Hybrid RN Case Manager

at INTEGRIS Health

• Job title: RN Case Manager
• Job type: Part Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Associate's Degree
• Location requirements: Hybrid, Enid, United States

About the role

• RN Case Manager responsible for patient assessment and care coordination at INTEGRIS. Ensuring efficient patient movement and achieving optimal clinical outcomes.

Responsibilities

• 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.

Requirements

• 5 years experience in a variety of clinical settings (e,g. home health, inpatient, physician office, clinic)
• BLS (Basic Life Support) Issued by American Red Cross or American Heart Association within 30 days of hire
• RN (Registered Nurse) Current licensure as a Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state
• Excellent interpersonal communication and collaboration skills
• Computer experience
• Experience with managed care and payer/provider requirements
• Bachelor's of Science in Nursing
• Case Management Certification

Benefits

• 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.
• Must be able to communicate effectively in English (verbal/written).