Job description
Position Title:
Case Manager - OUMC - Full-Time - Days
Department:
Case Management
Job Description:
General Description:
As a member of a multidisciplinary care management team, the nursing case manager is accountable and responsible for coordinating the care and services of selected patient populations.
Essential Responsibilities:
Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
- Comprehensively assesses patient goals: biophysical, psychosocial, environmental, discharge planning needs and financial status.
- Closely monitors patient’s progress for changes in medical needs that could affect present and future medical treatment.
- Procures services and serves as advocate on behalf of the patient and family with scarce resources.
- Works closely with third party payers to resolve problems and issues affecting the continuity of patient care.
- Coordinates and directs the discharge planning of patients with family members, health care team and the community.
- Reviews admission data within the designated timeframe to determine the suitability of the level of care in accordance with ISD-A criteria and/or established criteria.
General Responsibilities:
- Performs other duties as assigned
Minimum Qualifications:
Education: Graduate from an accredited school of nursing required. Bachelor of Science (or higher) in Nursing Board Approved Program preferred.
Experience: (3) years clinical nursing experience in an acute care facility.
License(s)/Certification(s)/Registration(s) Required: Current RN License issued by the Oklahoma State Board of Nursing, or a current multistate Compact RN License (eNLC). Current Basic Life Support issued by the American Heart Association required upon hire.
Knowledge, Skills and Abilities:
- Knowledge of nursing practices and procedures.
- Strong clinical assessment skills.
- Must be knowledgeable about resources available in the community for use by patients, families and the health care team that would facilitate in the recovery of the patient.
- Requires knowledge of third party payer issues concerning reimbursement and regulatory perimeters.
- Must be able to explain technical and complex information in such a way that patients and family can understand.
- Strong interpersonal skills that facilitate the gathering of information necessary for assessing the patient’s needs and the range of treatment and care necessary.
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OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.
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