OklahomaCityRecruiter Since 2001
the smart solution for Oklahoma City jobs

Integris Health: Rn Case Manager - Ft Days - Baptist Medical Center, Okc, Ok

Company: Integris Health
Location: Oklahoma City
Posted on: January 15, 2021

Job Description:

Job DescriptionRN 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 design About Integris Health

Keywords: Integris Health, Oklahoma City , Integris Health: Rn Case Manager - Ft Days - Baptist Medical Center, 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


Mental Health/Disabilities Specialist
Description: Mental Health/Disabilities Specialist forBig Five Head StartNorthwest AreaMust possess a degree from an accredited institution of higher learning
Company: BIg FIve Community Services Inc
Location: Enid
Posted on: 01/25/2021

ICU/CCU RN
Description: trustaff is currently seeking an experienced ICU/CCU Registered Nurse for a 13-week travel contract. The Intensive Care Unit ICU RN provides care for patients with life-threatening medical conditions. (more...)
Company: trustaff
Location: Enid
Posted on: 01/25/2021

Physical Therapist - Travel Contract - New Grads Welcome
Description: br Provide expert therapy to patients with injuries and/or illnesses to help them improve movement, manage pain, and/or prevent the loss of mobility at state-of-the-art facilities across the U.S. Partner (more...)
Company: Jackson Therapy Partners
Location: Enid
Posted on: 01/25/2021


RN, Critical Care Specialties - HealthCare Traveler
Description: Critical Need for All Hospital Based RN SpecialtiesTravel Registered Nurse Jobs Assignments br Looking for an RN travel assignment You are in the right place, the HCEN Network of staffing agencies (more...)
Company: HealthCare Traveler Jobs
Location: Enid
Posted on: 01/25/2021

Travel Nurse RN - NICU Neonatal Intensive Care
Description: Nationwide Travel Nurse Jobs - Neonatal Intensive Care RNAre you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Traveler Jobs
Location: Enid
Posted on: 01/25/2021

Hillcrest Hospital South: Registered Nurse (Rn) Medical Surgical
Description: Job DescriptionWho We
Company: Hillcrest Hospital South
Location: Douglas
Posted on: 01/25/2021

RN Travel Nurse Emergency Department (ED/ER)
Description: Nationwide Travel Nurse Jobs - Emergency Department RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HCEN
Location: Enid
Posted on: 01/25/2021

Respiratory Therapist CRT - OPT - Pulmonary Medicine - INTEGRIS Bass
Description: Job Description Respiratory Therapist CRT Job Code: 5062 Position Summary:
Company: Integris Health
Location: Enid
Posted on: 01/25/2021

Telemetry - Tele Travel Nurse RN
Description: Nationwide Travel Nurse Assignments - Telemetry RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Employment Network
Location: Enid
Posted on: 01/25/2021

Respiratory Therapist CRT - OPT - Pulmonary Medicine - INTEGRIS Bass - Enid
Description: Job DescriptionRespiratory Therapist CRT Job Code: 5062 Position Summary: The Respiratory Therapist CRT assumes responsibility for the management and delivery of patient care for their assigned areas. (more...)
Company: Integris Health
Location: Enid
Posted on: 01/25/2021

Log In or Create An Account

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

Oklahoma City RSS job feeds