OklahomaCityRecruiter Since 2001
the smart solution for Oklahoma City jobs

RN Case Mgr - FT - Weekend - Baptist Medical Ctr, OKC, OK

Company: Integris Health
Location: Oklahoma City
Posted on: January 13, 2021

Job Description:

* Hospital Case Management preferred. This is an every weekend position*RN Case MgrJob Code: 1318Position 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 ManagerINTEGRIS Certified Case Managers report to the Process Manager, Disability Mgmt.Jim Thorpe Rehab Hospital: Reports to Mgr Post-Acute Care and RehabRequired Physical Demands (Subject to Reasonable Accommodation):Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the timeStanding/Walking: Occasionally; activity exists up to 1/3 of the timeStrength (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): YesSeeing: YesHearing: YesColor Acuity (Must be able to distinguish and identify colors): YesMental 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, Oklahoma City , RN Case Mgr - FT - Weekend - Baptist Medical Ctr, OKC, OK, Healthcare , Oklahoma City, Oklahoma

Click here to apply!

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

I'm looking for
in category
within


Other Healthcare Jobs


Licensed Practical Nurse (LPN)-Clinic
Description: PRIMARY RESPONSIBILITIES Contributes to the assessment of patients and ensures the well-being of patients. Administers medications and observes patients for adverse reactions to medications
Company: SSM Health
Location: Prague
Posted on: 01/20/2021

Mercy Health: Rn
Description: Job DescriptionTemporary 13 Week Assignment, 36 hours per week, 7pm 7am, 60/hr We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional (more...)
Company: Mercy Health
Location: Meridian
Posted on: 01/20/2021

Registered Nurse - RN
Description: Job Description RN Staff 2 Job Code: 1392 Position Summary: The Staff Registered
Company: Integris Health
Location: Edmond
Posted on: 01/20/2021


Float Pool RN - Night shift
Description: PRIMARY RESPONSIBILITIES Uses standards of medical-surgical nursing practice to increase the quality of care and quality of life for the patient, family, and significant other s by systematically evaluating (more...)
Company: SSM Health
Location: Prague
Posted on: 01/20/2021

Nursing Assistant - OPT 7p-7a - Step Down ICU - INTEGRIS Bass - Enid
Description: This position may be filled with a Patient Safety Monitor - Job Code 2333 Nursing Assistant Job Code: 2312 Position Summary: The Nursing Assistant performs delegated direct patient care activities to (more...)
Company: Integris Health
Location: Enid
Posted on: 01/20/2021

Travel Long Term Care LPN / LVN (LTC Nurse)
Description: Nationwide Travel Nurse Jobs - Medical Surgical Med Surg Licensed Practical NurseHCEN client agency who has put in a special request to fill numerous Nationwide LPN / LVN Nursing vacancies. br ul (more...)
Company: HealthCare Traveler Jobs
Location: Enid
Posted on: 01/20/2021

ENT, Physician, Full Time, INTEGRIS Edmond Hospital, Edmond, Oklahoma
Description: For more information on this opportunity, please contact Juliana Lee with INTEGRIS Physician Recruitment at annette.kezbers integrisok.com Physician Job Code: 9993 Position Summary: INTEGRIS Edmond is (more...)
Company: INTEGRIS Health
Location: Edmond
Posted on: 01/20/2021

M/S travel RN needed in Woodward, OK
Description: RN M/S br Must have at least 2 years of recent
Company: Health Providers Choice
Location: Woodward
Posted on: 01/20/2021

Medical Laboratory Technician - (Med Lab Tech - MLT)
Description: Job Description RequirementsMedical Laboratory Technician - Med Lab Tech - MLT StartDate: ASAP Available Shifts: 8 E/N Pay Rate: 1400.00 - 1700.00Acute setting seeks Medical Lab Tech and Medical Tech (more...)
Company: Club Staffing
Location: Stillwater
Posted on: 01/20/2021

Emergency Medicine Physician Assistant or Nurse Practitioner
Description: Emergency Medicine opening in Enid, Oklahoma. This and other physician assistant jobs brought to you by DocCafe.com TeamHealth has an excellent full-time opportunity for a physician assistant or nurse (more...)
Company: TeamHealth
Location: Enid
Posted on: 01/20/2021

Log In or Create An Account

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

Oklahoma City RSS job feeds