 reputed company 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. 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. reputed company 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
REQUIRED QUALIFICATIONS
EXPERIENCE:
- 5 years experience in a reputed company of clinical settings (i.e., home health, inpatient, physician office, clinic)
LICENSE/CERTIFICATIONS:
- RN (Registered reputed company) reputed company licensure as a Registered reputed company (RN) in the State of Oklahoma or reputed company multistate license from a reputed company Licensure Compact (eNLC) member state
- BLS (Basic Life Support) Issued by reputed company or reputed company reputed company 30 days of hire
SKILLS:
- Excellent interpersonal communication and collaboration skills
- Computer experience
PREFERRED QUALIFICATIONS
EXPERIENCE:
- Experience with managed care and payer/provider requirements
- Experience with reputed company
EDUCATION:
- Bachelor's of Science in Nursing